Laparoscopic Surgery Center

Minimally invasive surgery (MIS) is an innovative approach that enables surgeons to perform key-hole surgery without the large incisions that cut through muscle like in traditional techniques. This technique employs a 3D laparoscope for diagnostic and surgical procedures with real-time images on a high-resolution, 4K medical-grade screen. MIS allows surgeons to see hard-to-reach internal organs in exquisite anatomic details, enabling more effective surgical outcomes in a shorter time. It is a proven surgical approach and the most popular one to date.

Advantages of minimally invasive surgery

Smaller incision: MIS requires only 3-4 incisions of 0.5 - 1.0 centimeters. A high-definition laparoscope allows surgeons to see the minute details of blood vessels and nerves, which makes MIS a safer surgery with less blood loss, fewer complications, and less chance of tissue scarring.
Less pain: A smaller incision eliminates the necessity to cut through muscle, resulting in a less painful incision, reduced impact on surrounding tissue or internal organs near the surgical site, and a shorter hospital stay. Following minimally invasive surgery, patients can manage their care.
Shorter recovery time: Utilizing a smaller incision and minimizing muscle trauma facilitates a faster recovery. Patients can resume their daily activities or jobs swiftly, regaining a higher quality of life more expeditiously when compared to the weeks required for traditional open surgery.

The Minimally Invasive Surgery Center at MedPark Hospital specializes in treating various diseases and abnormalities throughout the body. Our highly skilled and experienced surgeons are proficient in using a diverse arsenal of surgical instruments to achieve optimal results. They collaborate with professionals from diverse disciplines to ensure comprehensive patient care, promoting good health and improved quality of life post-treatment. Furthermore, MedPark Hospital boasts over 10 JCI-standard operating rooms, including those capable of accommodating diverse surgical technologies and formats. Among them is the Hybrid Operating Room, which allows for the simultaneous application of multiple surgical approaches with a vascular intervention system without moving patients to other rooms. This setup enhances the precision, timeliness, and treatment efficiency when surgical techniques need to be changed, ensuring timely, accurate, and effective patient care.

During recovery, patients will rest in rooms designed to emphasize exposure to natural light, promoting healthy recovery after surgery. All rooms with wall-sized windows offer spectacular views of Benjakitti Forest Park or the Chao Phraya River, enhancing the well-being of patients. Additionally, every room within the facility has positive pressure relative to the building exterior. Outside air filters through a High-Efficiency Particulate Air (HEPA) filter before entering the building interior. This system filters out dust particles and various pollutants, reducing the risk of airborne disease transmission. It contributes to minimizing the dissemination of pathogens within the building, creating a safer environment for patients with a high ventilation rate.

Why the Laparoscopic Surgery Center at MedPark Hospital?

Our surgeons, specializing in endoscopic surgery and possessing a mastery of medical tools and technology, work with an experienced team of anesthesiologists and registered nurses to deliver close care and ensure patient safety during an operation.
The surgeons have undergone specialized training domestically and internationally, possessing expertise in minimally invasive surgeries with diverse techniques. They can effectively apply these techniques to various complex and challenging medical conditions.
The hospital is equipped with a Hybrid Operating Room, incorporating medical tools that enhance surgical capabilities simultaneously in various formats. It facilitates collaboration among multiple medical specialties and systems. The ARTIS Icono Biplane Angiography System generates 2D, 3D, and 4D images to support whole-body endovascular procedures with precision and speed. The equipment provides high-resolution images with reduced radiation exposure, enabling interventions such as transcatheter aortic valve implantation (TAVI), heart valve repair with clip, closure of septal defects, treatment of abdominal aortic aneurysms or cerebral artery aneurysm, electrophysiologic management of cardiac arrhythmias, all without the need of traditional, open surgery.

Diseases and conditions

Diseases and conditions that physicians deem appropriate for minimally invasive surgery, including:

Thoracic diseases, including lung cancer, pneumothorax, primary thoracic tumors, etc.
Bariatric and metabolic surgery
Gallstones
Hernia
Intestinal obstruction
Appendicitis
Colorectal diseases
Adrenal disorders
Thyroid disorders
Gynecologic diseases, including endometriosis, cystic ovarian disease, blocked fallopian tubes, uterine polyps, pelvic adhesions, uterine fibroid, and early-stage ovarian cancer.
Orthopedic disorders affecting ligaments, shoulders, spines, knees, hips, etc.
General surgical procedures
Tumors, such as colonic tumors and diverticular diseases.

Tests and procedures

General Surgery Clinic
- Surgery of the biliary tract and liver
- Gastric and intestinal surgery
- Surgery of the colon and rectum
- Hernia surgery
Urology Clinic
- Surgery of the kidneys and adrenal glands
- Renal pelvis and ureteric surgery
- Bladder and prostate surgery
- Urinary tract stone surgery
Obstetrics and Gynecology Clinic
- Hysterectomy and ovarian surgery
- Uterine cervix surgery
Orthopedic Center
- Spine surgery
- Shoulder surgery
- Knee and ligament surgery
Cardiology Center
- Video-assisted thoracic surgery (VATS)

Specialties

Arthroscopic surgery (for sports trauma or sports medicine), including:
- Knees (arthroscopic ligament, ACL, PCL, or meniscal repair)
- Shoulders (arthroscopic rotator cuff repair, acromioplasty, Bankart repair)

These techniques involve inserting an arthroscope through a 0.5 cm incision. The advantages of arthroscopic surgery include less irritation, less incisional pain, decreased complications, quick recovery, and shorter hospital stay of only a few days. Patients undergoing this type of surgery can resume their sports or exercises faster.

Video-assisted thoracic surgery (VATS): This surgical approach uses a rod-shaped videoscope and special surgical instruments introduced via intercostal space through a surgical port without the need to spread open the ribs. This surgery differs from traditional open thoracotomy, which requires a very long curving lateral chest incision with the removal of a rib (thoracotomy) or from median sternotomy, making a vertical incision through the entire breastbone. Hence, the postoperative pain is much less, and the wounds are tiny and hidden under the lower border of the breast, with a better aesthetic outcome. With an average of 1-3 days of hospital stay, patients can return to work quicker (compared to open thoracotomy where 5-7 days are needed).
Laparoscopic cholecystectomy: This technique involves the insertion of a laparoscope and specialized surgical instruments through a small incision made near the navel, the same route to remove the gallbladder from the abdomen. The incision will be closed with a few stitches. Only 1-2 days of hospital stay is needed. Patients can return to daily activities within a few days after surgery.
Laparoscopic appendectomy: This technique removes the appendix through a laparoscopic approach, using special surgical tools inserted through keyhole incisions.
Laparoscopic herniorrhaphy: Two approaches to hernia surgeries are:
- Total extraperitoneal approach
- Transabdominal preperitoneal approach

In laparoscopic herniorrhaphy, the surgeon makes three small incisions, pushing the hernia sac back into the abdomen and placing a synthetic mesh sheet over the internal ring where the hernia sac previously protruded and fixing it with metal staples or medical adhesives. One advantage of this technique is that it removes the need to close the gap in the abdominal wall with sutures, resulting in less operative pain due to no tension. Also, this technique can deal with bilateral inguinal hernia in the same sitting.

Laparoscopic colectomy: This surgery removes a segment of the colon containing the tumor. The ends of the healthy remaining colon will be attached back together. However, in some situations, the proximal end may be brought out through the abdominal wall as a colostomy. For the removal of the entire proximal colon containing the tumor, the distal small bowel will be re-anastomosed to the distal colon or rectum. The surgeon will choose the anastomotic options, allowing a patient the best quality of life.
Laparoscopic lysis of adhesion: Abdominal adhesions are secondary to inflammation of the peritoneum. They could be a side effect of abdominal surgery or trauma to the abdominal organs and tissues. These scar tissues can be in the form of fibrous bands or sheets, forming adhesion between the intestines and/or internal organs, such as the intestines to the abdominal wall, the fallopian tube to the intestines, or the liver to the diaphragm. These may cause blockage of the fallopian tubes or precipitate small bowel obstruction, necessitating surgical intervention. Laparoscopic lysis of adhesions is an alternative to open surgery with small incisions, less pain, and a quicker recovery.
Laparoscopic gastrectomy: In patients with gastric cancer or gastric ulcer with perforation requiring surgery, the laparoscopic surgical technique is feasible for both conditions, reducing the risks of complications with smaller incisions.
Laparoscopic gynecologic surgery: This procedure involves examining and addressing gynecologic issues affecting the uterus, fallopian tubes, and ovaries within the pelvic cavity. Gynecologic diseases treatable with laparoscopic gynecologic surgery include:
- Ovarian cysts or tumors
- Uterine fibroids
- Endometriosis
- Chronic pelvic pain without a known cause
- Infertility
- Fibrosis in the pelvis

Compared to traditional surgery, laparoscopic incisions are smaller, only 0.5 – 1 centimeter, causing fewer complications and less pain, and can treat various gynecologic conditions with quicker recovery compared to open surgery.

GreenLight™ laser PVP (photoselective vaporization of the prostate) surgery: GreenLightTM Laser PVP is an innovative, minimally invasive prostate surgery technique performed through a natural body orifice. The surgeon inserts a thin, rigid scope consisting of a video camera system through the urethra, as in cystoscopic surgery. Instead of using an electrical wire loop, a high-energy green light laser beam sweeps over the obstructive prostatic tissue to vaporize it.

It is a more efficacious treatment for an enlarged prostate than traditional prostate surgery as it causes less blood loss and pain and has a short recovery period. Patients can return to light activities in 2-3 days. Besides, it is associated with fewer complications and is especially suitable for elderly patients or patients with underlying cardiovascular diseases who cannot stop taking anti-platelets or anticoagulant drugs.

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Laparoscopic Surgery Center