The 21st century is the era of technology. The technological developments in the last decade have changed the way of surgical management. The introduction of laparoscopy was eyed with suspicion to start with. The Gynaecologists and General Surgeon initially performed diagnostic laparoscopy. Dr. Erich Muhe did first laparoscopic cholecystectomy in 1985 and created history. Thereafter minimally invasive surgery using smaller incisions and laparoscopic or endoscopic surgery for practically most of the abdominal organs had come in vogue. The older concept of ‘Bigger the surgeon – bigger the incision’ is getting replaced with minimally invasive surgery. The initial skepticism is now replaced with enthusiasm. Today laparoscopic cholecystectomy has become the gold standard for the treatment of gall stones. Almost all types of operations have been performed or attempted by laparoscopic or endoscopic techniques. Over a period of time laparoscopic approach for certain procedures will be well established whereas laparoscopic approach for certain procedures will remain debatable.
The aim of this special issue of Bombay Hospital Journal on Laparoscopic Surgery is to provide an insight in the role of laparoscopic surgery for common problems seen in day to day practice by family physicians. The issue covers the common topics like Diagnostic Laparoscopy, Laparoscopic Cholecystectomy, Laparoscopic Inguinal Hernia Repair, Laparoscopic Appendicectomy, Laparoscopic Fundoplication, and Laparoscopic Splenectomy. The specialized areas like Laparoscopic Bariatric Surgery, Paediatric Laparoscopic Surgery, Thoracoscopic Surgery in Children, Laparoscopic Urological Surgery, Laparoscopic Adrenal Surgery, Endoscopic Neurosurgery, Endoscopic ENT surgery, Laparoscopy for Malignancy, Laparoscopy as day care and anaesthesia are also covered. The issue of training in laparoscopic surgery is also addressed as one has to use the technology with proper training for safe and efficient patient care.
We thank Dr. OP Kapoor and Dr. Mehta for providing us the opportunity to edit this issue on Laparoscopic Surgery of Bombay Hospital Journal. We thank all the authors for sparing their valuable time to prepare excellent review articles for this issue.