MIS Approach

MIS Approach to Surgery by Dr. Bose

"Yes, it is true that Minimally invasive approach has been proven not to have great benefits over a conventional incision in terms of blood loss, pain , or speed of recovery in the same surgeons hands. It is only of cosmetic valueAll studies to investigate this have been done on two groups of patients in which a single surgeon employs the two approaches in the diff groups. When a surgeon who is capable of doing a minimally invasive approach does a conventional approach it is logical that the conventional technique will be only arginally bigger and therefore advantages do not show up in studies. However if a minimally invasive approach of a surgeon is compared with a conventional approach of another surgeon who never does minimally invasive or never makes an attempt to reduce his incision size (within comfort levels)- the differences will show up.

When one compares an incision which is 5 cms for a particular procedure with another which is 50 cms for the same procedure - the differences will show up without any doubt. However to see objective difference between an incision which is 5 cms and 8 cms it is difficult This is a question of degree. MIS approach has been accused to be just a marketing trick which has caused more harm than good. This is true in many instances however one must be careful not to confuse MIS surgery with the concept of minimizing incision size When surgeons are focused on doing a surgery with a pre- determined incision size like say 10 cms - they are hell bent on doing this through this incision even though they are struggling and probably getting many things wrong in the deep bone work. This is certainly not good. Scientific papers enumerating surgical disasters when this is employed is common place...

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