It is a pleasure to come out of the theater and declare that surgery
was successful. To day I had a great difficulty to operate upon a case
of cancer breast. The lymph nodes were adherent to the major vessels
in arm pit. The relatives could not appreciate my job till one of them
asked It was surgery of how many stitches doctor?
A common question asked immediately after any surgery. I said About
35 stitches. Oh! It must have been a very major operation, one
of them uttered.
We still have people of old generation around us who used to weigh
the gravity of the operation by the length of the wound. Big surgeons
used to give big incisions. Now big surgeons give no incisions at all.
But at present also a villager is never satisfied with small incision
and minimal invasive concept. I am told at a private nursing home, not
to do hysterectomy by small incision. Ladies are not satisfied. They
are compared with the other ladies having a great scar from navel to
pubes for the same job. The lady herself also does not like a small
scar because then she gets less of sympathy and rest. For every inch
of scar she is given rest of one month.
Now as the media is making aware of the minimal invasive laparoscopic
surgery to public and people are witnessing the results, the shift is
towards the attraction for smaller wound and lesser number of stitches.
It has also become a status symbol to get laparoscopic surgery done.
I am happy to hear Doctor, will stitches be necessary? Now days
this is done with laser.
Every high tech job they call it laser, may it be infrared coagulation
of piles, Phaco emulsification of cataract, lithotripsy of a kidney
stone or a laparoscopic surgery. I resisted for the word for quite some
time and used to give a long lecture on what is a laser, but with maturity
and after repeatedly looking at their blank faces, I have started saying
Yes of course I do it with laser only.