Acute Care Surgery

What is Acute Care Surgery?

Acute care surgery refers to a medical speciality in which procedures are performed in cases of emergency, as well as trauma and critical care.

Dr Mosai may perform acute care surgery for patients who are acutely ill, have experienced severe injuries as a result of trauma; or who are suffering from chest pains; abdominal pains; vomiting; constipation; and bleeding from the mouth or anus.

Some examples of acute care surgery include appendectomy; perforated peptic ulcer repair; and emergency procedures performed for the treatment and repair of hernias as well as diseases of the gallbladder, breast, oesophagus, stomach; anus, colon, rectum, pancreas, liver, and thyroid.

How is the surgery performed?

Dr Mosai specialises in minimally invasive surgery, which is performed through one or more small incisions, rather than one large opening as in the case of traditional open surgery. When he performs minimally invasive surgery, also known as laparoscopic surgery, he makes use of small tubes and tiny cameras and instruments. Because the incisions are so small, patients tend to have a quicker recovery time and experience less discomfort than with conventional surgery. Scarring is also minimal, and there are generally less post-surgical complications, such as adhesions and wound sepsis.

What techniques are offered?

Dr Mosai offers both robotic surgery and non-robotic minimally invasive surgery. Robotic surgery is performed with the use of an electronic station, much like a computer. Dr Mosai is able to use the station to control a camera and robotic arms in order to perform a procedure. He will make very small incisions, through which  the surgical tools that are attached to the robotic arms are inserted. An endoscope, which comprises a light and camera, will be inserted through another incision, allowing Dr Mosai  to view the area in which he is operating. The camera works by transmitting high-definition 3D images to a screen.

Minimally invasive surgery that is performed without the use of robotic arms includes laparoscopic and endoscopic surgery. The techniques are similar to robotic surgery, except that Dr Mosai will use his own hands, rather than the robotic arms. Small surgical tools as well as an endoscope are inserted through tiny incisions. In some cases, the endoscope may be placed through the nose or mouth, depending on the site of treatment.