MIS in rural areas: Solutions to problems for minimally invasive surgery in remote regions

In rural India, 40% of surgical patients have to borrow money or sell their assets to have treatment, and three fourths of them are impoverished by it [1]. The advantages, such as less pain, quick recovery, short hospital stay and less blood loss make minimally invasive surgeries like laparoscopic surgeries the ideal solution for patients in remote rural areas. However, the steep learning curves and prohibitive costs make these minimally invasive surgeries out of reach for many rural surgeons.

Lift laparoscopic surgeries have overcome some of the problems faced by rural surgeons. The equipment involved is sturdy and easy to maintain, and familiar open surgical instruments can be used for surgery. However, there are adventurous rural surgeons who still offer traditional minimally invasive surgeries in rural areas, and they might face some of the problems that we did. We describe our solutions.


Most of India’s remote and rural hospitals have problems with general anesthesia and have to use regional anesthesia as much as possible instead, which is much less expensive. In addition to costs, the expertise and safety are other important factors, and therefore many of our rural hospitals still use agents like ether, with a high margin of safety, for anesthesia.

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  1. Gudidevuni Jamuna Devi
    Posted Nov 2013 at 11:27 am | Permalink

    Its wonderful work being done with innovations (cost effective also)

  2. Suresh Kalyanasundar
    Posted Feb 2014 at 1:20 am | Permalink

    You have dedicated your efforts for the poor and the needy indeed great work

    • Dr. J. Gnanaraj
      Posted Feb 2014 at 2:56 am | Permalink

      Thank you. The poor need the MIS more than the rich

  3. teja chandra gudivada
    Posted Jun 2014 at 3:47 am | Permalink

    Thank you sir its inspiring that there is possibility to do mis in rural areas, please share more of your knowledge or why not arrange a workshop

  4. Girijadutt Sharma
    Posted Jan 2016 at 5:11 pm | Permalink

    Prof , I thought saline transmits current that’s why pre glycine era TURP was done with water and no saline. I m subject to correction.

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