5 Reasons Why Laparoscopic surgery is better than Traditional Open Surgery

Laparoscopy (also known as keyhole surgery) is a minimally invasive surgical procedure that allows surgeons to perform the procedures of traditional surgery using small incisions. Laparoscopic surgery has become quite popular for performing several general surgery procedures.

In Laparoscopy, a long flexible tube is used which is connected to a video camera. The surgeon will insert the tube through the small incision in the abdominal cavity. With the help of a monitor, the surgeon can visualize the abdominal cavity and control the movements of the laparoscope.

Laparoscopic surgery offers many benefits to surgeons and patients. Find out how Laparoscopic surgery should be preferred over traditional surgery:

Reason #1: The size of incisions made in Laparoscopy is quite small, the risk of bleeding is reduced during the surgery. This further reduces the possibility of blood transfusion that might be needed to compensate the blood loss.

Reason #2: Smaller incisions also result in less pain after surgery. In open surgery where large incisions are made, patients need long-term medication to relief their pain and heal the stitch lines. However, in laparoscopic surgery, the post-surgical wounds are smaller, and patients recover fast.

Reason #3: Laparoscopic surgery also offers the benefit of less or smaller scars. With small incisions, patients will get minor surgical scars.

Reason #4: The length of hospital stay in laparoscopic surgery is relatively shorter than traditional surgery. Fast recovery and smaller incisions result in shorter hospital stays. Many patients get the same-day or next-day discharge from the hospital. They can return to the normal daily routine within few days.

Reason #5: Laparoscopic surgery protects the immune function of the patient whereas open surgery can compromise the immune system.

So these were five reasons that show Laparoscopic surgery is better than traditional open surgery. Every patient should find a qualified colorectal surgeon who is trained and experienced in minimally invasive techniques. Consult your physician to find out if you are an eligible candidate for Laparoscopy. If you are based in Los Angeles, contact Dr. Karen Zaghiyan M.D., who is a reputed Laparoscopic surgeon in LA.



Surgical Options for Colorectal Cancer Treatment

Surgery is the standard treatment option for colorectal cancer. Depending on the situation, your physician may suggest you minimally invasive surgery including laparoscopy and robotic surgery.

Advantages of Minimally Invasive Surgery

  • Some significant benefits that minimally invasive surgery offers are shorter hospital stays, faster recovery, smaller incisions, less complications, and decreased postoperative pain.
  • In addition to this, robotic approach provides more precise dissection which helps in removing tumor effectively while reducing the risk of nerve damage.
  • Minimally invasive surgery takes the same time as the standard open approaches.

The Laparoscopic Approach

In Laparoscopy, your surgeon will insert a fibre-optic instrument through the abdominal wall to view theabdomen and pelvis without making large incisions. In a standard laparoscopic colorectal surgery, patients usually get two to three small incisions of 1 centimeter and one large incision of 4-5 centimeters near the belly button. In single-incision laparoscopic surgery, only one incision is required at the belly button.

Robotic-Assisted Surgery

In robotic colorectal surgery, one large and four small incisions are needed to remove the specimen. In robotic-assisted surgery, a magnified, HD, 3D camera and robotic instruments are used that bend and move like human wrist into the abdominal cavity. Your surgeon will control the robot from a console from a seated position. The system will translate the hand, wrist and finger movements of the colorectal surgeon into the precise movements of robotic instruments that are inserted into the patient.

As compared to standard laparoscopic instruments, the robotic instruments offer increased dexterity, motion, and articulation. This state-of-the-art surgical option overcomes the limitations of laparoscopic and traditional surgery.

Which Surgical Option is Suitable for You?

It is your colon and rectal surgeon who can suggest you best treatment option after considering all the aspects and current situation. If you are diagnosed with colorectal cancer, make sure you ask your physician if you are the right candidate for robotic surgery or not. Though minimally invasive techniques are helpful, yet the majority of colorectal surgeons in the United States use traditional or standard open incisions. It is important for you to choose a reputable colorectal surgeon in your local area who is specialized in robotic-assisted surgery.

What is Colonoscopy and How It Can Save Your Life

Colonoscopy is a popular procedure in the field of colorectal surgery. However, many people are not aware of the procedure. Colorectal cancer is the third most common cancer prevalent in the United States. According to the estimates of The American Cancer Society, there have been 95270 new cases of colon cancer and 39220 new cases of rectal cancer. Though colon cancer is one of the most common types of cancer, it is treatable through colonoscopy.

What is a Colonoscopy?

A colonoscopy is a medical procedure that allows the colorectal surgeon to view and screen large intestine for any polyps or tumors. In the colonoscopy, the surgeon uses a scoping tool with a camera to screen the colon. You might feel nervous about the process; however you will be sedated during the procedure.

Diagnostic Colonoscopy

It is important to consult your colon and rectalsurgeon when you observe gastrointestinal discomfort and symptoms like severe pain in lower abdominal, rectal bleeding, bowel movement changes, bloody stool, etc. With the help of diagnostic colonoscopy, the doctor will be able to assess your condition and symptoms. Going for colonoscopy doesn’t mean you have a colon cancer.

Preventative Colonoscopy

Once the colon cancer symptoms are found in someone, it is expected that the disease will progress to more advanced level as time passes. Hence, a preventive colonoscopy is important for early detections so the disease is caught before it can develop further. Early stage colon cancer can be easily cured as compared to advanced-stage cancer that has more complications.

Colon Cancer Screenings: Prevention is better than Cure!

Colonoscopy is considered to be highly effective for treating/preventing colon cancer.  If there are any polyps in the colon, they can be removed during the colonoscopy before they can develop into colon cancer. Hence, colonoscopy not only helps in treating colon cancer, but it can also prevent colon cancer.

Every person should go for colon cancer screening after attaining the age of 50. If there is a family history of colon cancer, then you should consult a good colorectal surgeon and get screened earlier.



Hemorrhoids: Causes and Treatment Options

Suffering from Hemorrhoids can be problematic as it can interfere your social life, work, and family. In Hemorrhoids, you can have a burning and itching in the anus that can make you feel uncomfortable. The problem of Hemorrhoids has become common. According to National Institute of Diabetes and Digestive and Kidney Diseases over 75% people will experience a hemorrhoid flare-up at some point in their lives. Hemorrhoids are common in adults of 45 to 65 age. It is also common among pregnant women. Many people seek the help of colorectal surgeon for treating their hemorrhoids.

Common Causes of Hemorrhoids

Hemorrhoids are caused due to the swelling in the anal or rectal veins. Here are few causes that may lead to swelling:

  • Lack of fiber in the diet
  • Diarrhea
  • Prolonged sitting
  • Constipation
  • Weakened connective tissues in the anus and rectum
  • Straining during bowel movements

Pregnancy and extra body weight can also cause hemorrhoids by increasing pressure in the abdomen.

Treatment Options for Hemorrhoids

The treatment options may vary for internal and external hemorrhoids.

External hemorrhoids: They can be managed with fiber rich diet, warm baths, and hemorrhoid cream. Based on the severity of pain in external hemorrhoids, the colorectal surgeon may suggest office procedures or an outpatient surgery as well.

Internal hemorrhoids: They can be treated with proper intake of fiber rich food and water. The surgeon might suggest office based procedures or surgery to treat internal hemorrhoids.

Office Procedures

Rubber band ligation: This procedure involves placement of a special rubber band around the hemorrhoid which will cut off the blood circulation. This will cause hemorrhoid to shrink. Patients might feel uncomfortable for a while. This procedure must be done by the colon and rectal surgeon only.

Sclerotherapy:  In sclerotherapy, the surgeon injects a chemical solution (5% phenol and olive oil) into the blood vessels to shrink hemorrhoid.

Infrared coagulation: In this method, heat is used to shrink the hemorrhoid tissue.

If your hemorrhoids are responding to the procedures mentioned above, then your surgeon might suggest you a surgical treatment. Following are three surgical treatment options for hemorrhoid:

If you are suffering from hemorrhoid and want to get the best treatment, then visit the office of Dr. Karen Zaghiyan. She is one of the most efficient colorectal surgeons in Los Angeles. Contact her today and schedule an appointment.

How to Choose Best Colorectal Surgeon in Los Angeles

If you are suffering from any colon, anus or rectum disease you need to make sure that you get the treatment from the best colorectal surgeon. Choosing the right kind of surgeon for treating colorectal diseases is crucial.

There are certain parameters that you can consider while choosing colorectal surgeon in Los Angeles:

  • Considering the experience of the doctor is essential to ensure that you are in right hands.
  • The Next thing is to check if you can trust the doctor. The colorectal surgeon should be able to give you the right comfort and assurance that you will recover in no time.

Do some research and find the best surgeon for treating your colon, anus or rectum condition

Why Choose Robotic Surgeon in Los Angeles

These days, many surgeons use minimally invasive techniques for treating colorectal diseases. Choosing a robotic surgeon over traditional surgeon can give you many benefits such as:

–    Small incisions in robotic colorectal surgery will cause less suffering for your body. As a result of it, there will be less pain, less risk of infection, and less blood loss.

–    Faster recovery and shorter hospital stay

–    Less scars

If you have some problems with your colon, rectum or Anus, then consult your colorectal surgeon. Check with your doctor if you are eligible for robotic surgery or not. You can contact Dr. Karen Zaghiyan, who is one of the trusted robotic colorectal surgeons in Los Angeles.


Fecal Incontinence: Treatment and Management

Fecal or bowel incontinence is the unintentional loss of gas or stool. It is caused due to the failure of components that help the body to control the evacuation of stool or flatus. This is one of the most common bowel control problems, and many people shy to talk about their bowel problems or seek medical advice on time.

Different treatment options can help you regain bowel control. Your doctor can suggest a treatment analyzing the cause of incontinence. For bowel problems, you should always consult colon and rectal specialist who can suggest you changes in the diet and provide medications. Your doctor can also recommend a surgery if other treatments fail.

Treatment Options

Dietary Changes

Dietary changes are suggested to improve the consistency of your stool and prevent incontinence. Here are some diet do’s and don’ts:

In case of constipation

  • Drink plenty of water. (At least 7-8 glasses of water in a day)
  • Eat foods that are rich in fiber such as whole grains, vegetables, cereals, and fruits, etc.
  • Eat smaller meals frequently
  • Stay active as much as possible

In case of diarrhea

  • Avoid eating spicy or oily foods, dairy products, alcohol, smoked meat, caffeine, etc.
  • Eat fiber-rich foods


Medications also help in improving the consistency of stool by slowing down the movement of food through the intestine. With this, water can be fully absorbed in the colon, and you will get sufficient time to get to the bathroom when you feel the urge to evacuate. Some of the medications for fecal incontinence treatment are:

  • Fiber supplements
  • Antidiarrheal drugs
  • Laxatives and stool softeners

Note: Don’t take any medication, without consulting your doctor.


Your doctor can also suggest surgery for treating fecal incontinence. Some of the surgical treatments for fecal incontinence are:

  • Sphincter repair
  • Surgery for rectal prolapse
  • Colostomy (For severe incontinence)

There are some more advanced treatment options like Solesta, Sacral nerve stimulation (SNS) or Interstim that your surgeon can suggest considering the type of incontinence. He/she can also suggest bowel training or exercises for controlling your bowel movements.

These were the treatment options for Fecal Incontinence. If you are looking for a certified Colon and Rectal surgeon in Los Angeles, get in touch with Dr. Karen Zaghiyan M.D., who is specialized in the surgical and non-surgical treatment of Fecal Incontinence. She is a board-certified colorectal surgeon with advanced training in colorectal surgery. Book your appointment today!

Things to Consider While Choosing Colorectal Surgeon

For any health issues, you would always want to get treated by the best doctor. In the case of a colon or rectal cancer, choosing specialist colorectal surgeon over general surgeon is recommended. Even if you have a low rectal cancer, it is always a good idea to get treated by a specialist colorectal surgeon. Studies have shown that the risks of permanent colostomy are higher in patients treated by non-specialized surgeons as compared to patients treated by the specialist surgeon. Hence, it is essential to choose the right surgeon for the treatment of colon and rectal cancer.

One of the main reasons to choose specialist colorectal surgeons is their expertise and experience in the specific field that general surgeons may not have. According to studies, patients treated by the specialist colorectal surgeon are more likely to get positive results. There are certain factors that one should consider while choosing the qualified colorectal surgeon.


The surgeon that you choose must be certified by the American Board of Colon and Rectal Surgery that requires fulfilment of specific educational, and examination requirements. The surgeon should be board certified by the American Board of Surgery. He or she should have experience in general surgery as well as colorectal surgery.


In addition to board certification, your surgeon should also have sufficient experience in patient management with colon and rectum diseases. Make sure you choose an experienced surgeon for the treatment of colon or rectum cancer.

Amenities at Surgeon’s Facility

While choosing the colorectal surgeon, don’t forget to check surgeon’s facility amenities. There should be advanced operating rooms, state-of-the-art equipment, friendly medical staff, and a comfortable environment for patients.

These were some basic considerations for choosing the right colorectal surgeon. If you are in a search of an experienced colorectal surgeon Los Angeles, contact Karen Zaghiyan M.D., who is specialized in treating the diseases of the colon, anus, and rectum through surgical and non-surgical methods.