Dr Avishek Mukherjee
Areas of special interest
Kidney and ureter stone surgery
Kidney stone surgery has had major changes in the last few years. Today with the availability of holmium laser we can use finer instruments and also flexible instruments to deliver the laser energy and destroy the stone, in situ. Dr Avishek Mukherjee has been treating stone diseases for the past 23 years. He provided complete end to end solution for the stones of the urinary tract.
Ureteroscopic stone surgery-treating larger ureteral stones with laser energy. Ureter is the tube which conveys the urine from the kidney to the urinary bladder.
PCNL surgery-for large kidney stones, larger than 20mm, we use percutaneous nephrolithotomy. Wherein even staghorn stones can be cleared in one or two sittings.
Mini Perc surgery-this Is a mini version of the PCNL, where in the scope used is just 12 french and therefore the trauma to the kidney is reduced and the patient can recover much faster.
RIRS surgery-for stones smaller than 10mm located within the kidney we can use the flexible uretero-renoscope. Which allows the surgeon to visualize each calyx clearly and destroy renal stones, with laser, via an instrument passed from the urine passage into the kidney.
Laser prostate surgery
Prostate is the gland which produces semen, and is therefore a reproductive organ. Prostate enlargement can cause obstruction to the urine passage, since it surrounds the urethra at the base of the bladder.
When prostate is enlarged it needs to be removed. Earlier we used to use TURP as the method to remove the prostate. But now the latest method is removal of the benign prostate by holmium laser. The Holmium laser surgery of the prostate is called HOLEP. It is better than the TURP since the bleeding is less and therefore the clearance of the prostate is better.
Laparoscopic surgery for cancer of the prostate
Prostate cancer is a common problem among men more than 60 years of age. Prostate cancer can be safely and effectively treated with laparoscopic surgery of the prostate cancer. This surgery means removal of the entire prostate with the seminal vesicles and the lymph nodes which drain the prostate, which can also harbor the cancer.
Laparoscopy allows the surgeon to operate with very high magnification camera, and therefore very fine dissection and removal of cancer is possible. Since the entire surgery is performed via small key hole incisions, therefore the patient has very less trauma and can return to work within one month of the surgery. Dr Avishek Mukherjee did the first totally laparoscopic radical prostate surgery in eastern India in the year 2005.
Laparoscopic surgery for kidney cancer
Kidney cancer is very common in men after the age of 50. Surgical removal of these cancers remains the mainstay of the treatment of these patients. Earlier we needed to place large incisions to remove the cancer. But nowadays we are
able to perform this surgery with very high precision using machine driven laparoscopic surgery.
This surgery reduces the bleed and the trauma to the patient and therefore we can give cancer freedom with less pain
Today for cancers smaller than 4cm, we can provide nephron sparing surgery. Which spares the functioning kidney while the cancer can be cured. This advanced surgery can also be performed by laparoscopy, and Dr Mukherjee is a pioneer in this surgery in easter India.