How Laparoscopy (Or Laparoscopic Surgery) Performed

 

What is Laparoscopy 

Laparoscopy is a surgical technique that allows access to the interior of the abdomen through small incisions in the abdominal wall. To diagnose or treat certain diseases this act is practiced and in particular gynecological or digestive.
During their internship in laparoscopic technique, many of them have not received practical training with simulators Lap Trainer Box.

Why Is a Laparoscopy Prescribed

The laparoscopy (also called laparoscopy) is a surgical technique that allows, through a small opening in the wall of the abdomen, to observe the inside of the abdominal or pelvic cavity and to intervene on the organs. It can have two diagnostic and therapeutic objectives.
Establish a Diagnosis Using Laparoscopy (Or Laparoscopy)
To be able to observe the inside of the abdominopelvic cavity (between the diaphragm and the pelvis), the surgeon insufflates carbon dioxide through a small incision in the abdominal wall, which rises. A mini-camera introduced into the abdomen and connected to a screen.
This allows the surgeon to examine the organs (liver, gallbladder, peritoneum, small intestine, colon, uterus, fallopian tubes, ovaries, etc.) and look for possible lesions.
This operation can request to specify a diagnosis:
• In case of abdominal pain (suspicion of endometriosis , ovarian cyst ...) 
• Alternatively, infertility assessment.
Intervene on the organs: operative or therapeutic use of laparoscopy
Other small openings then made to allow instruments to pass and to perform surgical procedures.
We also performed Surgery in this way, in several areas and for different pathologies:
• Gynecology (removal of endometriotic lesions or an ovarian cyst , treatment of an ectopic pregnancy  or genital prolapse ,hysterectomy for uterine fibroid , ligation of the fallopian tubes for sterilization ...);
• Digestive surgery (in case of acute appendicitis , gallstones , acute cholecystitis , inguinal hernia ...);
• Obesity surgery  ;
• Urology (treatment of an undescended testicle or urinary tract abnormality);
• Oncology (treatment and monitoring of certain cancers).

Prepare Well Before a Laparoscopy (Or Laparoscopy)

Before the operation, two medical consultations are to be expected. Also, make your arrangements for the smooth running of your hospitalization.
A consultation with the surgeon who will perform the laparoscopy
Before the laparoscopy, an appointment with the anesthesiologist

Prepare For Hospitalization for Laparoscopy

You are hospitalized the day before or the morning of the day on which the laparoscopy.
You take a shower while washing your hair in the evening and / or the morning before the operation. For this, your doctor will prescribe an antiseptic soap and tell you how to use it.
Laparoscopy is performed under anesthesia must be on an empty stomach for the surgery. Also, stop taking food, drink or medication from the time set by the anesthetist (usually six hours before the operation). If you enter the hospital the morning of the operation, refrain from smoking the day before, and arrive on an empty stomach.
The length of hospital stay depends on the nature of the laparoscopy (diagnostic or operative) and the procedure performed.
Thus, hospitalization can last a single day (outpatient surgery) or extend for a few days.
If the procedure performed in an outpatient setting, you leave the establishment the same evening. However, due to the effects of anesthesia:
• You must be accompanied by a relative (relative or friend);
• The operation of a vehicle is not possible overnight.

The Course of Laparoscopy (Or Laparoscopy)

The laparoscopy includes several stages.
You are taken to a room. Usually, you take another shower with an antiseptic. Then, you are administered a tranquilizer to relax you before the procedure, and you put on the clothes required to enter the operating room (sterile gown, hat and slippers).
You are taken to the operating room. This is equipped with anesthetic monitoring devices, and anesthesia is perform. While you are asleep, a thin tube install in yourtrachea (intubation), to allow safe ventilation. A urinary catheter also inserted into your bladder, so that it remains empty during the laparoscopy (which allows you to see the abdominopelvic cavity better).
The surgeon then makes an incision of about a centimeter, usually in the navel area. Through this small hole, he introduces a thin hollow needle into the abdominal cavity. Carbon dioxide passes through the needle, and the wall of the abdomen lifts up.
An optical device a few millimeters in diameter (mini-camera and high intensity lamp) positioned in the abdomen through the same incision, by means of a trocar (hollow rod). The camera has a magnifying effect, which facilitates the observation and the precision of the surgical gesture. Images of the interior of the abdominal cavity also transmitted on a screen visible to the surgeon and his assistants.
If operative acts are necessary, the surgeon can make up to four additional small incisions (0.5 to 1.2 cm in length). It can thus pass specific, thin and long instruments (scissors, forceps, hooks, needle holders, coagulation material) through the abdomen.
At the end of the operation, the carbon dioxide evacuated, and the small skin openings closed.
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