What Really Is Laparoscopic Surgery or Minimally Invasive Surgery
Research
You will learn more
about a laparoscopic operation.
Laparoscopy is a
common surgical procedure where several small incisions made in the abdomen
(tummy). It is used to diagnose and treat many gynecological problems, but it
cannot be used to solve all problems. Will probably not have to stay in the
hospital and should not feel too much pain after the operation.
For minimally
invasive surgery technique, many of them have not received practical training
with simulators resembling Lap Trainer Box.
Introduction
A Laparoscope and Gas in the Abdomen
A small incision
made in the navel. A laparoscope, a long tube with a camera, inserted into the
abdomen. The abdomen inflated with gas so that the doctor can see the organs
inside. You could also make one to three additional small incisions elsewhere
in the abdomen to insert other instruments.
What Is A Laparoscopic Operation?
A laparoscopic (or
laparoscopic) operation is a way to perform operations by making only very
small incisions (openings) in the skin. This type of operation uses a thin,
rod-shaped instrument with a camera at the end, called a laparoscope. The
laparoscope inserted into the cavity, and the surgeon can move it from the
outside. The camera sends images to a television screen or other viewing
device. During the operation, the surgeon can see the body's organs on the
device.
Because this modern
surgical technique does not require as large an incision as a typical “open”
operation, members of the medical community refer to laparoscopy as “minimally
invasive”.
Laparoscopy is used
for different types of operations on the abdomen and pelvis. Depending on the
type and the reason for the operation, the laparoscopy can last several hours.
Three Different Reasons for Using Laparoscopy
There Are Different Types Of Laparoscopy.
A diagnostic laparoscopy
is called a laparoscopy done to find the cause of a problem, such as pain, or
to provide more information after other tests have been done.
Laparoscopy, which
is used to treat a problem, is called a laparoscopic operation. Sometimes, if a
problem found during the diagnostic laparoscopy, it can remedied at the same
time, resulting in one operation instead of two.
In gynecology, a
laparoscopy is performed for the following reasons:
·
Treat ovarian cysts;
·
Remove masses on the ovary;
·
Diagnose and treat torsion of the ovaries;
·
Assess chronic pelvic pain;
·
Diagnose and treat endometriosis;
·
Examine infertility;
·
Treat ectopic pregnancies.
Laparoscopic Surgery Is Not For Everyone or In All Situations
There are many
reasons that may justify resorting to laparoscopy. However, laparoscopy is not
always the right solution for everyone. It cannot done universally for any
reason that requires an operation. Your doctor will discuss with you whether a
laparoscopy is suitable.
The Intervention
During A Laparoscopic Operation
As with a normal
open operation, the laparoscopy done in the hospital. You will be prepared for
the operation and will likely need to stop eating and drinking several hours
before the procedure starts.
During the
procedure, you will be put to sleep with a special medicine called anesthesia
will make you sleep throughout the procedure and he will not feel any pain.
Your abdomen (tummy)
is filled with carbon dioxide (CO2). This raises the abdominal wall like a dome
and allows the surgeon to see the organs inside the body better, such as the
uterus, ovaries, and bladder. It also gives the surgeon more space to work in
the cavity.
Location of Laparoscopic Incisions
Incision points
below the navel and on the lower abdomen
A small incision
made at the place of the navel. You could also make one to three additional
small incisions in the abdomen to insert other instruments. The length of the
incisions ranges from 1 to 2 cm.
The surgeon makes a
one-centimeter (about half an inch) incision near the navel, where the
laparoscope is inserted. Then he makes small incisions of 5mm (about a quarter
of an inch each) in the lower right corners of the abdomen. These incisions are
for any other instrument that might be needed.
The number and exact
location of the incisions depend on the type of operation. If different
incisions are made, your doctor will advise you in advance.
When the operation
is finished, all the instruments are removed, as well as the CO2. All residual
CO2 is absorbed and processed by the blood. The surgeon closes the incisions
with melt stitches (absorbable sutures) and / or Steri Strips. Steri Strips are
small, sticky tapes that used to hold the skin closed and protect the skin as
it heals.
Follow-up care
Follow-Up after the Operation
You will see the
doctor about 6 weeks after the operation to discuss the operation and for the
doctor to see if you is doing well. If the doctor wants to see you before this,
he will let you know. If you have any questions about the operation, make a
list that you can take to your doctor's appointment.
Risks of the Intervention
All Transactions Involve Some Risk
With all operations
there are risks of infection, bleeding and the risks of anesthesia, as well as
other problems. All necessary measures are taken to reduce these risks.
Sometimes, although
it is very rare, organs and structures of the body can injured during a
laparoscopic operation. The risk of damage to these organs is less than 1%. If
this situation occurs, the surgeon can usually repair the lesions immediately.
Sometimes, if there is a lesion, the small incisions need to make larger so
that the surgeon can see the lesion better and correct it, but this is
extremely rare.
After The Intervention
After The Laparoscopic Operation
Usually recover more
quickly from laparoscopic surgery than from normal open surgery. In addition,
many patients return home the same day. Since the incisions are smaller, the
scars are also much less noticeable than those from a normal operation.
Many Return after A Few Days.
Depending on the
operation, you may need more time to return to physical activities, such as
contact sports. Ask your doctor what activities you can and cannot do in the
days and weeks after the operation.
Pain Management after the Operation
We usually have less
pain after laparoscopic surgery than after normal open surgery. If there is
pain after the operation, your doctor may prescribe pain medicine, or suggest
that you take an over-the-counter medicine, such as ibuprofen (Advil).
Your shoulders may
be sore as the CO2 residue from the operation reabsorbed back into the body.
The gas can irritate the diaphragm, a muscle in the abdomen. Because the
diaphragm muscle shares nerves with the shoulder muscles, some experience
shoulder pain after the operation.
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