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Basics of Laparoscopic Surgery One Must Know
by
drmanjunathivf1234
Laparoscopic surgery in Bangalore, a technique used in the modern day surgery in which incisions are done far away from the location at which operations are carried out. In this process, the surgery is done with the help of a laparoscope, which is designed to have a high intensity light and a high resolution camera in a long thin tube. This tube is inserted through the incision in the abdominal wall, and the camera sends images to the video monitor as the tube moves. Minimally Invasive Surgery (MIS) or simply Laparoscopic Surgery allows the doctor to see inside the body without an open surgery. This enables the surgeon to take out the samples the affected part and use it for diagnosis by biopsy.
Why is Laparoscopic Surgery Performed?
Laparoscopic Surgery basically helps in diagnosing and identifying the source of abdominal or pelvic abnormality which is responsible for causing unease, when the non-invasive diagnosis fails to detect it. Non-Invasive imaging techniques such as
Ultrasound images of the body are produced by high frequency sound waves.
CT Scan- cross-sectional images of the body or organs are taken with the help of a series of X-rays.
MRI- radio waves and magnets are used to produce images of the body.
A Laparoscopic surgery is usually done when the desired result or a clean insight is not obtained on non-invasive diagnosis. During this process, the sample tissue of the affected portion is taken for biopsy. Areas in which laparoscopic surgeries can be carried out are
Appendix
Gall Bladder
Pancreas
Liver
Spleen
Stomach
Reproductive organs
Small and large intestine
Areas observed with a laparoscope in order to detect abnormality are
Fluid entrapped in the abdominal cavity.
Tumour or abdominal mass.
Liver disease
Detection of the progression of the cancer stage
Effectiveness or progress of certain treatments.
Merits and Demerits of Laparoscopy
Laparoscopy is a modern day technique which has many benefits.
Post-operative pain and morbidity is less in the case of laparoscopy.
Decrease in the formation of post-operative abscess decreases.
Chances of fever due to external inflammation or contamination also decrease.
Hospital stay is short.
Risks of a laparoscopic surgery
Rare occurrences of fever and pain might be experienced. Others including continuous nausea, light headedness, inability to urinate, swelling and bleeding of incision sites can also take place. Damage to the organs which had been diagnosed can also serve as a risk of bleeding and other fluids also might leak into the body if an organ got punctured. In such cases the doctors advice is an important decision.
Need for Laparoscopy
Required for pelvic inflammatory diseases.
The method is to evaluate the patients condition who suffers from pelvic pain
In case of ectopic pregnancy, the procedure is helpful.
This method is also a safe approach to peritoneal factors in case of an infertile patient.
Procedure
Before the Laparoscopy surgery, the doctors usually recommend the patients to avoid eating for 8 hours and the medicinal doses are also altered in order to prevent the effect of the drug from preventing any procedures to be carried out.
During the surgery the patient is positioned in a lithotomy position with the head tilted at an angle between 10 and 20 degrees so that there is a displacement in the intestine. The veress needle is inserted in the thinnest site of the peri umbilical site covering the least distance from the anterior peritoneum. After adequate insufflation is achieved, the veress needle is removed and the trocar is inserted. If the gas escapes on removing the trocar from the sleeve, then it is confirmed that it placed correctly. The laparoscope is then inserted in the right intraperitoneal position.
After the procedure is done, the doctor would schedule an appointment with the patient to go over the biopsy results.
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