Laparoscopy is also known as diagnostic laparoscopy. It is a surgical diagnostic procedure used to examine organs inside the abdominal cavity. It is a low-risk, minimally invasive technique needing only minor incisions. Laparoscopic Trainer is best choice.
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Laparoscopic surgery involves the use of a special instruments called a laparoscope to examine the abdominal organs. A laparoscope is a long, thin tube with a high-intensity flashlight and a high-resolution camera at the end. The instrument inserted through a small-cut in the belly wall. As the camera moves, it transmits the image to the video monitor.
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In most cases, abdominal problems can diagnose using the following methods:
- Ultrasound (ultrasound), which uses high-frequency sound waves to create images;
- Computed tomography (CT), in which an image creates from a series of x-rays;
- Magnetic resonance imaging (MRI), that uses magnets and radio waves to create images.
Laparoscopy surgery often uses when these tests do not provide enough information or understanding to make a diagnosis. Laparoscopy is a method that allows you to “look” inside the human body in real time, without the need for open surgery. During this procedure, tissue samples may also obtain for biopsy. Laparoscopy often used to identify and diagnose the source of pelvic or abdominal pain. This usually done when non-invasive diagnostic methods have failed.
Doctor may indorse laparoscopy to inspect the following organs:
- Small and large intestine;
- Pelvic and reproductive organs
- Laparoscopic surgery
- Laparoscopic surgery
Open laparoscopic surgery can help detect or confirm:
- Various types of tumors
- The presence of fluid in the abdominal cavity
- Liver disease
- Effectiveness of applied methods of treatment
- The rate of progress of a specific form of cancer
Risks of Laparoscopy
Laparoscopic surgery, like any other surgical intervention, has its risks, which you also need to be aware. The most common risks associated with laparoscopy are bleeding, infection, and damage to the abdominal organs. However, these manifestations are quite rare. After the procedure, it is important to watch for any signs of infection.
Possible manifestations in which you should immediately consult a doctor are:
- Fever or chills;
- Abdominal pain that gets worse over time
- Soreness, bulge, bleeding, or drainage at the incision site;
- Continuous nausea or vomiting;
- Persistent cough;
- Difficulty urinating;
- Less common risks include:
- Complication of general anesthesia;
- Inflammation of the abdominal wall;
- A blood clot in the pelvis, legs, or lungs
There is also a small risk of damage to the organs examined during laparoscopy. Blood and other fluids can seep into the body at the point of puncture of its outer integument.
In some cases, such as cholecystectomy surgery, the physician may decide that the possible risks of exploratory laparoscopy are too high to warrant the benefits of using this minimally invasive technique. This situation often occurs in those who have previously undergone abdominal surgery, which increases the risk of adhesions between structures in it. The presence of such adhesions increases the time of the operation and the risk of injury to organs.
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Preparation for Laparoscopy
Additional blood and urine tests, an electrocardiogram (ECG) and a chest x-ray, as well as an ultrasound, CT scan, or MRI may ordered before a patient admits to laparoscopy. These studies will allow the doctor to understand the anomaly, the study of which is supposed to carry out during laparoscopy. Their results can also improve the visual representation of the internal organs, which can also improve the efficiency of laparoscopy.
Eight hours before the laparoscopy, the patient will advise to refrain from eating and drinking. In most cases, laparoscopic surgery performed under general anesthesia, which can cause drowsiness and inability to drive for several hours after the operation.
Before the procedure, the doctor will need detailed information about the prescription and over-the-counter medications the patient is taking. The doctor may recommend changing those that may affect the result.
These are, in particular:
- Anticoagulants, e.g., blood thinners;
- Non-steroidal anti-inflammatory drugs (nsaids), including aspirin and ibuprofen;
- Drugs that affect blood clotting;
- Herbal or nutritional supplements;
- Vitamin k
Female patients should tell their doctor if they are pregnant or plan to become pregnant soon. This will reduce the risk of harm to the child.
The Course of the Procedure
Laparoscopy usually performs on an outpatient basis. This means that the patient can return home on the day of the operation. The patient will most likely need general anesthesia for this operation. During the procedure, the patient will sleep, and pain will be absent. To achieve general anesthesia, an intravenous line (IV) inserted into the vein, as well as additional drugs if necessary. In some cases, local anesthesia may use during laparoscopy.
During laparoscopy, the surgeon makes an incision below the navel and then inserts a small tube (cannula) into the incision to inflate the abdomen with carbon dioxide and provide full access to the abdominal organs. The surgeon then inserts the laparoscope through the incision. A camera attached to it creates an image transmit to the screen, allowing you to examine the organs in real time.
The number and size of incisions depends on what kind of disease the surgeon is trying to diagnose. As a rule, their number is from 1 to 4, each of them has 1-2 centimeters in length. These incisions allow the use of other surgical instruments. I.e.to performs biopsy. After the examination completes, the instruments removed, the incisions closed with sutures or surgical tape, and bandages applied to the incisions.
Recovery after Laparoscopy
After the completion of the operation, the patient monitors for several hours. Key vital signs such as breathing and heart rate closely monitors. The hospital staff will also check for any adverse reactions to the anesthesia and the procedure itself, as well as monitor the duration of bleeding.
Release times depend on:
- General physical condition;
- Type of anesthesia used;
- Response of the body to the method
In the first days after laparoscopy, the patient may feel moderate pain and pulsation in the places where the incisions made. Any pain or discomfort that laparoscopic surgery entails should resolve within a few days and pain can alleviated with specific medications.
After The Procedure
In addition, after the procedure, pain in the shoulder often occurs. It caused by carbon dioxide, which used to inflate the abdomen to create a working space for surgical instruments. The gas can irritate the diaphragm, which can cause slight bloating. The uneasiness should fade-out within a few days.
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