Dr. Pradeep Jain Fortis - Let’s firstly discuss about what
laparoscopic surgery is all about? Laparoscopic usually means minimally
invasive is an advanced and specialized technique used for surgeries. Traditionally
the surgery was generally performed for gall bladder surgery and gynecologic
surgery.
The technique is performed using a laparoscope, a surgical
tool that easily appears inside the body to perform some sort of operations. The
laparoscope is attached with a tiny camera that transmits the image to a
monitor so that the internal organs are easily visible to the surgeon
performing the operation.
The uses of small incisions approx 0.5-1cm make this process a
minimally invasive. Each incision has separate port through which trochar is
introduced and during the process, through trochar laparoscope and the surgical
tools are passed. Within the abdomen, carbon dioxide gas is filled that create
a working space for the surgeon.
Rectopexy, Total Abdominal Colectomy, Proctosigmoidectomy,
Fecal Diversion, Total Proctocolectomy, Abdominoperineal Resection and Right
Colectomy or IIeocolectomy are the operations for which laparoscopic surgery is
performed. In addition, the surgery is suggested for the removal of intestinal
parts and appendix; treating endometriosis, ectopic pregnancy and female sterilization;
and removal and repair of the gastrointestinal tracts.
Issues Associated with
Laparoscopic Surgeries
Similarly as with any surgical method, laparoscopy
excessively has likely risk of anesthesia overdose. In spite of famous thinking,
it would be putting it mildly that laparoscopic process is totally risk free. Complexities
of laparoscopy may be characterized as per numerous phases of the method. Issues
identified with presentation of pneumoperitoneum and setting of laparoscope
includes heart arrhythmias, puncturing of an empty viscus, and piercing of
strong organ, dying, and subcutaneous emphysema. On the other hand, the likelihood
of complications emerging in a laparoscopic method is less.
Specific Complications of this surgery includes the damage to
blood vessels and bowel that are particularly related to the laparoscopic
technique. There is minor chance of experiencing injury to urinary bladder, intestines
and abdominal organs. Such major causes of accidents are due to the inexperience
surgeon performing the operation. In case of severe problem occurs, another surgery
is performed with larger incisions, however if there is mild complications, doctors
suggest antibiotic medications.
If, after surgery, you experience chills, fever, redness near
the injected areas, difficulty in passing urine and abdomen soreness, contact
your surgeon right away. The surgery is not for all, in some cases, it is
inadvisable too.
Even though the technique has its own benefits and risks
involved, some aspects like heart failure, non- cooperative patient, presence
of distended bowel, and respiratory problems make it highly ill- considered. As
per some experts, the surgery is not for those patients who have already
suffering from certain diseases. Furthermore COPD and cardiovascular
patients are not good candidates for laparoscopy surgery. Also the old age
patients are not recommended for the same and who have had abdominal surgery done
in past should not for the surgery.
Dr Pradeep Jain is an expertise surgeon, specialized in performing
radical Esophagectomies, Reteroperitoneal tumors via minimal access endoscopic
surgical procedure. Dr Pradeep JainFortis Hospital explains these are not to be confused with liposuction or
other cosmetic procedures.
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