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EdhaCare - Laparoscopic Surgery In India

laparoscopic-surgery

Laparoscopic surgery - Overview

Laparoscopy, also known as diagnostic laparoscopy, is a surgical diagnostic procedure used to examine the organs inside the abdomen. It’s a low-risk, minimally invasive procedure that requires only small incisions.

Laparoscopy uses an instrument called a laparoscope to look at the abdominal organs. A laparoscope is a long, thin tube with a high-intensity light and a high-resolution camera at the front. The instrument is inserted through an incision in the abdominal wall. As it moves along, the camera sends images to a video monitor.

Laparoscopy allows your doctor to see inside your body in real time, without open surgery. Your doctor also can obtain biopsy samples during this procedure.

Procedure

Laparoscopy is usually done as an outpatient procedure. This means that you’ll be able to go home the same day as your surgery. It may be performed in a hospital or an outpatient surgical center.

You’ll likely be given general anesthesia for this type of surgery. This means that you’ll sleep through the procedure and won’t feel any pain. To achieve general anesthesia, an intravenous (IV) line is inserted in one of your veins. Through the IV, your anesthesiologist can give you special medications and well as provide hydration with fluids.

In some cases, local anesthesia is used instead. A local anesthetic numbs the area, so even though you’ll be awake during the surgery, you won’t feel any pain.

During laparoscopy, the surgeon makes an incision below your belly button, and then inserts a small tube called a cannula. The cannula is used to inflate your abdomen with carbon dioxide gas. This gas allows your doctor to see your abdominal organs more clearly.

Once your abdomen is inflated, the surgeon inserts the laparoscope through the incision. The camera attached to the laparoscope displays the images on a screen, allowing your organs to be viewed in real time.

The number and size of incisions depends upon what specific diseases your surgeon is attempting to confirm or rule out. Generally, you get from one to four incisions that are each between 1 and 2 centimeters in length. These incisions allow other instruments to be inserted. For example, your surgeon may need to use another surgical tool to perform a biopsy. During a biopsy, they take a small sample of tissue from an organ to be evaluated.

After the procedure is done, the instruments are removed. Your incisions are then closed with stitches or surgical tape. Bandages may be placed over the incisions.

Risks/Complications

The most common risks associated with laparoscopy are bleeding, infection, and damage to organs in your abdomen. However, these are rare occurrences.

After your procedure, it’s important to watch for any signs of infection. Contact your doctor if you experience:

  • fevers or chills
  • abdominal pain that becomes more intense over time
  • redness, swelling, bleeding, or drainage at the incision sites
  • continuous nausea or vomiting
  • persistent cough
  • shortness of breath
  • inability to urinate
  • light-headedness

Other complications that may result from Mohs surgery are uncommon but may include:

  • Temporary or permanent numbness surrounding the surgical area, if small nerve endings are cut
  • Temporary or permanent weakness of the surgical area, if the tumor is large and a muscle nerve is severed
  • Itching or shooting pain in the affected area
  • An enlarged scar (keloid)

Post-procedure

After all of the cancer has been removed, you and your surgeon can decide on how to repair the wound. Depending on the extent of the operation, this might include:

  • Letting the wound heal on its own (healing by second intention)
  • Using stitches to close the wound (primary closure)
  • Shifting skin from an adjacent area (skin flap) to cover the wound
  • Using a skin graft from another part of the body, such as behind the ear, to cover the wound

If the surgical area is extensive or complex, your surgeon may temporarily close your wound and then refer you to another surgeon for reconstructive surgery to repair the wound.