Laparoscopic techniques
1. How is laparoscopic surgery performed?
Laparoscopy is an instrument with a miniature camera similar to an electronic gastroscope. Laparoscopic surgery is surgery performed with a laparoscope and its associated instruments: a cold light source is used to provide illumination, a laparoscopic lens (10 mm in diameter) is inserted into the abdominal cavity, and the images captured by the laparoscopic lens are transmitted to the posterior signal processing system through an optical fiber using digital camera technology and displayed in real time on a special monitor. on a dedicated monitor. The surgeon then uses the images of the patient’s organs from different angles displayed on the monitor screen to analyze the patient’s condition and perform the surgery with special laparoscopic instruments. Laparoscopic surgery is mostly performed with 3-4 holes, one of which is opened on the navel of the human body to avoid leaving long scars in the patient’s abdominal cavity, and after recovery, only 3-4 linear scars of 0.5-1 cm are left in the abdominal cavity, which can be said to be a small invasive and less painful surgery. surgery. The development of laparoscopic surgery has reduced the pain of open surgery and shortened the recovery period of patients.
2.What are the advantages of laparoscopic surgery compared with open surgery?
(1) The operation is less traumatic, the postoperative pain is light, and generally the patient does not need pain medication after the operation.
(2) Quick recovery after surgery. The next day after surgery, the patient can eat semi-liquid food and get out of bed, and can be discharged from the hospital in 3 days after surgery, and resume normal life and work after a week.
(3) No obvious scars on the abdomen. The scars of traditional surgery are in the shape of long lines, which affects the appearance. The laparoscopic surgery basically leaves no scar, which is especially suitable for women’s beauty needs.
(4) The hospital stay is short, and the cost is not greatly increased compared with traditional surgery, and some surgeries even reduce the cost.
(5) No postoperative intestinal adhesions and other adverse complications.
3.What are the indications for laparoscopy?
Diagnosis: infertility, endometriosis, etc., chronic pelvic pain.
Treatment: ectopic pregnancy, pelvic adhesions, tubal reopening, ovarian tumors (endometriosis cyst, benign ovarian teratoma, ovarian cyst, ovarian cancer), uterine fibroids, adenomyosis, cervical cancer, endometrial cancer and sterilization, etc.
4.Is laparoscopic surgery a thorough treatment?
Since laparoscopy has the function of magnification and fluoroscopy, the operation field is clearer and the resection and hemostasis are more thorough.
5.How to remove large ovarian tumors and uterine fibroids from the abdominal cavity?
After ovarian cysts are peeled off laparoscopically, they are placed in special specimen bags, and after the liquid is sucked off, the mouth of the specimen bag is pulled out of the abdominal cavity, and the solid components are removed from the bag without contaminating the abdominal cavity; after the uterine fibroids are peeled off, there are special devices for laparoscopy to crush them and remove them from the abdominal cavity.
6.What patients are not suitable for laparoscopic surgery?
Patients with severe cardiopulmonary disease, diffuse peritonitis, intestinal obstruction, history of multiple abdominal surgeries and severe blood disorders.
7.What discomfort may there be after laparoscopic surgery?
(1) Due to the residual gas stimulation of the septum muscle, there is mild pain in the abdomen and right shoulder back 1-2 days after surgery, which can disappear without treatment.
(2) Due to tracheal intubation, there may be sore throat after surgery, which will disappear after taking lozenges and drinking more water.
(3) There is a small amount of vaginal bleeding after surgery due to the use of uterine lifters, which does not require treatment and will stop 2-3 days after surgery.
8.Is it necessary to have a laparoscopy before IVF?
A laparoscopy is recommended and is completely necessary and scientific. Laparoscopy can evaluate and treat pelvic pathologies, diagnose and treat endometriosis, pelvic tuberculosis and hydrocele in the pelvis, and has a positive impact on the success rate of IVF.
Most patients can conceive on their own after laparoscopic treatment. It is also advisable to undergo a hysteroscopy procedure to understand the endometrial condition prior to IVF. IVF technology requires a lot of money, time and effort, so it is important to clarify the condition of the pelvic and uterine cavities before proceeding.