What exactly is laparoscopy? A laparoscope is an instrument with a tiny camera. Laparoscopic surgery is the use of laparoscope and related instruments: using cold light source to provide illumination, inserting a laparoscopic lens (3-10mm in diameter) into the abdominal cavity, and using digital camera technology to make the image captured by the laparoscopic lens pass through the light guide The fibers are conducted to the post-stage signal processing system and displayed on a dedicated monitor in real time. Then the doctor analyzes and judges the patient's condition through the images of different angles of the patient's organs displayed on the monitor screen, and uses special laparoscopic instruments for surgery. Laparoscopic surgery mostly adopts 2-4 hole operation method, one of which is opened on the belly button of the human body to avoid leaving long scars in the abdominal cavity of the patient. After recovery, only 1-3 holes of 0.5- A 1 cm linear scar can be said to be a small wound and less painful operation, so some people call it "keyhole" surgery. The development of laparoscopic surgery relieves the pain of surgery, shortens the patient's recovery period, and relatively reduces the patient's expenses. It is a surgical project that has developed rapidly in recent years.
The so-called laparoscopic surgery is to make several small incisions with a diameter of 5 to 12 mm in different parts of the abdomen. The image of the organ is transmitted to the TV screen, and the surgeon completes the operation by observing the image and operating outside the body with various surgical instruments.
1. Small surgical trauma;
2. The patient recovers quickly after surgery;
3. short hospital stay;
4. The patient's postoperative pain is mild;
5. The abdominal incision scar is small and beautiful;
6. The therapeutic effect is the same as that of laparotomy.
Laparoscopic Hernia Repair
A laparoscope is an endoscope used for examination and treatment in the abdominal cavity. It is essentially a fiber light source endoscope, including laparoscope, energy system, light source system, perfusion system and imaging system. When applied to surgical patients under completely painless conditions, it can directly and clearly observe the intra-abdominal condition of the patient, understand the pathogenic factors, and perform surgical treatment for abnormal conditions. Laparoscopic surgery is also known as "keyhole" surgery. Using the laparoscopic system technology, the doctor only needs to open a few "keyhole" type small holes around the patient's surgical site, and can visualize the patient's internal situation in front of the computer screen without opening the abdomen, and perform precise surgical operations. It takes a very short time for the treatment technology to reach the international advanced level.
The new type of laparoscopic surgery is an operation performed by modern high-tech medical technology using advanced equipment such as electronics and optics. It is a cross-generational progress of traditional laparotomy. It is an operation performed in a closed abdominal cavity: the camera system is in a good cold temperature. Under the illumination of the light source, through the laparoscope connected to the abdominal cavity, the organs in the abdominal cavity are photographed on the monitoring screen. Under the monitoring and guidance of the high-tech display screen, the surgeon manipulates the surgical instruments outside the abdominal cavity to explore the diseased tissue. , electrocoagulation, hemostasis, tissue separation and incision, suture and other operations. It is a model of the application of high-tech technologies such as electronics, optics, and cameras in clinical operations. It has the characteristics of less trauma, fewer complications, safety, and quick recovery. Surgical laparoscopic surgery has developed rapidly, and can be checked and treated at the same time. It is the most Advanced, cutting-edge minimally invasive technology. Its role in the treatment of surgical diseases has attracted more and more attention. And it is popular in the international arena.
Scope of use
Laparoscopic techniques are most suitable for the treatment of certain benign diseases and early-stage tumors, such as fenestration of liver cysts, resection of colorectal tumors, gastric fold for hiatal hernia repair, extra-abdominal hernia repair, gastric leiomyoma resection, gastrointestinal cancer, gastrointestinal Perforation repair and adhesive intestinal obstruction release have unique therapeutic effects. In addition, minimally invasive treatment can be performed for diseases such as thyroid, breast, lower extremity varicose veins, and splenectomy for hypersplenism caused by various reasons, and the effect is remarkable.
Features
1. Multi-angle "inspection", the effect is intuitive
Laparoscopy can be inspected from different angles and directions without affecting the abdominal organs, and even some deep positions can be seen, achieving the effect of intuitive inspection, no missed diagnosis, no misdiagnosis.
2. Fast recovery
Laparoscopic surgery is performed in a closed pelvis and abdominal cavity, and the disturbance to the internal environment is minimal. The trauma suffered by the patient is far less than that of open surgery, and the patient recovers quickly after surgery without complications and sequelae.
3. Short hospital stay
The operation is performed by professional physicians, and the treatment can be completed in a short time without affecting normal physiological functions, and normal life and work can be resumed after surgery.
Fourth, the abdominal beauty effect is good
Traditional surgical scars are long linear, which affects the appearance. Laparoscopic surgery does not leave scars, which is especially suitable for women's beauty needs.
Five, less pelvic adhesions
Minimally invasive technology, no need for surgery, less interference to the pelvis, no gauze and hand-to-tissue contact, and little or no sutures. The pelvic cavity is adequately flushed during the operation, so the patients with pelvic adhesions after laparoscopic surgery are far less than open surgery.
advantage
Compared with traditional surgery, laparoscopic surgery has the following advantages:
(1) Laparoscopic surgery has little disturbance to the internal organs of the abdominal cavity, avoiding the stimulation and pollution of the abdominal cavity by the air and dust bacteria in the air. During the operation, electrocution and electrocoagulation are the main operations. The blood vessels are first coagulated and then broken, the bleeding is completely stopped, and the bleeding is very little. Before the end of the operation, the washing is thorough and the abdominal cavity is kept clean.
Therefore, postoperative intestinal function can be recovered quickly, and food can be eaten earlier, which greatly reduces the factors of postoperative intestinal adhesion.
(2) Laparoscopic surgery is a real representative of minimally invasive surgery, with greatly reduced trauma, easy operation and postoperative recovery, and less pain.
(3) The patient can get out of bed early after the operation, and the sleeping posture is relatively random, which greatly reduces the intensity of accompanying family care.
(4) The abdominal wall has small holes (ranging from 3-10mm), scattered and hidden, and will not affect the appearance after healing.
(5) General anesthesia is generally used, with complete monitoring and greatly increased safety.
(6) The piercing infection is far less than the traditional incision incision infection or fat liquefaction.
(7) Abdominal wall puncture replaces abdominal wall incision, avoids the injury of abdominal wall muscles, blood vessels and corresponding nerves, and there will be no abdominal wall weakness and abdominal wall incisional hernia after operation, and will not affect motor function due to abdominal wall muscle scarring. The abdominal wall nerve cut causes corresponding skin numbness.
shortcoming
However, laparoscopic surgery also has its own disadvantages such as:
(1). Laparoscopic equipment is expensive and complicated to operate. Laparoscopic surgery retraining is required, and there are technical requirements for the surgeon.
(2). It is difficult to estimate the operation time before operation, and in special cases, it is necessary to change to open operation during operation.
(3). Laparoscopic surgery increases the risk of surgery under special circumstances.
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