laparoscopy

Laparoscopy




Laparoscopy is an examination of the abdominal cavity using a special set of instruments. As part of this procedure it is possible to perform treatments. A typical set consists of a laparoscope (endoscope with a camera that allows transfer images from the examined location to monitor), trocar (devices used to enter instruments), needles Veressa (first access is "blind"), insufflator (introduces air into the peritoneal cavity and causes edema for diagnosis and treatment), diathermy, and a set of surgical instruments.

General anesthesia is required before starting the procedure. Course of treatment begins with the implementation of a small cut or stab a Veresse needle, then foundation trocar and insertion a laparoscope. The next step is to put (already under visual control) remaining trocars, make insulfation and accession to the order procedure (diagnosis, treatment). In case of inability to complete the laparoscopically surgery (or if there are serious reasons: life-threatening complications, anatomic barriers) should be converted - open the abdominal walls and perform traditional surgery (laparotomy).


Indication



a) diagnostics (taking a tumor fragments, the search for endometriosis, diagnosis of liver, searching unidentified causes of inflammation);

b) treatment:

• excision of the gallbladder (cholecystectomy - a gold standard);

• antireflux operations - the gold standard;

• removal of adrenal tumors - the gold standard;

• treatment of morbid obesity;

• removal of the appendix (appendectomy);

• removal of bowel cancer lesions;

• inguinal hernia;

• removal of the spleen;

• removal of ovarian cysts or liver disease.


Contraindications



a) relative: older age, obesity, severe hypertension, heart failure, unstable angina, myocardial infarction, arrhythmias, the state with a history of abdominal surgery, presence of a large abdominal tumor, pregnancy> 12 weeks, active inflammation in lesser pelvis;

b) absolute: diffuse peritonitis, the patient's objection, impaired hemostasis, severe cardio-respiratory.
Possible complications: arrhythmia, subcutaneous emphysema, pneumothorax, pulmonary embolism, gastrointestinal tract failure, bleeding from large vessels.

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Goel's Technique of Laparoscopic Hysterectomy...

Dr Vipin Goel

Specialty:  Gynecology
views: 310 comments: 0
5

Demonstrating the Goels technique of hysterectomy for carcinoma endometrium. This innovative method is instrumental in minimizing complications in carcinoma endometrium surgeries, leading to better patient...

IPOM

views: 781 comments: 0
5

Educational video where the surgical steps of a laparoscopic incisional ventral hernia repair are analysed.

Laparoscopic Appendectomy for Beginners - A Step-By-Step...

views: 1535 comments: 3
4.5

This easy to understand video demonstrates the basic steps of performing a standard, uncomplicated laparoscopic appendectomy for junior and trainee surgeons.

Laparoscopic Percutaneous Inguinal Hernia Repair

views: 1516 comments: 1
5

A 1.5-year-old girl with a right inguinal hernia. Both inguinal canals were opened intraoperatively. The hernia was closed percutaneously with a 4.0 non-absorbable suture. The operation time was 12 minutes....

Laparoscopy for Endometrial Cancer

Nabil Moulay

Specialty:  Gynecology
views: 6399 comments: 2
4.2

This video case shows the laparoscopic treatment of endometrial cancer. This endoscopic procedure is performed in clinique la capitale at Rabat Morrocco (www.lacapitalemaroc. com).

Laparoscopic Splenectomy

views: 1597 comments: 0
5

A case of laparoscopic  splenectomy performed with three trocars. The patients suffered of major thalassemia  and the procedure aimed to reduce the monthly need of transfusion. The postoperative...

Small Bowel Perforation in Abdominal Trauma -...

views: 2085 comments: 0
5

Video case: small bowel resection and anastomosis in a young male with abdominal trauma and peritonitis for ileal perforation after have been run over by a bus. Guccione Marzio - Cucciarrè Giovanni (Palermo...

Laparoscopic Resection Of Gastric GIST (Gastro-Intestinal...

views: 1378 comments: 3
5

This is a surgical video showing laparoscopic resection of gastric GIST. A 41 year old male patient was diangosed to have Large Gastric GIST close to GE junction for which he was started on Imatinib 400...

Toupet Fundoplication

views: 1543 comments: 0
5

Surgical video case: sliding hiatal hernia needs some sort of anti-reflux procedure. Laparoscopic surgery is the gold standard approach for hiatal hernia repair. Nissan and Toupet fundoplications are...

Laparoscopic Appendicectomy for Gangrenous Appendix

views: 1556 comments: 0
5

Video case: acute appendicitis is a surgical emergency that needs immediate surgery. Laparoscopic approach for the management of acute appendicitis is an effective and safe technique. Apart from benefit...