Laparoscopic or “mini-invasive” surgery is a specialized technique for surgery. Compared to traditional open surgery, patients often experience less pain, shorter recovery and fewer scars with laparoscopic surgery. Here are some risks and advantages of laparoscopic surgery.
Laparoscopic Surgery Risks
Laparoscopic surgery is nowadays generally used in preference to conventional open surgery because of the use of advance Laparoscopic Surgery Instruments and the benefits it offers over open surgery such as reducing bleeding, increasing the time of recovery and reduced length of hospital stay. However, laparoscopy is still associated with a number of risks, some of which are described below.
One of the main risks associated with laparoscopic surgery is an injury resulting from the installation of a trocar. The trocar is the device that is inserted into the abdomen at the beginning of the operation so that other tools can be used to access the operational site.
Examples of injuries can occur include hematoma of the abdominal wall, penetration of the large intestine, penetration of blood vessels and infection of the umbilical wound. Vascular damage can cause life-threatening hemorrhage and intestinal damage can lead to peritonitis. The risk of such injuries is higher in those with a history of abdominal surgery.
Electrodes used during surgery can release power into surrounding tissues and cause electrical burns. These burns can cause punctured organs and peritonitis. Active monitoring of the electrodes should be used to prevent this. The inhalation of dry and cold gases during surgery may increase the risk of hypothermia and surgical humidification treatment should be administered to reduce this risk.
All the carbon dioxide inhaled is not removed from the abdominal cavity during surgery. This gas can form a pocket and increase in the abdomen, putting pressure on the diaphragm and phrenic nerve. This can lead to shoulder pain, especially in the right shoulder, during an appendectomy.
Breathing can also be painful. However, the pain is transient and lessens as carbon dioxide is absorbed by body tissues and expelled through breathing. The presence of air or gas in the abdomen may not be tolerated by patients with lung disorders and open surgery may be required. Bleeding disorders are considered contraindications to laparoscopic surgery.
Laparoscopic Surgery Advantages
Laparoscopic or keyhole surgery is a minimally invasive surgery that has several advantages over traditional open surgery.In an open procedure, a large abdominal incision is made to expose the tissues and structures inside for examination and surgery. However, during a laparoscopic procedure, only a small incision of up to 1.5 cm in length is made in the abdomen, usually around the navel area.
The abdomen is then inflated with carbon dioxide to widen the abdominal walls and give the surgeon a clear view of the structures inside while leaving room for them to work. A laparoscope is inserted through the incision and used to observe the organs and tissues inside the abdomen.
If necessary, other small incisions can be made to allow access to other small instruments that can then be threaded to the operating site so that the damaged tissue can be removed or a biopsy is performed, for example, example. Once the operation is complete, the carbon dioxide is expelled from the abdomen and the incisions are closed with stitches.
Some of the benefits of this procedure over open surgery are described below:
The risk of bleeding during surgery is reduced because the size of the incision is so much smaller than the large incision made for open surgery. This reduces the risk that a blood transfusion is needed to compensate for blood loss.The small size of the incision also reduces the risk of pain and bleeding after surgery. When a major incision is made, patients generally require long-term analgesic treatment during healing.
With laparoscopic surgery, the post-surgical wound and cuts are much smaller and the healing process is much less painful. The small incision also results in the formation of a much smaller scar after surgery. In cases where the surgical wound is larger, the scar tissue that forms is more likely to be infected and more vulnerable to the hernia, especially in obese or overweight patients.
Exposure of internal organs to external contaminants is considerably reduced in laparoscopic surgery compared to open surgery, thereby reducing the risk of postoperative infection. The length of hospitalization required is greatly reduced with laparoscopic surgery, as recovery is much faster. Most patients are discharged the same day or the next day and can resume their normal daily life much faster than after open-air surgery.
Laparoscopic Instruments are available in both modular and single piece layout to meet the needs of each surgeon. To find the best Laparoscopic Surgery Instruments contact us at Gerati.