Intervention without a trace
January 21st, 2010 | 
Author: Punctures on video
Many of you have probably seen the documentary film shots, which the Philippine Hiller performed complex operations without the aid of tools. Their hands penetrate the human body in some unknown way. Moreover, the manipulation itself was almost bloodless, and after the intervention of the skin not leaving any traces. Some people still think it is magic, but most – a simple sleight of hand. Laparoscopic surgery-ordinary miracle today days – made the Filipino tale come true.
Laparoscopy, like most other surgical procedures, performed under general anesthesia. In the anterior abdominal wall do three or four punctures smaller than 10-12 mm. This is quite enough, since the tools themselves are very thin, no more than 7-10 mm. Then, using a special instrument laparoflyatora into the abdominal cavity through a puncture blown gas, usually carbon dioxide. It "lifts" the abdominal wall so that the surgeon was more convenient to work.
In another puncture introduced an optical instrument with a source of light. Modern optics is connected to the monitor screen, which displays detailed and comprehensive image of the internal organs. It can be considered in detail, using the zooming function.
Shooting on memory
After no doubt in the final diagnosis from the surgeon did not remain through the punctures in the abdominal cavity of a patient introduces tools-manipulators. Over the course of surgery, the surgeon watches, looking at the screen. Everything that happens is recorded on tape, which then goes to the patient. This "home video" may be needed in the future, if the women had other operations. Well, in extreme cases, the video could serve as irrefutable proof of medical error in the court dispute. Лапароскопически можно удалить доброкачественную опухоль (кисту) яичника, рассечь спайки, сделать перевязку маточных труб при стерилизации, восстановить их проходимость при трубном бесплодии, разобраться с воспалительными и гнойными процессами, удалить матку при фиброаденоме, устранить внематочную беременность и перекручивание придатков, провести диагностику и лечение эндометриоза.
In some cases (polyps and uterine fibroids), instead of laparoscopy can be assigned more sparing surgery – hysteroscopy. With this method, and the puncture did not need, because all the necessary tools are introduced through the cervix in its cavity. After hysteroscopy, the patient discharged home after only a few hours.
Save the most precious
Advantages of laparoscopy are not limited only by the fact that these operations are less painful and traumatic. This method helps to preserve bodies, which, when abdominal operations to rescue would be impossible. Thus, early women with ectopic pregnancy operated only after the rupture of the uterine tube. Along with removing the second of these paired organs woman forever lost the ability to become pregnant. Now, with the help of laparoscopy, the doctor can detect an ectopic pregnancy at an early stage and save the fallopian tube, in time removed from the "prodigal" egg.
In the recent past with this illness, as torsion of appendages that predominantly affects young women and girls, the only solution was the complete removal of these organs, which also inevitably lead to infertility. Modern laparoscopy avoids the less drastic measures. If appendages are healthy and they have not yet disrupted circulation, they can be maintained, thereby returning the woman hopes to become a mother.
Laparoscopy was initially conceived not as a curative as well as a diagnostic method. And today it is often used for this purpose. For example, it can help to identify endometriosis (proliferation of cells lining the uterus, in the wrong place), whereas other methods such as ultrasound, are unable to recognize this disease. Laparoscopic way can not only identify, but also to cure endometriosis, and thus eliminate yet another potential cause of infertility.
A puncture is also removed and myoma nodes, without affecting the uterus (the method is called myomectomy). Through the "tube" is held and embolization (injection of different substances to reduce the vascular lumen) of uterine arteries (EMA) – the most modern method of treatment of uterine fibroids, which allows not only to preserve the body, but also to prevent the recurrence of fibroids.
The advantages are obvious
Compared with traditional abdominal operations laparoscopy is preferable in many ways. It ensures less traumatic, little blood loss, a minimum of complications, excellent cosmetic results and shorter rehabilitation period.
In normal operation the patient lost 300-400 ml of blood, and at laparoscopy – only 30-40 ml. Moreover, after laparoscopic surgery are practically no pain, and in hospital patients spend a few days, and they have not left any scars! Yes, and complications in the form of infection in the wound and the appearance of adhesions after laparoscopic surgery are extremely rare.
Indications for endoscopic surgery are expanding every day. But today operations through punctures almost non-existent in patients with severe adhesions, malignant and too large (over 20 weeks) benign tumors. But the final decision about the choice of treatment is for the doctor.
Transactions carried out through the punctures not all clinics, because of the need for complex expensive equipment and professional-endoscopists owning this method. But if this was not an emergency, but a planned operation in which women are able to wait a little longer, better opt for the clinic, having the opportunity to pursue this sparing surgery. Of course, if this method is suitable for the testimony.
Random Posts
Posted in Fitness