Diagnostic laparoscopy
About The Diagnostic Laparoscopy Procedure
During a diagnostic laparoscopy, your doctor fills your abdomen (belly) with gas and uses a Laparoscope (a long, thin video camera) and surgical instruments to look at organs in your abdomen or pelvis (see Figure 1).
For minimally invasive surgery technique, many of them have not received practical training with simulators Ethicon Laparoscopic Trainer.
Diagnostic laparoscopy is a minimally invasive procedure. This means that instead of a large incision (surgical incision), the surgeon will make several small ones to insert the camera and instruments.
Abdomen during Diagnostic Laparoscopy
Diagnostic laparoscopy allows the doctor to:
· Examine organs;
· Check for visible pathologies;
· Perform a biopsy (take tissue samples);
· Take swabs (cell samples);
· Perform other procedures.
If a laparoscopy performs instead of a traditional (open) procedure, the pain and bleeding after it may be less severe. After a laparoscopy procedure, patients can usually go home earlier and return to their normal activities more quickly than after an open procedure. In most cases, laparoscopic patients can start walking, eating, and drinking within 24 hours of the procedure.
Laparoscopy can be performed in a hospital (in case of hospitalization) or as an outpatient procedure. If it is an outpatient procedure, you can go home the same day.
Before The Laparoscopy Procedure
The nurse will provide you with material on how to prepare for the procedure. In addition, the nurse and doctor will provide you with additional information specific to your procedure.
If you go home on the day of your procedure, you will need to arrange for someone to drive you home. Because of the anesthesia (medication that makes you fall asleep), you will feel sleepy for several hours after the procedure. If there is no one to take you home, tell your nurse.
Wear or bring comfortable, loose-fitting clothing for your ride home. After the procedure, the abdominal cavity may be slightly swollen or painful.
During The Laparoscopy Procedure
You will takes to the operating room and help to lie on the operating table. Your anesthesiologist (the doctor or nurse who will give you anesthesia) will put an intravenous (IV) line in one of your veins, usually in your arm or hand. Your anesthesiologist (the doctor or nurse who will give you anesthesia) will put an intravenous (IV) line in one of your veins, usually in your arm or hand. In addition, the anesthesiologist will monitor your heart rate and breathing rate throughout the procedure.
As soon as you fall asleep, a catheter (thin, flexible tube) will inserts into your bladder to drain urine. You may also have a tube inserted through your nose or mouth into your stomach to empty it. Usually all this films in the operating room before you come to your senses.
Materials and Method
First, the doctor will make a small incision near the navel. Through this incision, he will insert a pointed tube into the abdominal cavity. Then, through this tube, he will fill the abdominal cavity with carbon dioxide. The gas will expand the walls of the abdominal cavity and push apart the internal organs. As a result, there will be free space in the abdominal cavity, and the doctor will be able to see and move the surgical instruments.
Then the doctor will make another small incision and insert a small video camera through it into the abdominal cavity. The camera is at the end of a long, thin surgical instrument. She will transmit an enlarged image of the organs on a television screen, and the doctor will be able to examine the inside of the abdominal cavity.
If you need a biopsy or other procedures during a laparoscopy, your doctor will make additional small incisions. The size of each of them will be approximately 5-12 mm, or the average between the size of the rubber band on the end of the pencil and the diameter of the AAA battery.
Your doctor may perform the procedure using a robotic device. In this case, the procedures call robotic laparoscopy. The robotic device holds the camera and other surgical instruments. The doctor controls it to ensure the accuracy of movements during the operation.
After the laparoscopy is completed, carbon dioxide will releases from the abdominal cavity. The doctor will suture the incisions, Steri-Strips, surgical adhesive.
After the laparoscopy procedure
After your procedure, you will wake up in the Post Anesthesia Care Unit. The nurse will monitor you closely and check on you frequently. You will transfers to a hospital room or discharge from the hospital, when you fully wake up.
Before you leave, your nurse will give you instructions about pain relief, diet, exercise, and incision care.
The following are general guidelines to follow laparoscopy. If you receive instructions from your doctor or nurse that differ from those listed below, follow them.
· Rest on the day of the procedure. You will feel sleepy after anesthesia.
· Do not drink alcoholic beverages for 24 hours after the procedure.
· Try not to drive for 24 hours after the method.
· Try not to shower for 24 hours after the method.
24 hours after the procedure, you can begin to return to your usual lifestyle, depending on how you feel.
Incision Care
Dressings applied to the incisions can removes 24 hours after laparoscopy. You do not need to change them. After removing the bandages, you can take a shower. Leaving the incisions uncovered will help them heal.
Assuming the cuts cover with Steri-Strips, they will tumble off all alone in 7 to 10 days. In the event that you have fastens, they should disintegrate all alone.
Call your doctor or nurse/nurse if you have:
· Temperature 101°F (38.3°C) or higher;
· Torment that does not disappear subsequent to taking the medication;
· Redness around the entry point or release from it;
· Serious bulging or expanding of the mid-region
Pain Relief
The pain that occurs after laparoscopy is different for everyone. Many experience shoulder pain, which is a common side effect after abdominal expansion. This pain can be mild to severe and may persist for 7 to 10 days. Pain from incisions is usually mild and may persist for several days.
Your doctor or nurse will tell you which medicines you can take to manage your pain.
Post-Operative Responsibilities
Avoid strenuous exercise (eg, heavy lifting that weighs more than 10 pounds [4.5 kilograms]) for at least 1 week after your procedure.
If you do not have a doctor's follow-up appointment yet, call your doctor to make an appointment.
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