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About Laparoscopy Surgery:
Laparoscopic surgery is also called as minimally surgery (MIS), bandaid surgery, keyhole surgery is a modern surgical technique in which operations in the abdomen and are performed through small incisions (usually 0.5-1.5cm) as compared to larger incisions needed in traditional surgical procedures.
PROCEDURES……
Laparoscopic cholecystectomy is the most common laparoscopic procedure performed. In this procedure, 5-10mm diameter instruments (graspers, scissors, clip applier) can be introduced by the surgeons into the abdomen through trocars (hollow tubes with a seal to keep the CO2 from leaking).
There are two different formats for laparoscopic surgery. Multiple incisions are required for technology such as the "De Vinci" system, which uses a console located away from the patient, with the surgeon controlling a camera, vacuum pump, saline cleansing solution, cutting tools, etc. each located within its own incision site, but oriented toward the surgical objective. The surgeon uses two Play Station type controls to manipulate the devices.
In contrast, requiring only a single small incision, the "Bonati system" (invented by Dr. Albert Bonati), uses a single 5-function control, so that a saline solution and the vacuum pump operate together when the laser cutter is activated. A camera and light provide feedback to the surgeon, who sees the enlarged surgical elements on a TV monitor. The Bonati system was designed for spinal surgery and has been promoted only for that purpose.
Rather than a minimum 20cm incision as in traditional (open) cholecystectomy, four incisions of 0.5-1.0cm will be sufficient to perform a laparoscopic removal of a gallbladder. Since the gall bladder is similar to a small balloon that stores and releases bile, it can usually be removed from the abdomen by suctioning out the bile and then removing the deflated gallbladder through the 1cm incision at the patient's navel. The length of postoperative stay in the hospital is minimal, and same-day discharges are possible in cases of early morning procedures. |
