Why Laparoscopy?
The laparoscopic approach allows the surgeon to perform many surgeries with smaller incisions that he can perform with traditional open surgery. Studies conducted to date have shown that laparoscopic surgery has great benefits for the patient, such as reducing bleeding and postoperative pain, shortening hospital stay, and allowing an earlier return to normal physical activity and work. In addition to these advantages, with the laparoscopic approach, patients can expect better cosmetic results and reduce the risk of wound infection, which is one of the important problems encountered.
Mini -What is Laparoscopy?
The term "Mini-Laparoscopy" has a very wide range and covers all techniques that use only smaller incisions and/or smaller instruments. Mini-laparoscopy is designed to be simple and effective to facilitate the placement of instruments, and at the end of the procedure there is no need to close the skin and the scar is smaller. These instruments can also be used as a supplement to traditional laparoscopy in cases requiring additional procedures. Provides imaging and dexterity equivalent to a large incision in pediatric patients. This means less pain and faster recovery in these children.
What is Micro-Laparoscopy? ?
The size of the instruments and incisions used in laparoscopy continues to decrease, when instruments smaller than 2 mm are used, ''Micro-Laparoscopy'' It is called '. In traditional laparoscopy, incisions vary between 5-12 mm. Mini-laparoscopy, which we discuss here, is defined as ports smaller than 5 mm or 5 mm along with their ports.
Why Mini-Laparoscopy
The small incision required for laparoscopy is less infected than open surgery, and the reduced risk of hernia, especially in overweight and obese patients, is a remarkable advantage. The same advantages are offered by Mini-Laparoscopy, which is performed using even smaller diameter instruments. It is also valid in China. In fact, since it is entered from the skin into the abdomen without making any cuts and from a smaller area, it leaves a much smaller scar than traditional laparoscopy. While the skin is stitched after surgery in classical laparoscopy, In Mini-Laparoscopy, there is no need to stitch the incision area because it is very small.
What is Mini-Laparoscopy?
- Closed surgery is performed without needles or with thinner instruments.
- Mini-laparoscopic instruments are as small as 2.3 mm. it could be. (Traditional instruments are 5-10 mm)
- Mini-laparoscopy offers the basic principles of traditional laparoscopy to our patients, with less scarring and fewer postoperative problems.
For endometriosis patients with infertility, a smaller diameter instrument means intervening in tissues with smaller diameter instruments, less tissue damage and less tissue with impaired blood supply. In his studies on Mini-Laparoscopy, he focused on the fact that small incisions reduce both local postoperative pain and the incidence of incisional hernia (and possible small bowel gangrene).
Design
Mini-laparoscopy instruments vary in size from 2.3 mm to 3.5 mm and can be accessed with both insertion needles and established trocars. Thanks to their small size, these instruments are manufactured to allow for increased durability, tensile strength, and convenient manipulation of tissue. Mini-laparoscopy also produces images of comparable quality to larger instruments and provides imaging success. Due to the small diameter of mini-laparoscopy, fascia and skin do not need to be closed, thus eliminating patients' cosmetic concerns.
Use in Surgeries
Mini-laparoscopy can be used in various surgeries such as diagnostic laparoscopy, hysterectomy, myomectomy and prolapse. Trocars or instruments can be used alone or in addition to conventionally sized instruments. These devices do not require an incision and are inserted into the abdominal cavity with an access needle. A stainless steel tool tip and balancing spindle disc provide strong Provides maximum power for relief, retraction and tissue organ manipulation. It is placed with a small fixed trocar, which provides cosmetic benefits. These instruments are reusable and thus cost-effective. They are designed for primary instrumentation and are lightweight. Trocars are 15 cm long and have silicone leaf valves and can be used in almost all procedures. Sealing the vessels to prevent bleeding can also be done successfully with mini laparoscopy electrocautery instruments (Olympus Gyrus 3 mm PKS MOLly forceps, bipolar ROBI forceps (Karl Storz) and pedicles can be cut with monopolar scissors. No suturing is required for wound closure, at the end of the operation They can be reapproximated using steri-strips.
SUMMARY
Mini-laparoscopy is a valid alternative to traditional laparoscopy for difficult Closed Gynecological surgeries. It has been proven to be an easy technique for surgeons to learn. It increases patient satisfaction with its smaller incision and the fact that it does not require stitches to close the skin. Mini-laparoscopy causes significantly less pain after surgery. The benefit for the patient is that it does not cause visible scars. The advantage for surgeons is that standard laparoscopic surgery Due to its similarity with techniques and instruments, there is no need to re-learn.
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