Closed or bloodless surgery, as it is popularly known, is a type of surgery performed without making an incision in a large area of your abdomen. The surgical method in question is applied in Gynecological Surgeries as well as in many types of surgery.
What is Gynecological Laparoscopy?
Laparoscopy has been replaced by surgical intervention in gynecological surgeries in the past 30 years. It has managed to become an alternative and stands out as a widely used method. During laparoscopy, no incision is made in the area where the individual will undergo surgery. Instead, a small hole is opened to allow the area to be viewed with a camera. The main reasons for choosing this method can be listed as follows.
- Promising recovery in a short time
- Creating a minimum level of pain
- Minimizing the time spent in the clinic
- Satisfying cosmetic expectations to a greater extent
This has made the laparoscopy method the preferred method for patients and surgeons. When we look at the reasons why it is used in the world of gynecology, we can see that;
- It has high image quality and facilitates diagnosis
- It provides the opportunity to enlarge the image
- It reduces the risks of Unexpected Complications
It is among the most important factors that make the Laparoscopy method stand out in gynecology treatments. When we look at the diseases for which the method is used for treatment, we see:
- Tubal Ligation
- Removal of Ovarian Cysts
- Ectopic pregnancy surgeries
- Treatment of pelvic pain (Chronic)
- Infertility treatment
- Treatment of cyst groups known as Endometriosis and Chocolate cysts
- Myomectomy
- Hysterectomy
- Urinary incontinence surgeries
- Uterine prolapse treatment
- Gynecological cancer surgeries
Operation Duration and Method
Laparoscopy is always performed under general anesthesia conditions. However, compared to the surgical method, this method provides much more efficient treatments and the recovery process will be shorter. Depending on the extent of the treatment applied, you must go home on the same day or the next day. It is possible.
Preparation Phase of the Patient to Undergo the Operation
As in all operations, a complete anamnesis is taken before Gynecological Laparoscopy is performed. In addition, after the initial findings are made through physical examination;
- Crypulmonary disease
- Abdominal and Diaphragmetic hernias
- Ileus
- If there is pregnancy, it should be aborted
- In case of pregnancy, intra-abdominal mass size and scars should be determined
- Complete blood tests
- Biochemistry tests
- Cervicovaginal culture tests
- Cervicovaginal culture tests
- Pap smear test should be performed if it has not been done before.
When we look at the usage areas of laparoscopy, we see that it is applied for diagnostic and treatment purposes.
Diagnostic. Usage
It is used in diagnostic areas in cases of unexplained pelvic pain and unexplained infertility.
Surgeries performed with laparoscopic method
- hysterectomy
- oophorectomy
- salpingectomy
- myomectomy
- adhesiolysis
- tubal ligation
- tubes opening
- sacrocolpopexy
- burch
- uterosacral nerve ablation
- radical hysterectomy
- lymphadenectomy
Healing Process After Laparoscopy
Although the recovery process after laparoscopy operations is rapid, it is primarily necessary to stay in the intensive care unit until the effects of general anesthesia disappear. It is necessary to stay. Afterwards, you will be transferred to the patient room and serum administration will begin after the nurses check your vital signs. You should not eat or drink anything between 4-6 hours. For this reason, intravenous serum application is required.
Pain and nausea complaints are considered normal during this period. The medications you will need to suppress the complaints are given to you via serum. Considering the size of the operation, there is nothing preventing you from going home for 8-48 hours. Unless an extraordinary condition occurs, you will be able to return to your normal life within 5-10 days.
You should contact your doctor. unusual situations
- Extreme abdominal pain
- Long-lasting nausea as well as vomiting
- Increase in body temperature above 38 degrees
- Blood or pus discharge from the incision area
- Pain during urination
- Intestinal dysfunction and bloating even after 24 hours
Risks That May Occur During Laparoscopy
- Vascular injuries
- Intestinal injury
- Urecreta or Bladder injury
- Nerve damage
- Vessel clot (Thrombosis)
Situations That May Cause Laparoscopy Complications
It is not completely recommended for laparoscopy or it is possible to talk about a situation that limits its application. It is not. However, under some conditions, performing Laparoscopy may cause negative complications for the patient. For this reason, after the risks are explained to the patient, intervention can be performed with Laparoscopy. When we look at these complications;
Morbid obesity
If the patient has dense fatty tissue in the abdominal area, it will be very difficult to enter the abdominal area with the Laparoscopy technique. At this point, longer trocars are needed and may cause increased gas when the patient remains upside down for a long time. At this point, it is extremely difficult to perform the application due to the dense fatty tissue impairing vision. Complications may occur in such cases.
Abdominal Surgery History
Intestinal and omentum adhesion may be observed in the abdomen after previous major abdominal surgeries. The blind path opened during the laparoscopy procedure may damage this integrity. To avoid such a situation, the application may not be used.
Old Age and Systemic Diseases
Diabetes, lung diseases and Cardiovascular diseases may create Laparoscopy Complications for older individuals. . Since the patient group in question must remain upside down for a long time, the respiratory system may not work properly, and the surgical method may not be suitable at this point.
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