Closed Reflux Surgery
5 tiny incisions are made in the abdomen, two of which are 1 centimeter long and three of which are half a centimeter wide. Small cannulas are inserted through these incisions. By inflating the abdomen with carbon dioxide through one of the cannulas, a rod-shaped telescopic camera is inserted and the intra-abdominal image is projected on a TV monitor. The procedure is performed by inserting rod-shaped surgical instruments with tips that differ from other cannulas. The surgery is a reshaping surgery. It is not possible to cut out some of the organs or tissues.
- First, the area to be reshaped (the lower part of the esophagus and the upper part of the stomach) is freed from the adjacent tissues. >
- In a significant portion of reflux patients, the hole through which the esophagus passes through the shelf-shaped diaphragm separating the chest cavity and the abdominal cavity is wide and loose. The angulation at the esophagus-stomach junction has flattened, and the node in this area has shifted upwards towards the thoracic cavity. This structural deterioration is called sliding hiatal hernia. During the surgery, first of all, this node is positioned as it should normally be, under the diaphragm shelf, on the side of the abdominal cavity.
- The hole in the diaphragm is narrowed again with stitches to ensure natural tightness (hiatoplasty).
- Finally, The swollen, bulbous upper part of the stomach is wrapped around the lower part of the esophagus in the form of a collar and sewn (fundoplication). In this way, a high-pressure node (sphincter = passage) mechanism is created again.
Closed Appendicitis Surgery
First, a small tube is inserted through the navel and the abdominal cavity is inflated with approximately 4 liters of gas. This swelling elevates the abdominal wall and provides room for movement for surgical instruments. Then, the view of the interior is projected onto the television screen with a rod-shaped camera sent through the pipe in the hub. The camera projects the image from the desired angle and magnification. Two smaller pipes are entered. The surgeon performs the surgery by following the procedures on the screen with rod-shaped instruments inserted from here. Just like in open surgery, the appendix vein and root are tied and separated and the appendix is removed. is removed. The process takes around half an hour. The surgery is completed by evacuating the gas in the abdomen and closing the tiny incisions with hidden stitches. Features of the surgery; It is similar to open surgery in terms of wound, comfort and length of stay. Its cost is higher than open surgery. It is more advantageous than open surgery, especially in patients with difficulty in diagnosis or with other intra-abdominal problems, female patients of childbearing age and obese patients.
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