Laparoscopic Surgery

Surgery in the abdomen can be achieved by classical or laparoscopic methods, by the same principles.

If surgery is performed classical incision (cut) single variable length, sectioning the skin, but especially abdominal muscles to perform surgery in the laparoscopic scalpel is used to cut through the skin only more points!

How does the intervention takes place

Special instruments called trocars are introduced through these holes, which have a diameter of 5-15 mm variable that penetrate the muscle layer, removing the muscle fibers without bucking. Then instill a medical gas (carbon dioxide), controlled and constant pressure to relax the abdomen.

Through a trocar (such as in the left figure above) insert a telescope (as in the above image center right), connected to a camera and a cold light source, so that images are projected on the abdominal organs multiple monitors in the operating room just like in the picture below!

Trought other trocars are inserted long tools with diameters between 5 and 10 mm, with which surgery is performed. At the end of the intervention is discharged carbon dioxide and withdraw trocars and muscle fibers, elastic being back in position. The skin is then sew a few wires.

Indications for laparoscopic interventions

The rule is that the most common surgeries in abdominal laparoscopic method to achieve! Included in this category mining operations gallbladder (bile), Appendix, benign tumors (cysts, polyps, nodules, etc.), abdominal organs (most frequently in the ovaries and uterus), restoring the integrity of the abdominal wall, what happens if hernias (of any kind) and eventrations (abdominal wall defects healing after surgery performed in a classic manner) and gastro-oesophageal reflux operations addressed.

A special mention as do patients with severe obesity (morbid), to which interventions weakened and, in general, any abdominal surgery is preferable to perform the laparoscoscopie.
But there are operations that, although technically possible to be performed laparoscopic, were not in practice, due to their complexity, such as, for example, liver or pancreas major operations or operations addressed malignant tumors of the abdominal organs (for example, gastric resections).

What diseases CANNOT be treated this way

Laparoscopic surgeries are not used in organ transplantation (noting that laparoscopic kidney harvesting tends to be a choice!). They are limited in some cases of emergency surgery, for example, intestinal obstruction (blockage bowel) and neglected peritonitis (following perforation of the stomach or intestines).

The main advantages of laparoscopic surgery

The advantage of laparoscopic surgery is performed in the manner by both parties! Doctors operates more comfortable because they see better anatomical structures, thanks equipment. And patients had significantly lower pain and are able to stand up and mobilize a few hours after surgery, thanks to minimal trauma abdominal muscles. Convalescence is much shorter, social and professional reinsertion and it is faster.

Patients benefits:
  • Lower postoperative pain, as a result of aggressions diminished operators. Visibility is best, minimal blood loss and, not infrequently, the period is shorter.
  • Hospitalization time is considerably reduced.
  • Family and socio-professional reintegration fast, thanks to a near normal physical activities immediately after surgery.
  • The absence of long-term complications related to abdominal muscle defect healing.
  • Cosmetic appearance (postoperative scars that remain after any surgical act, are less visible).

As a general rule, it remains indisputable idea that laparoscopy is better!

The decision for classic surgery or laparoscopic is taken for each case but, honestly assessing the risks and benefits of each method!

Florin Turcu MD

MD General Surgery

Bariatric surgery, laparoscopic surgery and noninvasive or minimum invasive surgery


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