How long does the procedure laparoscopy?
Laparoscopy is one of the means of intervention in the body. This operation is considered more sensitive than the abdominal, as a laparoscopy is carried out by performing a few cuts, not more than two centimeters each. The incision impose special thin probe with a camera and probe with a manipulator for carrying out direct intervention.
The amount of manipulation is determined by the surgeon, directly conducts the procedure.
In the process of operation can be solved many problems. Diagnostic laparoscopy in the case when non-invasive (non-surgical) methods it is impossible to diagnose. It is also possible the collection of material for biopsy. Despite the small incisions, laparoscopy provides a good visual overview of the abdominal organs. In addition, there may be a videotape intervention for subsequent more detailed analysis.
Another form of laparoscopic surgery involves medical procedures. For example, laparoscopic appendectomy resection (removal) of the inflamed Appendix. When ovarian cyst laparoscopy involves not only inspection but removal of tumors.
The advantages of laparoscopy
Laparoscopy is a good solution for those who strongly dislikes the hospital stay. Being in the hospital is just a few days. The fact that during abdominal surgery to access the abdominal cavity is cut into the muscles, healing them lasts more than a week. And endoscopic intervention, due to the small amount of damage, the duration of the recovery period is significantly less. A few hours after surgery, the patient can move independently. And the return to active life is possible in a much shorter time compared to laparotomy.
After laparoscopy remain only subtle scars from small punctures.
Itself endoscopic intervention also often takes less time than laparotomy. Although how long does the laparoscopy depends on the problem being solved. On average, the surgery can take anywhere from an hour to several hours.
Preparation for laparoscopy
Before laparoscopy, the patient undergoes all the necessary laboratory studies. Among them, the blood and urine tests, chest x-rays, ultrasound and other. According to their results, the doctor determines whether the operation in the near future.
At the preparatory stage is to identify many possible risks. For example, coagulation will show the current status of the process of blood clotting. If there are any problems, the doctor will either postpone the surgery or will appoint. In the latter case, the duration of surgery may increase due to the fact that the surgeon will have to do the work more carefully to prevent unscheduled bleeding.
The duration of intervention
As mentioned above, how long does the procedure depends on the specific diagnosis with which to work surgeon. In the case of laparoscopy of ovarian cysts can occur not only removal of tumors, but also, for example, local foci of endometriosis or adjacent the inflamed tissue. Logically, in this case, the duration of surgery to remove ovarian cyst increases.
The duration of laparoscopy depends on the volume of intervention, the complexity of the procedure and the individual characteristics of the organism. On the fluctuations in time of the operation affects the period of the body under anesthesia.
In order to better understand how long can laparoscopy should be considered its stages:
- Anesthesia. During a laparoscopy, doctors usually make the patient a General anesthetic.
- The work of cuts. The number depends on the complexity of the intervention. Usually 3-4.
- The pneumoperitoneum. Before resection or diagnosis is the injection of carbon dioxide into the abdominal cavity for subsequent better view of the organs and tissues.
- Directly the introduction of the laparoscope inside. A laparoscope is a thin tube with a camera and a small «flashlight» at the end. Through it the doctor performs the inspection. In addition, if necessary, through other incisions inside there are other tools. For example, when laparoscopy ovarian cyst or a laparoscopy the fallopian tubes into the abdominal cavity is injected tools such as forceps, scissors, coagulators, laser.
- The extraction of all tools. Removal of carbon dioxide.
- Sutures and dressings.
So, laparoscopic surgical intervention lasts from 10-20 minutes to several hours. Typically, experienced operating team the duration of the manipulation is 15-30 minutes.
The postoperative period
Contraindications after laparoscopy is minimal. Unlike a laparotomy, the recovery period lasts relatively long.
How long is the postoperative period depends on many factors. In the first place – from the patient, who must strictly follow doctor’s advice. The more there is no breach of the regime, the longer the recovery.
Directly after the surgery, the patient should be at rest. After a few hours it is possible to get out of bed and gradually increase physical activity. Be sure to avoid heavy physical exertion in lifting weights.
Don’t immediately start eating. This usually happens only after 7-8 hours. Food should be gentle, in the form of mashed potatoes, the portions are minimal. Completely eliminated alcohol. It should be understood that diet after removal of polyps by colonoscopy is quite different from the one that is administered after laparoscopic surgery in the uterine body or ovaries.
The first time the seams are treated in the hospital. In the future, this is done as an outpatient (in the clinic) or at home on your own. To remove the stitches will be only a doctor and only in the clinic.
According to the statistics of possible complications is less than 3%. They include thrombosis, internal bleeding, abscesses of joints, various infections, etc.
If after the operation the patient feels nausea, dizziness, fatigue is normal after undergoing General anesthesia. The General state is normalized within a few hours after the procedure. A day from the General negative feelings are often not a trace remains. The only thing that may bother after diagnosis – slight pain in the joint area.
Endoscopic interventions to date are characterized as high quality, and a small rehabilitation period. The procedure does not require any additional specific training. Not affect the aesthetic side patients scars are left. Operation is quick, and the statement occurs within a few days.
Do not trust the myth that in abdominal surgery the surgeon to better see the surgical field. Modern equipment allows to expand capabilities of a physician, but not to reduce them. Modern laparoscopy is a good choice in case of surgical intervention.