Laparoscopy or abdominal surgery – which is better?
Some diseases of the internal organs cannot be cured by conservative methods and require surgical intervention. If the operation is carried out for emergency indications, selection of patient often do not provide. The planned intervention is prepared in advance, and the man given the choice – laparoscopy or abdominal surgery. Both options have certain advantages and disadvantages, but in contrast to abdominal interventions, laparoscopic access is possible in every case, although for many is preferable.
What determines the choice of method?
Since the laparoscopic operation is low-traumatic interventions, in many cases, it is more preferable to abdominal(laparotomy). But such access is not in each pathology.
Abdominal surgery performed for health reasons in cases of emergency is performed with the purpose of saving life. Laparoscopic intervention is carefully considered, and the patient is pre-examined to identify possible contraindications. Absolute include the following States:
- shock of any Genesis;
- hemophilia, problems with blood clotting;
- decompensated cardiovascular disease;
- acute renal or liver failure.
As a rule, laparoscopia held in the case, if you have a malignant tumor. As relative contraindications are often extensive adhesions, polyvalent Allergy, pregnancy in the later stages.
Do not think that the minimal invasive surgery requires less training. The survey is conducted with the same care as before and cavitary intervention. Before laparoscopy also requires compliance with uncindery diet, and the day before, you will need a cleansing enema.
The laparoscopy and its benefits
Laparoscopy, like laparotomy, is performed under General anesthesia. Most often it is endotracheal anesthesia, which is combined with intravenously. For hours before sending to the operating table, the patient is premedication, to facilitate anaesthesia and prevent some complications.
After the patient is asleep, make 2-3 small incision or puncture in the abdominal wall – they provide a free introduction to essential tool. Further inside is pumped gas, which allows to increase the volume of the cavity and to ensure free manipulation of delicate instruments without the risk of damaging nearby organs.
The main advantages of this intervention is rapid recovery and minimum possible postoperative complications. All training is conducted on an outpatient basis. The patient is hospitalized for 1-2 days before the day of surgery. A definite advantage for many people was the psychological moment for intervention is less traumatic easier to decide, which reduces the number of running instances.
Is there any disadvantages of laparoscopy?
One of the disadvantages of the method is the necessity of introducing into the abdominal cavity of carbon dioxide. This causes increased pressure in the veins of the systemic circulation, increases the pressure on the diaphragm and impairs conditions for the activities of the respiratory and cardiovascular systems. In some cases this leads to the need to choose abdominal surgery.
Compared with laparotomy, laparoscopy does not allow additional diagnostics during the operation, will not allow to change or expand the scope of the intervention, if the need arises. To avoid such situations helps only a thorough examination prior to surgery.