Bloating after laparoscopy: reasons
Laparoscopy refers to minimally invasive surgical procedures. Through laparoscopy the doctor provides an opportunity to explore and examine the abdominal cavity and the abdomen of the patient. It uses a special instrument – a laparoscope, which is a rough iron tube with a camera that is connected directly to the computer screen. This gives you the opportunity to literally explore the entire abdominal cavity.
Laparoscopy and its benefits
This modern method of surgery has a superiority compared with conventional methods. These include:
- detailed examination and thorough study of internal organs;
- the absence of large scars and aesthetic method;
- a slight loss of blood;
- to reduce the likelihood of infection and the ingestion of foreign bodies;
- a short period of recovery.
The main indications for the use of laparoscopy
This method is assigned in the following cases.
- In pelvic adhesions. This disease can cause the development of female infertility, or pelvic pain. Very often laparoscopy gives the opportunity to fully clean the organs of the pelvis.
- Endometriosis at different stages.
- The presence of cysts of different sizes.
- Ectopic pregnancy.
- A tumor of the uterus.
- Malignancy in the genital organs.
Laparoscopy refers to safe procedures. As for serious complications, they are diagnosed rare — about one case per thousand. Unpleasant consequences can be injury to internal organs or damage to the cardiovascular system.
How to prepare for surgery?
As for prior training, as a rule, the patient is recommended not to eat anything for 12 hours prior to surgery. Many patients after laparoscopy are discharged on the same day.
This surgical method involves the use of General anesthesia. The surgeon performs a small incision (length 1 to 1.5 cm) near the belly button.
After the patient’s abdomen is inflated with gas, carbon dioxide, a needle is introduced laparoscope. Gas gives the ability to detach the organs of small pelvis is necessary to ensure that the visibility was better and space to perform surgical procedures became more. Using the laparoscope, the image was displayed on the computer screen.
In that case, if laparoscopy can be used to facilitate surgical therapy, for the introduction of tools to make additional cuts. Through genitals also introduced devices that allow you to move the uterus during surgery. After the operation the gas is released from the stomach. The incision is closed with stitches and bandage.
After laparoscopy, patients may feel some discomfort, which often disappears after a few days. Some people have nausea and vomiting. This is caused by the anesthesia. These symptoms disappear by themselves after a certain time. Sometimes patients are tested soreness in the incision area. Can also occur pain in the throat.
Pain and bloating are considered normal and private manifestations after surgery. Can also be discomfort in the shoulder. This is because after surgery the body is carbon dioxide. In most cases, the symptom disappears after a few days — but can attend the whole week. Regular painkillers help to get rid of such feelings.
The rehabilitation period after the surgery primarily depends on the method of treatment.
In that case, if the diagnostic laparoscopic intervention, often the person returns to normal activities on the fifth day. Complete wound healing occurs approximately at the end of the week. In the first days after the operation there is a slight bleeding from the vagina. This is because the uterus manipulator is introduced in the beginning of the operation (and is removed at the end).
Although laparoscopy and refers to conservative methods to surgical intervention, after all it is an operation that may be hazardous to the development of both minor and dangerous complications. Deterioration can take place due to:
- medical errors;
- General grave condition of the patient;
- reactions to anesthesia.
In fact, the etiology of complications is quite wide.
Previously mentioned, what is the likelihood of such a deterioration of the patient. Complications may be accompanied by the following symptoms.
- The deterioration can cause postoperative infection, resulting in increased body temperature followed by chills, pain in the abdomen, nausea and vomiting.
- Minor bleeding in the place where was the incision.
Laparoscopic intervention may be accompanied by bloating, aggravated discomfort and pain. This is because at the time of the operation the abdominal cavity is filled with a special gas, facilitating the work of surgeons. Upon completion of the operation of its pumping, but can present residues. It often happens that a big belly is not necessary in the treatment; the condition should return to normal within a week. Some changes in diet and the administration of specific drugs contribute to the smoothing of discomfort.
Such degradations are diagnosed in one case out of thousands.
- Injury to internal organs, large blood vessels and pelvic nerves.
- Allowed the occurrence of complications at the conclusion of laparoscopie, in the event that during the surgical intervention used gas is carbon dioxide. The use of anhydride can lead to the ingress of gas bubbles in the veins.
- The occurrence of a severe form of Allergy to the injected anesthesia.
Swelling of the subcutaneous adipose tissue arises from the fact that the abdominal cavity is entered carbon monoxide. This phenomenon is dangerous because it has a wide scope and can appear not only on the tissues of the shell, but also on the neck, face and limbs. Often, these complications disappear on their own within several hours to several days.
Violation of the integrity of internal organs
The likelihood of damage to the organs present in virtue of the fact that a surgical instrument is introduced, it is possible to tell, blindly. To prevent such situations was developed by special rules. So, you need to:
- strictly to observe the insertion of the device;
- to use reliable and non-hazardous devices of Veress needle and trocar;
- to undergo testing before the introduction of the tool.
For security purposes, the needles are equipped with blunt spring-loaded rods, and trocars shielded caps. However, the possibility of damage is still present, especially if the operation is performed on the intestine, liver or blood vessels.
To a greater extent to the occurrence of thrombosis-prone women over 50. To prevent such complications the doctors bandage sore feet. Also, the patient is assigned drugs that have a thinning action. In addition to age, complications can be caused by the presence in a patient of diseases such as hypertension, arrhythmia, atherosclerosis and overweight.
Often burns in the process of laparoscopy occur due to a weak review and device malfunction. In that case, if the doctor had not discovered the burn, it takes more serious form and becomes inflammation.
Hemorrhaging in the injection tool is quite rare, as in the case of laparoscopy treacherou the wound is sewn up, while grabbing all of the damaged layers. But if such a complication did arise, primarily, due to the lack of homeostasis.
The inflammatory process in the wound
Such a complication has several factors arise. First, it is a weakened immune system. Secondly, the infection. To these causes may be added the factors of a General nature.
The appearance of tumors
After the laparoscopy may be formed of a tumor in the incision area. This is due to the fact that through the wound and extracted the organs, having malignant. Remaining at the incision site abnormal cells cause the development of skin lesions.
In conclusion, it should be noted: despite the fact that this article has attracted a lot of attention to the complications, the benefits of laparoscopy much more. The obvious advantages include the absence of large and unaesthetic scars quick recovery period not requiring analgesics and compliance with the regulations after laparoscopy. Also, this method is characterized by a low risk of development of adhesions and hernias at the incision site. In addition, complications largely occur due to the inexperience of the surgeons. Remember! If we rely on highly skilled, the likelihood of postoperative complications is significantly reduced and is not more than 1%.