The effects of laparoscopy: is there a danger?
Laparoscopy refers to innovative methods and modern endoscopic surgery. In other words, laparoscopy is a minimal invasive, highly effective method of surgical treatment and diagnostic studies of the internal organs located in the abdominal cavity and the pelvis. The laparoscopic method of diagnostics and treatment is widely used in gynecology and in other fields of medicine.
The prevalence of laparoscopic surgery is simple – this technique has many advantages over traditional surgery. The main advantages of laparoscopy include:
- Minimum level trauma surgery. If conventional surgical intervention made extensive cuts in the abdominal wall, then during the laparoscopy done only a few small punctures.
- The almost complete absence of trauma significantly reduces the risk of postoperative infections, the appearance of adhesions and divergence operating seams. In addition, after laparoscopic surgery is not left rough scars and stitches.
- Consequences of laparoscopic surgery are less severe than after the traditional operation. The rehabilitation period lasts much shorter – usually, in the absence of postoperative complications within a few hours after laparoscopy is allowed to get out of bed. After a few days the woman can leave the hospital.
- After a laparoscopy in most cases, pain in the operated tissues and organs is minimal.
The indications and technique of laparoscopy
Laparoscopic method of treatment is recommended in the following cases:
- Surgical removal of uterine fibroids, ovarian cysts, treatment of endometriosis, polycystic ovary syndrome, and many other gynecological diseases.
- The laparoscopic method is used to remove an ectopic pregnancy.
- The treatment of cholecystitis and gallstones by removing the gallbladder.
- The method of laparoscopy is the removal of much of the bladder, ureters, and also of the Appendix appendicitis.
- Surgical treatment of the gastrointestinal tract, liver regeneration, removal of adhesions of internal organs.
- In addition, laparoscopy as a diagnostic technique is used in cases when it is necessary to clarify the diagnosis or to carry out the differentiation of diseases.
How is the procedure of laparoscopy? Surgical intervention by laparoscopy is performed only in a hospital, using General anesthesia. Accordingly, any painful sensations during the procedure are missing. Technique of laparoscopy as follows: after the introduction of anesthesia into the skin of the abdomen done a few, often three or four small incision. In most cases the diameter of these cuts does not exceed 1.5-2 cm. Further, these cuts deepened to the required depth with a special tool.
Done surgeon hole is introduced laparoscope with a miniature video camera and other necessary surgical tools and will be made operational manipulation. In one of the holes done is injected a certain dose of carbon dioxide is necessary in order to make the necessary operative field and improve visualization of internal organs.
Every movement of the surgeon can be seen with the introduction of the video camera and a special monitor. This significantly reduces the risk of accidental damage to internal organs during surgery. After you have made all the necessary manipulations, the tools and camera are removed, and the holes are closed with stitches and sterile dressings.
The effects of surgery
As already mentioned, laparoscopy is much better tolerated by the female body, and therefore severe consequences and complications after surgery occur very rarely. Of course, even though the laparoscopic method is today considered to be the safest for health, it is still surgery, followed by a compulsory period of rehabilitation. Despite the fact that the patient is in the hospital no more than 3-7 days, a return to a full, active life occurs much later. Usually, the complications after the laparoscopically occur in about 5-10% of cases. The most common effects of surgical intervention laparoscopic method:
- Accidental damage to internal organs when performing surgical procedures. The most common cause of such damage is poor visualization of internal organs.
- Heavy bleeding after surgery.
- The rupture of a blood vessel when performing the puncture in the abdominal wall.
Recovery from laparoscopy is much faster than conventional abdominal operations. As a rule, already after 4-5 hours after recovering from anesthesia, the woman should slowly get out of bed and gently move around the house. This is recommended to eliminate possible stagnation processes in the abdomen and pelvis. You should avoid too abrupt, intense movements, enough to make a few smooth, unhurried steps.
The first day after the laparoscopy should be undertaken in hospital, under strict medical supervision. After a laparoscopic surgery may experience postoperative pain in the lower abdomen which can give the lumbar region, sacrum or feet. In such cases, be sure to report pain to your doctor for appointment painkillers drugs. Usually after 3-4 days after surgery, the pain syndrome disappears.
On the first day after surgery is forbidden, you are only allowed to drink non-carbonated mineral water.
Also in the first days of the recovery period after laparoscopy, the woman may feel discomfort, heaviness in the abdomen, nausea – all this is the result of carbon dioxide introduced into the abdominal cavity. Discomfort and other unpleasant phenomena disappear completely after complete removal of gas from the body. After laparoscopy for anterior abdominal wall is not left rough scars and scars as the stitches heal very quickly. In the absence of any complications already the stitches are removed 7-10 days after surgery. This issue is addressed by the surgeon on an individual basis. After discharge from the medical institution it is necessary to process places stitches special antiseptic drugs that will recommend a surgeon.
On the second day after the laparoscopy allowed to get out of bed and walk around the house, to stand on their own in the toilet. The recovery period after surgery lasts for at least 7-14 days. For rehabilitation should fulfill some of the requirements doctors:
- It is not recommended to bathe in a bath for 3-4 weeks after laparoscopy. For the hygienic procedures before removal of stitches should be applied wet wiping body after removing the stitches allowed to use the shower.
- For 4-6 weeks after a laparoscopy you may not visit saunas, baths, solariums or pools.
- Also banned sexual activity. Sexual contact is permitted only after 3-4 weeks after surgery.
- Women after surgery is strongly recommended to abandon sports or any other physical activity. This recommendation is necessary to observe at least 4 weeks. Also for 10-12 weeks after surgery, do not lift weights that are heavier than 2-3 kg.
Nutrition after the surgery
One of the most important conditions for a quick and full recovery after the surgery is following a special diet. In the first days after the surgery should completely refrain from eating food, only drink still water. On the second day after laparoscopic surgery you can include in your diet easy chicken soup, jelly, fruit drinks or weak tea. On the third day after surgery is recommended to gradually introduce into your diet to low-fat yogurt, mashed potatoes, lean meat or fish, boiled or steamed.
In the first days after surgery should only eat low-calorie, low-fat food, but containing all the useful vitamins and minerals. The main purpose of such diet is to effectively restore the functioning of the gastrointestinal tract, to provide proper operation of the intestine and prevent flatulence. During the period of rehabilitation recommended the following diet:
- Broths without fat, soups, cereals, soup without meat, various milk soups and vegetable soups.
- Jelly, fruit drinks, fruit drinks.
- Lean meats, steamed, boiled or baked without fat. The best option is veal, rabbit, beef, lamb or lean pork. Chicken or duck also not prohibited, but the pizza should cook without using fat and first remove her skin. From meat it is possible to prepare cutlets, meatballs, baked in one piece.
- Marine fish low-fat varieties, which is also steamed, boiled or baked.
- Cheese, cheese, low-fat dairy products, subject to their good tolerance.
- Porridge made from different grains. It is best to give preference to oatmeal, rice or buckwheat.
- Vegetables, baked in the oven or steamed.
- In nutrition after laparoscopic surgery is permitted to include white flour bread, it is best yesterday.
Meals should be frequent and fractional. People need to eat 4-5 times a day in small portions. Such a diet will help in the shortest possible time to restore the function of internal organs and return to an active, fulfilling life after the operation.
The list of products to be waived during the rehabilitation period:
- Diet after surgery on the abdomen or pelvis involves a complete rejection of the fresh whole-wheat bread, bakery products from rye flour – they can cause flatulence in the intestine, which is absolutely undesirable during the recovery period.
- Soups or broths, prepared on the basis of fatty meats, fish or mushrooms. Mushrooms is forbidden to consume in any form.
- Also after the operation care must be taken to exclude from its menu of various canned, pickled or smoked foods, sausages, salty or smoked fish, prepared foods, chicken eggs in large quantity, heavy cream or fresh milk.
- It is recommended to abandon the consumption of beans, corn, cabbage, garlic, mushrooms, sorrel, radishes, fresh fruit, pickled or canned vegetables and marinades.
- It is desirable to use various condiments and sauces, ketchup, mustard and mayonnaise after surgery. All meals should be steamed, boiled or baked without added fat.
- Fresh pastries and sweets provoke bloating and fermentation in the stomach, which is highly undesirable after surgery. That is why from your postoperative diet is necessary to completely remove a fresh muffin, cake, pastry, chocolate, cakes, pancakes and pastries.
- It is strongly recommended not to use strong tea or black coffee, sodas, or mineral water with gas, and alcoholic beverages. If possible, try to give up Smoking – this will make the recovery period after the surgery as short as possible and effective.
The effects of surgical intervention
Many women after the procedure laparoscopic surgical intervention to note the meager discharge from the genital tract, which can be whitish, and with light bleeding patches. It is a completely natural phenomenon, which is considered a normal result of the operation on the internal organs. In most cases, after 10-12 days of such allocation spontaneously end.
But if the discharge become more intense, become too abundant, bleeding is an extremely dangerous sign, which should immediately be reported to your doctor. Most often laparoscopy is well tolerated by the female body and does not cause menstrual irregularities. Most women have monthly begin on time. In rare cases it is possible to shift the beginning of the month for a few days or even weeks. This is quite natural and should not cause concern. Cause for alarm is the lack of menstruation for over 6 months.
Extremely important issue is the possibility of planning a subsequent pregnancy after the surgery. It’s safe to say that for successful surgical intervention and in the absence of serious consequences to plan a pregnancy is allowed 3-6 months after laparoscopy. Of course, the question of pregnancy planning is solved only individually, jointly with your gynecologist.