Basic Laparoscopic Surgery
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- Опубликовано: 3 авг 2021
- Learn Basic Laparoscopic Surgery, the components of a laparoscopic surgical setup, optimal positioning and ergonomics in laparoscopic surgery, and much more. Check out the full course for free here: www.incision.care/free-trial
What is Laparoscopic Surgery:
Laparoscopic surgery describes procedures performed using one or multiple small incisions in the abdominal wall in contrast to the larger, normally singular incision of laparotomy. The technique is based around principles of minimally invasive surgery (or minimal access surgery): a large group of modern surgical procedures carried out by entering the body with the smallest possible damage to tissues. In abdominopelvic surgery, minimally invasive surgery is generally treated as synonymous with laparoscopic surgery as are procedures not technically within the peritoneal cavity, such as totally extraperitoneal hernia repair, or extending beyond the abdomen, such as thoraco-laparoscopic esophagectomy. The term laparoscopy is sometimes used interchangeably, although this is often reserved to describe a visual examination of the peritoneal cavity or the purely scopic component of a laparoscopic procedure. The colloquial keyhole surgery is common in non-medical usage.
Surgical Objective of Laparoscopic Surgery:
The objective of a laparoscopic approach is to minimize surgical trauma when operating on abdominal or pelvic structures. When correctly indicated and performed, this can result in smaller scars, reduced postoperative morbidity, shorter inpatient durations, and a faster return to normal activity. For a number of abdominopelvic procedures, a laparoscopic approach is now generally considered to be the gold-standard treatment option.
Definitions
Developments of Laparoscopic Surgery:
Following a number of smaller-scale applications of minimally invasive techniques to abdominopelvic surgery, laparoscopic surgery became a major part of general surgical practice with the introduction of laparoscopic cholecystectomy in the 1980s and the subsequent pioneering of endoscopic camera technology. This led to the widespread adoption of the technique by the early- to mid-1990s. The portfolio of procedures that can be performed laparoscopically has rapidly expanded with improvements in instruments, imaging, techniques and training - forming a central component of modern surgical practice and cross-specialty curricula [2]. Techniques such as laparoscopically assisted surgery and hand-assisted laparoscopic surgery have allowed the application of laparoscopic techniques to a greater variety of pathology. Single-incision laparoscopic surgery, natural orifice transluminal endoscopic surgery, and minilaparoscopy-assisted natural orifice surgery continue to push forward the applications of minimally invasive abdominopelvic techniques; however, the widespread practice and specific indications for these remain to be fully established. More recently, robotic surgery has been able to build on laparoscopic principles through developments in visualization, ergonomics, and instrumentation.
This Basic Laparoscopic Surgery Course Will Teach You:
- Abdominal access techniques and the different ways of establishing a pneumoperitoneum
- Principles of port placement and organization of the operative field
- Key elements of laparoscopic suturing, basic knotting and clip application
Specific attention is paid to the following hazards you may encounter:
- Fire hazard and thermal injury
- Lens fogging
- Contamination of insufflation system
- Complications from trocar introduction
- Limitations of Veress needle technique
- Limitations of open introduction technique
- Complications of the pneumoperitoneum
- Gas embolism
- Mirroring and scaling of instrument movements
- Firing clip applier without a loaded clip
The following tips are designed to improve your understanding and performance:
- Anatomy of a laparoscope
- Checking for optic fiber damage
- "White balance" of camera
- Checking integrity of electrosurgical insulation
- Access at Palmer's point
- Lifting abdominal wall before introduction
- Confirming position of Veress needle
- Umbilical anatomy
- Identification of inferior epigastric vessels under direct vision
- Translumination of superficial epigastric vessels
- Selection of trocar size
- Aiming of trocar
- Working angles in laparoscopic surgery
- Choice of suture material
- Instruments for suturing
- Optimal ergonomics for suturing
- Extracorporeal needle positioning
- Optimal suture lengths
- "Backloading" needle
- Intracorporeal needle positioning
- Hand movements when suturing
- Optimal positioning of scissors
- Extracorporeal knot tying
- Visualization of clip applier around target structure
- Common clip configurations
I just had this surgery today... curious to see what they did to me
Funny seeing so many people curious about what happened to them in the operating room and searching for this. 😂 Cause I did as well.
Love your channel. So precise!😊
Dear Incision,
I have a termiology related question. If inguinal hernia appears only on one side of the body it is called unilateral inguinal hernia, if on both sides it is bilateral inguinal hernia. What if a patient has unilateral inguinal hernia, but before the surgery the ultrasound examination discovers the presence of asymptomatic contralateral inguinal hernia, is the correct diagnosis still unilateral inguinal hernia, or it changes to bilateral inguinal hernia?
Thanks!
I'm waiting to be scheduled for mine.
Amazing 🧑⚕️ skills
Could you download the video
Basic surgical skills ( sutures )
please!
We will upload it to RUclips
I am going to have laparoscopy tomorrow and I am really scared of the marks
Fantastic depiction sir✍️✌️
Thanks a lot
Nice and interesed thank you for sharing
Not me having this on Tuesday and I’m here watching it😭😭🥹
can you share how your surgery went, I am due for this soon.
Hlo sir or mam i had laparoscopy of para ovarian cyst in 2021 july and since i am feeling pricking sensation inner vagina sometimes and i also feels little pain near my stitches in the morning when i wakeup so its normal to have these ???
Thank god I only had an adenoind removal surgery as the only surgery so far in life
I have mine in 2 weeks...😅
Laparoscopy k bd stitch khud tk hojty hn na jana prta hy katwany wapas doc k
I just had removed mine hours ago 😅
Great
What are the drawbacks after getting done this surgery?
compared to original invasive surgery, very few. there is lower risk of bacterial infection as supplies are sterilised and cleaner than the natural hand as well as a shorter recovery time (4-5 days) other than this the risks are similar to the more invasive surgery that this is replacing.
they going to remove my stones and now I'm crying 😭
Omg scared to do this surgery 😥😥.
Don’t be scared I’m 18 years old just had it and at first it hurts but it’s worth it cos now I’m getting better
@@slimnishaa6612 are u awake during the surgery? I need my gallbladder remove so I will undergo in this surgery and it’s my first time.
@Priscilla Brink did you recover immediately? and how bout the stitches?
@Priscilla Brink thank youuu
@Priscilla Brink I had the surgery yesterday and now post op, my abdomen hurts alot 😰 .. it feels liks i am bloated, sore and really in pain.
Did someone had this surfers to get pragnant ??
❤
Please touch everything with your bare hands before you do mine x_X
For those wondering the ports leave tiny scars that are barely noticeable with time
Envoyé moi les explication en français
malheureusement ce n'est pas possible :(
Hello sir i need your help and suggestions.
My grandmother has a stone in her gallbladder. Is it better to remove the stone with an operation or not..
She is 77 years old .
Thanks for your question! Please consult with a local medical specialist. Good luck 🙏
Mein ek medison bolta ho stone khatam hoga
@@bestgamer-jv8qgtell me
Yes it is good, my son just had it. The recovery is fast
@@bestgamer-jv8qg pehele medicine spalling thik se likho
have this in 6 hours and i’m so scared ( will update when it’s over )
How did it go?? Mine is on Monday 😭
big incisions
Like others, I am due for this surgery soon🫡 I need to have an ovarian cyst removed