Presentation
This atypical presentation should be borne in mind while performing laparoscopy. [ncbi.nlm.nih.gov]
Entire Body System
- Pain
RESULTS: Unexplained abdominal pain is common in females than in males. The most common laparoscopic findings were abdominal tuberculosis followed by appendicitis. Ninety percent patients achieved pain relief after laparoscopic intervention. [ncbi.nlm.nih.gov]
How the Test Will Feel With general anesthesia, you will feel no pain during the procedure. However, the stitched cuts may throb and be slightly painful afterward. Your doctor may give you a pain reliever. [web.archive.org]
- Surgical Procedure
Many surgical procedures that required major surgery in the past can be done through laparoscopy. [nsmc.partners.org]
However, the increasingly better camera optics as well as the development of small, specialist surgical instruments have seen the method used more often for surgical procedures. [hirslanden.ch]
Diagnostic laparoscopy for gynecology is a surgical procedure doctors use to view a woman's reproductive organs. A laparoscope, or thin viewing tube similar to a telescope, is passed through a small incision (cut) in the abdomen. [my.clevelandclinic.org]
As with any surgical procedure, a laparoscopy has benefits and risks. The benefits of the procedure are most apparent when comparing a laparoscopy to open surgery. [medicalnewstoday.com]
- Infertility
Secondary infertility accounted for 124 (53.9%) cases, and the mean duration of infertility was 4.6 ± 2.7 years. [ncbi.nlm.nih.gov]
In that case, your doctor may recommend infertility treatment, such as fertility drugs, insemination, or in vitro fertilization. If you are younger, consider trying to conceive without infertility treatment. [uwhealth.org]
Laparoscopy may be used to diagnosis infertility or to treat a fertility problem. [verywell.com]
- Inflammation
Computed tomography revealed segmental small bowel wall thickening with chronic inflammation suggestive of Crohn's ileitis and oral steroids were commenced; only later, ingestion of a foreign body was suspected. [ncbi.nlm.nih.gov]
Abnormal results from laparoscopy indicate certain conditions, including: adhesions or surgical scars hernias appendicitis, an inflammation of the intestines fibroids, or abnormal growths in the uterus cysts or tumors cancer cholecystitis, an inflammation [healthline.com]
Inflammation of an internal organ may be present, such as appendicitis, cholecystitis, or pelvic inflammatory disease (PID). Scar tissue may be seen on an internal organ, such as the fallopian tubes. [m.kp.org]
[…] of laparoscopy include: bleeding and the potential need for a blood transfusion infection hernia a risk of damage to internal structures, such as such as blood vessels, the stomach, bowel, bladder, or ureter adverse reactions to anesthesia abdominal inflammation [medicalnewstoday.com]
- Falling
In addition, the patient needs to be tilted back so that the intestine will fall upwards and away from the surgical field. This requires some modification in anesthesia techniques. [brighamandwomens.org]
If you think you may fall into any of these categories, be sure to discuss your surgical risks with your physician. Although rare, perforation of the bowel or liver is a possible complication that may occur during laparoscopy. [verywellhealth.com]
These are absorbed and the remains fall out. This can take over a week. If you find the stitches irritating, notify your physician who can take them out. How long is the recovery? You will probably need a week to recover from the procedure. [newhopefertility.com]
If adhesive strips are used, they should be kept dry and generally will fall off within a few days. You may experience shoulder pain from the carbon dioxide gas that remains in your abdomen. [stanfordchildrens.org]
If you have Steri-Strips or Dermabond over your incision, it will fall off by itself in 7 to 10 days. If you have stitches, they should dissolve on their own. [mskcc.org]
Respiratoric
- Dyspnea
In patients who are conscious during regional or local anesthesia, discomfort and dyspnea may be limiting factors. [csh.org.tw]
Gastrointestinal
- Overeating
The objective of this systematic review and meta-analysis was to evaluate the advantage of SPL over CL for adnexal surgery. [ncbi.nlm.nih.gov]
Our team of 40 experts from Romania and abroad has over 18 years experience in organizing courses and have trained over 2000 participants so far. [ponderas.ro]
This includes over-the-counter drugs and supplements. You may need to stop them before the procedure. Ask a friend to come pick you up after the surgery or schedule a car service. You will not be allowed to drive yourself. [healthline.com]
Adhesion-related readmissions were tracked over 4 years following initial surgery. [doi.org]
- Nausea
We presented a case of a Tunisian woman with cough, nausea, decreased appetite and pelvic-abdominal pain. CT scan showed peritoneal thickening, peritoneal tiny nodules and enlarged mesenteric lymph nodes ascitic fluid. Sputum analysis was negative. [ncbi.nlm.nih.gov]
Some patients will experience nausea or vomiting, but these feelings should pass quite quickly. There might be some pain at the site of the incisions, and you will commonly be given analgesics (pain-relieving medication). [ranzcog.edu.au]
Anaesthetic agents affect people in different ways but common side effects include drowsiness, dizziness and nausea. These effects are generally short lived, lasting less than 24 hours, and are managed by the anaesthetic specialists involved. [fertilitynorth.com.au]
Talk with your doctor and/or anaesthesiologist beforehand about the methods they use to minimise nausea. Many women find that nausea is lessened when they lay flat. Some natural remedies, such as ginger tea, may also alleviate nausea. [endometriosis.org]
- Acute Abdomen
Chung RS, Diaz JJ, Chari V: Efficacy of routine laparoscopy for the acute abdomen. Surg Endosc. 1998, 12 (3): 219-222. 10.1007/s004649900638. 132. [wjes.biomedcentral.com]
Seven sections, comprising the core curriculum of accepted procedures, present gallbladder disease, common bile duct exploration, hernia, colon diseases, anti-reflux procedures, acute abdomen and the role of diagnostic laparoscopy, and emerging procedures [libreriacortinamilano.it]
LAPAROSCOPIC APPROACH IN HEPATOBILIARY EMERGENCIES Acute cholecystitis Acute cholecystitis (AC) is the leading cause of infection of the biliary tree, which affects 20%-30% of patients with biliary colic and is the third most common cause of acute abdomen [doi.org]
Cardiovascular
- Hypertension
Other indications include diffuse liver diseases (related to HIV or hepatitis virus, hepatomegaly of unknown etiology, or portal hypertension) and liver masses (to rule out metastatic cancer, hepatoma, or benign masses). [emedicine.medscape.com]
This is especially important for elderly patients, asthmatics, those with hypertension, or those who are on ACE inhibitors.) [surgeryencyclopedia.com]
However, smaller gas bubbles most likely enter the pulmonary circulation and manifest as pulmonary hypertension and right ventricular failure. [ncbi.nlm.nih.gov]
Arterial carbon dioxide markedly increases during diagnostic laparoscopy in portal hypertensive children. Anesth Analg 2002;95:1236-40. [ PUBMED ] [ FULLTEXT ] 16. Lorenzo AJ, Karsli C, Halachmi S, Dolci M, Luginbuehl I, Bissonnette B, et al. [doi.org]
Urogenital
- Urinary Incontinence
incontinence There has been a great deal of interest and comment in both the mainstream and social media about the Senate Inquiry into the use of mesh as part of the surgical treatment of vaginal prolapse and urinary incontinence. 29/10/2017 Women's [ranzcog.edu.au]
Urinary Incontinence: Uncontrolled loss of urine. [m.acog.org]
incontinence, pelvic organ prolapse, and certain forms of cancer evaluating certain cancers, including those of the ovary, uterus, and cervix. [medicalnewstoday.com]
incontinence and even in gynecologic cancers. [intechopen.com]
Workup
We developed a decision analysis model to assess the cost-effectiveness of preoperative DSL in GC workup. METHODS: Analysis was based on a hypothetical cohort of GC patients in the U.S. for whom initial imaging shows no metastases. [ncbi.nlm.nih.gov]
Staging of intra-abdominal cancers A significant percentage of intra-abdominal cancers prove to be inoperable because of metastatic or locally advanced disease despite a preoperative workup suggesting a potentially resectable disease. [emedicine.medscape.com]
CXR also is part of the basic workup for anyone suspected of having a gynecologic malignancy. [csh.org.tw]
The first is that a specific pathology is assumed following diagnostic workup and thus a specific procedure is planned, the second is that abdominal pathology of uncertain causation or severity is present, and thus the primary aim of laparoscopy will [wjes.biomedcentral.com]
X-Ray
- Pneumoperitoneum
We collected data to compare using this new method of peritoneal insufflation with using Palmer's point for pneumoperitoneum. [ncbi.nlm.nih.gov]
Five different techniques were used to achieve pneumoperitoneum: closed laparoscopy with Veress needle, open laparoscopy, direct entry, subcostal insufflation, and transfundal insufflation. [glowm.com]
Next, insuffltate carbon dioxide at a low flow rate of 2 liters/minute, allowing the patient to adapt gradually to the pneumoperitoneum. [web.archive.org]
Stuttgart: Georg Thieme Verlag [ CR ] [ PM ] [ EČ ][ 1 ][ GS ] Safran, D.B., Orlando, R. (1994) Physiologic effects of pneumoperitoneum. [scindeks.ceon.rs]
Serum
- Hypercapnia
These include gas embolism, cardiovascular compromise, hypercapnia. The risks are minimised by the use of low pressure CO2 insufflation in children. Slight increases in end tidal CO2 and peak airway pressures might be detectable intraoperatively. [adc.bmj.com]
Treatment
Laparoscopic treatment is feasible for the treatment of SMA syndrome given its safety and minimal invasiveness. This is a report of the first case of single-incision laparoscopy-assisted duodenojejunostomy. [ncbi.nlm.nih.gov]
The treatment of AC has varied in recent years. [doi.org]
Prognosis
Cylindrical abdominal-perineal resection is suitable for patients with low rectal cancer and has helped improve the prognosis of these patients. However, there are some difficulties during the operation. [ncbi.nlm.nih.gov]
In the future, because of its well known advantages, laparoscopic surgery may appear as a way to decrease the consequences of oncologic treatments in patients with low risk tumors and to propose more aggressive treatments of patients with bad prognosis [research.nu.edu.kz]
Esophageal cancer Esophageal cancer often presents with locally advanced tumors, as well as lymph node or distant metastases, and is associated with an overall poor prognosis. [emedicine.medscape.com]
Etiology
OBJECTIVE: To perform a comprehensive literature review of the incidence, location, etiology, timing, management, and long-term sequelae of urinary tract injury in gynecologic laparoscopy for benign indication. [ncbi.nlm.nih.gov]
In 30-40% of these patients, the etiology of the abdominal pain remains elusive despite laboratory and radiologic investigations. [emedicine.medscape.com]
Liakakos T, Thomakos N, Fine PM, Dervenis C, Young RL: Peritoneal adhesions: etiology, pathophysiology, and clinical significance. Dig Surg 2001; 18: 260–73. MEDLINE 5. [doi.org]
Epidemiology
This study evaluated the epidemiology of adhesion-related readmissions following open and laparoscopic procedures. [ncbi.nlm.nih.gov]
Recent epidemiological data have demonstrated the true extent of adhesion-related complications, and evidence is emerging on the level of associated risk for patients. [doi.org]
Pathophysiology
Although the pathophysiology of PI remains unclear, 2 theories, one mechanical and the other bacterial, have been proposed. [ncbi.nlm.nih.gov]
Surgical Endoscopy And Other Interventional Techniques, 16(1): 163-165 [ GS ] Hasukić, Š. (2014) CO2 -Pneumoperitoneum in Laparoscopic Surgery: Pathophysiologic Effects and Clinical Significance. [scindeks.ceon.rs]
Prevention of postoperative adhesions Strategies for reduction of adhesions are based on their pathophysiological mechanisms of origin ( Box 2 gif ppt ). [doi.org]
Prevention
Laparoscopic techniques can be used to prevent, diagnose and treat CBD injuries. [ncbi.nlm.nih.gov]