Laparoscopic

What is Laparoscopic Surgery?

Laparoscopic surgery is a type of surgical procedure that allows access to the abdomen and pelvis without the need for large incisions in the skin, unlike traditional open surgery. Laparoscopic surgery; It is used in the treatment of various diseases in the abdominal region.

It is also known as "minimally invasive" or "bloodless surgery". It is known as "closed surgery" among the people. Thanks to this developing and highly advantageous surgical system, it is possible to diagnose and treat many abdominal diseases today.

In laparoscopic surgery performed under general anesthesia, a few 0.5-1 cm incisions are made. It is also called incision, which is the name of the incision in the medical literature. A tubular instrument called a trocar is inserted into the incision. During the procedure, special surgical instruments and a camera known as a laparoscope are passed through the trocars. At the beginning of the procedure, the abdomen is inflated with carbon dioxide gas to provide a working and imaging area for the surgeon. 

The laparoscope transmits images in the abdomen (or in the area where the surgical procedure is performed) to high resolution monitors. During the operation, the surgeon performs the surgical procedure by watching the detailed images of the abdomen on the monitor. Through this system, it is ensured that the surgeon performs the same operations as conventional surgery, but with smaller incisions.

This method, which is also used for the removal of a suspected or diseased organ by the physician; It can also be used to perform surgical procedures, such as removing a tissue sample for tests (eg, biopsy).

Why is Laparoscopic Surgery Performed?

This type of surgical procedure is used to surgically diagnose and treat a problem in the pelvis or abdomen. In response to the question of why this surgical procedure is performed:

• Removal of a cyst, polyp, or abscess
• Biopsy
• Checking for a bleeding vein
• removing a blood clot
• Removal of an inflamed gallbladder
• unclogging
• Procedures such as tubal ligation or vasectomy
• Surgery to observe diagnostic structures
• removal of the uterus
• Cancer surgeries
• For myoma treatment

There are many reasons for choosing this surgical method. For example, if a lesion is small but deep in the pelvic or abdominal cavity, laparoscopic surgery may be the best way to reach that area and cause less damage to surrounding organs.

There is usually minimal pain after laparoscopic surgery. It usually has a low risk of bleeding. Laparoscopic surgery also provides a minimal risk of complications and infections, as well as lower overall cost of care and shorter hospital stays.

Your physician will choose the appropriate methods for you to treat your abdominal or pelvic diseases, including the pros and cons of laparoscopic surgery.

What are the Advantages of Laparoscopic Surgery?

Laparoscopic surgery has many advantages compared to traditional surgeries.

• Very small scars remain.
• Fewer days of hospitalization are possible. In traditional methods, the patient's recovery time is 4-8 weeks and the hospital stay is 1 week or more, while with this method, the recovery period is 2-3 weeks and the hospital stay is only 2 nights.
• Less tissue cuts.
• While the wound is healing, it causes less pain, so it requires less painkiller use.
• It is possible to return to normal life more quickly.
• Since the scar is small, rapid healing takes place.
• The risk of infection is low.

What are the Disadvantages of Laparoscopic Surgery?

Although laparoscopic surgery is a great advantage for a patient, it has disadvantages as in every surgical procedure:

• The surgeon has limited range of motion as a small incision is made.
• Depth perception is poor.
• The surgeon may have difficulty feeling the tissue, so they may not be able to decide on the force that should be applied.
• It is not intuitive. Serious expertise is required. It is important that the surgeon who will perform the procedure has strong motor skills.

What Are the Risks of Laparoscopic Surgery?

Laparoscopic surgery includes the standard risks we may encounter in any surgical procedure. This surgery also involves additional risks that are not as common as traditional surgery.

• The most serious risk is trocar injuries during insertion into the abdominal cavity. This type of injury can lead to abdominal wall hematoma, umbilical hernia, and umbilical wound infections.
• People with a low body mass index or a previous history of abdominal surgery are prone to this type of injury. These injuries are life-threatening.
• Uncontrollable excessive bleeding
• Unrepaired/undetected lesions
• Organ or tissue injuries during surgery
• Because small surgical incisions are made and dependency on the camera, injury or bleeding may not be detected during surgery.

How Long Does Laparoscopic Surgery Take?

Diagnostic procedures that require this surgical procedure usually take 30 minutes, but sometimes it can take 40-50 minutes.

The process that requires treatment can take between 1 and 3 hours.

Recovery Process After Laparoscopic Surgery

The recovery process after Laparoscopic Surgery is very fast compared to traditional treatment methods. You must be kept under surveillance after the procedure. Since anesthesia is applied, the patient may be able to move alone 3-4 hours after the effect of anesthesia.

It is normal to experience shoulder pain due to the introduction of carbon dioxide gas during the procedure. However, the patient is usually discharged within 24 hours or the next day. In case of unexpected abnormal pain, bleeding, infection, you should inform your doctor.

Laparoscopic Surgery in Gynecology

Laparoscopic surgery is most commonly used for the diagnosis and treatment of the following conditions:

• Gynecology  – Conditions that affect the female reproductive system
• Urology  – conditions affecting the urinary system
• Gastroenterology  – conditions that affect the digestive system.

By observing these areas with a laparoscope, your doctor can detect:

• Abdominal mass, tumor
• fluid in the abdominal cavity
• any liver disease
• The effectiveness of the treatments applied
• The degree of progression of a particular cancer
• Diagnosis and stages of diseases that fall under the field of gynecological oncology

Through the abnormal results obtained with this surgical procedure, the following can be diagnosed regarding gynecological diseases; It has an important place in the surgical procedure after diagnosis.

• Adhesions (cervical adhesions)
• fibroids
• Abnormal growths in the uterus
• Cysts or tumors
• Cancer (uterus, vulva, ovary, cervix)
• Endometrium, damaged tissue, growing outside the uterine lining of the uterus
• Pelvic inflammatory diseases
• Infections of the reproductive organs

Laparoscopic Surgery Ankara

Dr.Derman Başaran performs procedures such as the following in Ankara in the field of Laparoscopic Surgery:

• Laparoscopic removal of endometriosis foci while preserving the uterus and ovaries
• laparoscopic hysterectomy to remove the uterus
• Urogynecological pelvic floor surgery where sagging of the uterus and vagina is treated
• Removal of ovarian cysts
• Removal of fibroids ( fibroids )