Disadvantages Of Laparoscopy

Over the years, surgery has made tremendous progress while changing human perspective; viewed as “no more science than butchery” a couple of centuries ago to now considered to be a solution for many health care problems, such as cancer, heart disease and kidney failure. Nevertheless, surgery has not been perfected to a level that provides great results every time it is performed on patients. For example, surgery done on cancer patients to remove tumors has a forty-five percent success rate (Cancer Research UK, 2013). However, in order to be successful, the surgical procedure has to be performed very precisely. And incomplete removal of tumors can decrease the patient’s survival rate and potential of future build up.

A 26-year-old otherwise healthy woman comes to the emergency department complaining of nausea and pelvic discomfort for the past 3 days. The pelvic discomfort worsens with sexual activity. She describes the discomfort as a pressure in her lower abdomen. She has one male sexual partner, and they use condoms occasionally. The patient has not had a menstrual period for the past 2 months. The patient has had a female partner in the past. Her most recent sexual encounter was 2 nights ago. She has never had any sexually transmitted disease and received her human papillomavirus vaccine at 19. She denies fever, nausea, vomiting, headache, diarrhea or constipation. Vital signs include heart rate 80 beats/min, blood pressure 116/72 mmHg, respiratory

The laparoscope and other surgical instruments will be put through the incisions. Your surgeon will use the laparoscope and a robotic arm to help control the surgical instruments.

Although these surgeson were trying to avoid posing of system the surgical tools they used were made with Mercury a highly toxic element; this was also a case of trial and error during the time to better the doctors knowledge. With the case of trial and error brought about many medical theories. Some of these doctors professed that these different theories were helpful like the acid/alkaline theory, others like, the Four Humor Theory of Medicine, was thought to be ludicrous.(Chachoua,2013) These ideas of the different theories shed the spectrum of formal knowledge the doctors knew to the informal knowledge. With this whole era of lacking knowledge slowly progressed into knowing more throughout the later

More than 20 million Americans have had minimally invasive surgery: These surgeries have been proven to be as effective as traditional open surgeries.

Diagnosis of a gynecological cancer can be very scary and disruptive for women and their families. Performing cancer surgeries through a minimally invasive approach helps in making cancer treatment as gentle and as least disruptive as possible .It also enables these patients to get back to their lives and routine activities more quickly without a significant interruption in their quality of life. Today, women affected by most gynecologic malignancies can benefit from minimally invasive surgical advances. Rather than operating through a large abdominal incision, 3 to 5 small incisions can be used for laparoscopy or robotic surgery. The main advantages of this scarless or minimally invasive technique

The surgeon follows the same procedure as for the laparoscopic surgery, but there is only one large incision made in the lower stomach

The Veress needle puncture, optical trocar access, and the Hasson technique are the three common approaches to obtain pneumoperitoneum for laparoscopic exposure with very low complication rates. In 2001, Schafer et al. reviewed 14,243 laparoscopic procedures where pneumoperitoneum was obtained using the Veress needle, with overall complication rate of 0.18% (20). Similarly, Catarci et al. reviewed 12,919 laparoscopic procedures and reported low complication rates of 0.27% with optical trocar access, 0.18% with the Veress needle, and 0.09% with the Hasson technique (21).

As technology improves, surgical robots are rapidly gaining support among both doctors and patients across America. Today more than 900 hospitals have the da Vinci robot which is double the number in 2007. (Freyer, 2010) Da Vinci robots were first approved by the FDA in 2000 for prostate removal, but now da Vinci robots are used for a variety of other surgical procedures (Freyer, 2010). Robot assisted surgery offers advantages such as smaller incisions, reduced blood loss, less pain and faster healing time (Vijay, 2010), as well as making surgery less demanding for the surgeon. Robotic surgery involves many obvious advantages but the impact of cost, access, and quality must

2Discipline of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, Woodville, South Australia 5011, Australia

Alves, Pedro Henrique Ferreira Alvesa, Rissi, Eduardo Silvaa, Adilson Rodriguesa, Carlos Menegozzoa, Edivaldo M Utiyamaa

FAQs on Laparoscopy Q1. What exactly is laparoscopy? Laparoscopy is an alternative to ‘Open’ surgery wherein the abdomen is opened by tiny ‘key hole’ incisions and surgery is done. ‘Scopy’ means the use of an endoscope or telescope to see inside the abdomen.

To understand the Laparoscopic Adhesiolysis procedure, we must first understand what adhesions are. Adhesions are fibrous bands of scar tissue that form between tissues and organs. It’s kind of an internal scar tissue that connects tissues which are not normally connected. They usually form after an abdominal surgery, or after a bout of gastrointestinal or intra-abdominal infection such as diverticulitis, pelvic inflammatory disease and the like. Almost 95% of all people who undergo an abdominal surgery develop adhesions, as they are a part of the body’s natural healing process.

Retrieved from: Benmessaud, C., Kharrazi, H., and MacDorman, K. F. (2011). Facilitators and barriers to adopting robotic- assisted surgery. Contextualizing the unified theory of acceptance and use of technology. PLOS ONE.

A laparoscopic approach appears to be associated with a reduction in surgical trauma and blood loss. In addition, it is presumable that some of the benefits of minimally invasive surgery such as reduced analgesic requirements, a shorter recovery period and reduced hospital stay (Kuhry, 2005). It has become a forerunner in the quest of improving surgical results by dropping postoperative pain and lessening recovery time. Yet, the use of laparoscopic instruments can be awkward and cumbersome, thus escalating operative time and dropping dexterity, which can