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All you need to know about Micro Laparoscopic Gastrointestinal

All-you-need-to-know-about-Micro-Laparoscopic-Gastrointestinal

Surgeons have worked to improve Laparoscopic surgery techniques in recent years, and one such improvement is Microlaparoscopy. 

The micro-laparoscopic platform necessitates a smaller incision than traditional laparoscopic surgery but allows for the use of fully functional standard laparoscopic instruments, potentially resulting in less scarring, less pain and an early return to normality and good cosmesis.

The use of the same 3-mm instruments as in standard laparoscopy provides the benefit of small incisions. Aside from the smaller incisions, using the percutaneous system requires few changes to surgeons’ techniques.  

Since its inception in the late 1980s, laparoscopic surgery has been the gold standard for various surgical diseases due to its benefits such as post-operative recovery, earlier return to work, minimal pain, minimal wound complications, and brilliant cosmesis. It is regarded as one of the most significant revolutions in surgical innovation in history. 

Surgeons have worked to improve Laparoscopic surgery techniques in recent years, and one such improvement is Microlaparoscopy. Laparoscopic surgery, in its original form, used instruments with a diameter of 10mm. The size decreased with time and advancement in the field, ranging from 3 to 5mm.

How is the procedure done?

Laparoscopy, also known as minimally invasive surgery, is derived from the name of a slender tool (laparoscope) with a tiny video camera and light on the end that allows doctors to see inside the body through a small cut rather than a large opening.

Laparoscopic surgery requires three or more small (5-10 mm) incisions in the abdomen to insert access ports. The surgeon then inserts the laparoscope and surgical instruments through these ports to obtain a picture of the abdominal organs on a video monitor, allowing the operation to proceed.

 

micro-laparoscopic-gastrointestinal-procedure

How to be prepared for Laparoscopic surgery?

Prior to surgery, the patient will be asked to provide blood samples, answer questions about their medical history, have a chest X-ray, and undergo lung function tests, which will be followed by a general physical examination. The patient must then clear the intestine and take laxative medication the night before surgery.

Finally, the patient will meet with an anesthesiologist to discuss the type of pain medication that will be used during the surgery. It is recommended to carefully follow the directions and drink all of the laxatives to reduce the risk of developing an infection from bacteria that are naturally present in the intestine.

laparoscopic gastrointestinal surgery Bariatric and weight loss surgeries

  • Sleeve Gastrectomy
  • Gastric Bypass

Redo GI Surgeries

  • Weight Gain after Bariatric Surgery.
  • Biliary enteric surgery for Bile duct injuries.

Laparoscopic Colorectal Surgeries

Abdominoperineal Resection: Abdominoperineal Resection is used to remove the rectum, anus, and sigmoid colon in patients with cancer of the anus or lower part of the rectum. The surgeon creates a colostomy (an arrangement to connect the healthy end of the colon to the anterior wall of the abdomen through an incision) after removing the rectum and anus to eliminate waste and faecal matter from the body.

Proctosigmoidectomy: Diverticulitis (inflammation or infection of the diverticula) and polyps (both cancerous and nonmalignant growths) may require a Proctosigmoidectomy to excise the affected part of the sigmoid colon or the rectum.

Total abdominal colectomy: Laparoscopic surgery is used to treat Crohn’s disease (an inflammatory bowel disease that causes abdominal pain and a variety of other symptoms), Ulcerative colitis (severe colon inflammation), and Familial polyposis (a condition that causes the formation of numerous colon polyps), followed by surgical removal of the large intestine during a total abdominal colectomy.

Right Colectomy: Right Colectomy, also known as Ileocolectomy, is the surgical removal of the right side of the colon or large intestine. The excision also includes the end of the small intestine (attached to the right side of the colon). The right colectomy is used to treat cancer, Crohn’s disease symptoms, and polyps.  

Rectopexy: In the case of rectal prolapse, where the rectum protrudes from its original position, a rectopexy can help to stitch the rectum back into place.

Total proctocolectomy: People suffering from Crohn’s disease or Ulcerative colitis benefit greatly from total proctocolectomy, a laparoscopic surgery that removes the large intestine, the rectum, and the anus. To eliminate wastes from the body, the surgery may be followed by a temporary ileostomy. 

Is laparoscopy safe? When to consult after laparoscopy?

Laparoscopy is a very safe procedure. However, if you experience any of the following symptoms, contact your doctor right away:

  • More than 24 hours of nausea and vomiting

  • Temperatures exceeding 100 degrees Fahrenheit for more than 24 hours.

  • Redness, swelling, soreness, drainage, or bleeding around your wound.

  • Shortness of breath or difficulty breathing

  • After the first day of surgery: a heavier menstrual flow, heavy bleeding with clots, or soaking in a sanitary pad in less than two hours. 

In most cases, patients are able to return home shortly after their laparoscopy. You must wait until your anesthesia wears off and your healthcare provider confirms that you are not experiencing any side effects from the procedure. A patient will recover at home in the days following your laparoscopy.

About Author –

surgical gastroenterologist in hyderabad

Dr. M. Manisegaran

MS, M.Ch, DNB, MNAMS, FRCS (ED), FRS (ITALY)
Consultant Surgical Gastroenterologist-Minimal Access Surgery, Bariatric, Metabolic & Robotic Surgery

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