endoscopes – Endoscopy Equipment Manufacturer

14July 2020

Laparoscopic cholecystectomy- the laparoscopic surgery for gallbladder removal

What is laparoscopic cholecystectomy??

Laparoscopic Cholecystectomy is a laparoscopic surgical procedure for removing Gallbladder. It is a minimally invasive surgery that is performed through minimally invasive surgery devices which involves small incisions to remove the gallbladder. The gallbladder is a digestive organ that is present just below the liver in the upper abdomen. The main function of the gallbladder is to store bile which helps in absorbing dietary fats. However, the gallbladder is not a compulsory organ of the digestive system and digestion of a high fiber diet can be easily done without the presence of Gallbladder as well. However, if your Gallbladder becomes inflamed, then it is very important to remove it.

Laparoscopic Cholecystectomy is one of the most popular and common types of surgery available for the removal of diseased Gallbladder.

Reasons for performing laparoscopic cholecystectomy

The main reason behind performing laparoscopic cholecystectomy and removing of the Gallbladder is due to the complications caused by the gallstones in the Gallbladder. The situation of having gallstones in the Gallbladder is known as cholelithiasis. When the substances of the bile in Gallbladder become solid, then they form gallstones. The size of gallstones varies, they could be very small and they could be as large as the size of a golf ball. Some other reasons for performing Laparoscopic Cholecystectomy are the following-

In the medical condition when the Gallbladder is not able to empty bile and this condition is called biliary dyskinesia.
In the medical condition when the gallstones shift to the bile duct and cause the blockage and this medical condition is called choledocholithiasis.
They inflame and diseased Gallbladder which is called cholecystitis.
In this condition, the gallstones cause the inflammation of the pancreas and this medical condition is known as pancreatitis.

Nowadays, Laparoscopic Cholecystectomy is a highly preferred surgical method over open surgical methods because it involves smaller incisions that help in reducing the risk factors of infection, excess bleeding and involves less time of recovery

Medical equipment used during laparoscopic cholecystectomy

During Laparoscopic Cholecystectomy, various minimally invasive surgery instruments and laparoscopic surgeon devices are used. Let’s look at the list of the medical devices used in the surgical procedure.

The procedure of laparoscopic cholecystectomy

After going to the operation theatre your surgeon will give you fluids through your vein. After this, he will put you on anesthesia of the general level, so that you don’t feel any pain and the whole surgical procedure will be painless for you. Before the surgical procedure starts, your surgeon will place a tube in your throat which is connected to a ventilator, so that you can easily breathe during the surgery.
For performing Laparoscopic Cholecystectomy surgery, the surgeon will make four small incisions at the upper side of your abdomen. With the help of the small incisions, the tube is guided with an Endoscopy HD Camera into the abdomen.
The other laparoscopic devices such as Endoscopy LED Cold Light is also used through the small incisions and the surgical monitors will help the surgeons to get a clear image inside of your abdomen. The surgical monitors will show whatever the Endoscopy HD camera captures.
The Endoscopy CO2 Insufflator is used so that the patient’s abdomen is inflated with CO2 gas and the surgeons will get the space to perform the surgery properly. After that, your surgeon will remove the Gallbladder through the small incisions.
After the Gallbladder is removed from your abdomen, your surgeon will perform a special X-ray to check the complications of your bile duct. The X-ray helps in showing any remaining problems in your bile duct such as any remaining bile stone in the duct. If any such problem exists, then your surgeon will remove that also. This procedure is called cholangiography.
When the surgery is completed, your surgeon will stitch up the cuts and bandage the small incisions. After that, you will take your time to get your consciousness from anesthesia. Your vital signs will be measured after the surgical procedure is over.
In Laparoscopic Cholecystectomy, most of the patients go home on the same day or day after their laparoscopic surgery.

http://diasurge.com/gallbladder-stones-and-diagnosis-by-endoscopes/

28May 2020

Get your sinuses ventilated: FESS

Sinuses are air spaces meant for help in humidify the air and enhance the quality of voice. Do you know recurrent heavy headedness, severe headache while lowering your head, recurrent infection of upper respiratory tract infection can be serious and very problematic? Sinusitis might be the cause. Mostly sinusitis is a rhinogenic in origin, ear infection, or dental infection. Our nose has cilia on its wall which helps in the movement of nasal secretion out of the nose. During nasal infection, these cilia function less efficiently result in the stasis of secretion and mucus in nasal sinus.

What difficulties you will face when suffering sinusitis?

Mostly symptoms are rhinogenic and usually same as cold. Following are the symptoms of sinusitis:

1) Nasal congestion or obstruction.
2) Pain on sinofacial region.
3) Headache while lowering or shaking it.
4) Mucopurulent nasal discharge.
5) A sensation of sneezing or multiple time sneezing.
5) The reduced smelling sense thus resulting in the inability to have flavors in food.
6) Change in voice.

How sinusitis is treated?

Medical management: As per medical management is concerned sinusitis is usually managed medically first with nasal decongestant, antibiotics, antipyretics, anti allergens (antihistamines). If sinusitis doesn’t get relieved by medicines and get recurrent and chronic than it is surgically managed.

Surgical management: Surgically sinusitis is treated with the endoscopic approach. The rigid endoscope aids the surgeon to visualize the nose in detail. The nasal cavity is a very small area and having a great visualization with the correct idea axis can make the surgery easy. So angled endoscopes are used, a 30° degree endoscope affords an increased view with lesser movements as there are limited spaces. A 30-degree endoscope (sinuscope) can view every corner of sinuses. It provides excellent visibility, easy diagnoses, and surgery more comfortable. Surgery of sinus is called FESS (FUNCTIONAL ENDOSCOPIC SINUS SURGERY).

FESS is useful in which kind of sinus problems?

1) Patient with recurrent acute or chronic sinusitis to increase ventilation of sinus.
2) People suffering from nasal polyps. This removes polyps by using suction cutters.
3) Some kind of cancerous growth in the nasal cavity.
4) Decompression of eye socket (space of eyeball in the skull) like in Graves disease.

Why FESS is preferred over conventional surgery or treatment?

As the name suggests it is minimally invasive surgery. So following are the reasons to opt FESS:

1) Minimal discomfort during and after surgery and heals early.
2) Performed under local anesthesia with some sedation to calm the patient.
3) It helps in restoring the ventilation of sinus.
4) Improves olfaction, sleep, and facial pain.
5) Enhances voice quality.

Having clear information about endoscopic treatment for sinus problems can solve your problem with great success. Its efficiency makes it more trendy and easy.

6April 2020

Laparoscopic Adjustable Gastric Banding (LAGB): obesity solution

Life is becoming hectic these days with so many works to do and no time for ourselves. This is increasing obesity in people. Sedentary and time taking jobs doesn’t leave time for cooking healthy home food and craving for fast foods increases. It may lead to other life-threatening conditions. If your weight is not reducing by dieting or workout, you may need bariatric surgery.

Gastric Banding

The adjustable band is put to bind the stomach below oesophagus so as to make a small pouch-like structure. The outlet to the distal part of the stomach is very narrow, this makes the obese person satiated for a long time. The small pouch gets full of a small amount of food. Thus, resulting in weight loss. It is scheduled for a limited time, a follow-up visit is needed at 6 weeks, or monthly, depending on the medical requirements.

Why might I need a laparoscopic adjustable gastric banding?

LAGB is done to cure severe obesity, which is related to hypertension, high cholesterol, type 2 diabetes, arthritis, apnea, etc. It is advised for persons whose plans for weight loss doesn’t result in long-term success. Adjustable gastric banding may help you to lose weight if it is not working in other ways. And decreases the risk for life-threatening disease.

In what condition LABG is recommended?

Severe obesity BMI > 32

Large volume eaters.

Obesity not responding to any weight loss plans.

Obesity with other cardiovascular diseases where exercising is restricted.

What benefits do you get with LABG?

Rapid healing < 48 hours.
LABG is a reversible procedure.
It doesn’t create disturbance in normal natural anatomy and function.
The band is inflatable as well adjustable.
More effective.
Increases quality of life.

What are the preparations done before LABG?

Pre Operative preparation includes blood tests and ECG and PAC( pre anaesthesia checkup). Surgery is not advised for abusers of drugs or alcohol or any other serious medical problems.If you’re a smoker, you must stop it before surgery and not restart again. You have to be bill per oral for at least 8 hours before surgery.

How LABG is performed?

Laparoscopic adjustable gastric banding (LAGB) is the least invasive weight loss solution available for obesity. It’s done with a laparoscope by making small abdominal incisions. The surgeon inserts instruments through the incision. One of those instruments is a laparoscope, a tool with a small HD camera and LED light. Using this, a silastic band is a bind around the stomach just below the esophagus forming a small pouch with a narrow outlet. Its reservoir is placed beneath the skin below the chest in the midline so that it can be felt from above. With the help of a needle through the skin to the reservoir, one can adjust the outlet size by inflating or deflating the band.

What lifestyle changes to perform after LABG?

Mostly liquids and pureed food for 2 to 3 weeks
Slowly changing the texture of food from soft to solid.
6 weeks it will take to return to a normal diet but smaller in portion…
Thoroughly chewing your food to make it like a slurry before swallowing
Have a balanced diet rich in high fiber, protein, vitamins, and minerals but low in carbohydrates.
Make a habit of little exercise in your daily routine.

LAGB is safer and minimally invasive surgery for weight loss instead of traditional weight loss surgery. It will not aid in sudden weight loss but it will gradually maintain your weight.just you need to follow proper diet and exercise. You may face nutritional deficiencies related to surgery so you have to have supplements to check it.

16March 2020

FROZEN SHOULDER: WHAT IT IS?

Have you ever experienced shoulder pain just after waking up in the morning? Or your shoulder gets stiff after 2-3 hours of mobilization. A condition of shoulder joint accompanied by stiffness, tenderness, and pain in your shoulder joint. This condition is also known as ‘adhesive capsulitis‘. Generally, it occurs due to inflammation of the synovial capsule. Most of the time the symptoms occur and get worsen. It takes about two to three years to get normal if left untreated.

How did it feel to have a frozen shoulder?

Frozen shoulders develop gradually. It has 3 stages each stretches to 3-4 months.

Freezing stage – The range of motion from the shoulder gets limited. Shoulder movements are painful.
Frozen stage – Pain may get reduce but, your shoulder gets more stuff and movement gets more difficult from the shoulder joint.
Thawing stage – Reliving stage pain reduced and range of motion improves.

Pain may get worsen during night and interrupt sleep.

Are you at risk of developing a frozen shoulder?

The joint at the shoulder is encased in a capsule; this capsule gets inflamed and tightens restricting the movement.

Causes aren’t sure that why it happens, however, some people are at risk:

Age and sex – Age more than 40 years, mostly women are at risk of getting frozen shoulder.
Compromised mobility – People who’ve had compromised mobility of the shoulder. The following are the conditions: Rotator cuff injury, broken arm, Stroke, Recovery from surgery, Systemic diseases.
Some disease conditions likely to aid in frozen shoulder.

Diabetes.
Hyperthyroidism
hypothyroidism
Tuberculosis
Parkinson’s disease

How you can prevent it?

Regular exercise – If you have any risky condition. Then talk to your doctor for a minimum range of motion you can practice preventing it.

How you will get it diagnosed?

Physical examination — during this doctor ask you to do a range of motion by own then he will move your hand checking range of motion. Active and passive range motion both are affected in this condition.
Usually, signs and symptoms are enough to diagnose. But a doctor can advise radiological tests — X-rays or an MRI — to rule out problems.

What are the treatments for frozen shoulder?

The first aim of treatment is to control pain and preserving the range of motion of the shoulder.
Medications- anti analgesic and anti-inflammatory drugs given to relieve pain.
Therapy- Physiotherapist teach you a range of motion to restore movement.
Surgical and other procedures

Most of the time frozen shoulder gets better on its own. For frequent and persistent condition your doctor may suggest

Steroid injections – in the shoulder joint.
Joint distension – by injecting sterile water in a joint to stretch the tissue for good movement.
Shoulder manipulation – The doctor moves the shoulder in a different direction to relieve tightness of joint
Shoulder Arthroscopy Surgery – If the above methods are not helping you, your doctor may recommend surgery to take out scar tissue and adhesion of joint.

A surgeon performs this surgery with the tubular camera having attached light to examine or repair the tissues inside or around your shoulder joint and with minimally invasive procedure scar and adhesion is removed with the help of arthroscopy. The camera displays pictures on a video monitor and the surgeon uses these images to guide miniature surgical instruments. Along with the endoscopic camera system, an endoscope trolley is also needed to place instruments and monitor. Endoscope trolley helps in minimizing the extra burden to arrange the endoscopy devices like LED cold light, CO2, Suction irrigation, Monitor with MIS instruments.

After surgery, after two weeks you can resume a normal routine life. The procedure is easy and heals fast.

16March 2020

BAD OBSTETRICAL HISTORY: NEED TO CONSULT

Conceiving or getting news of carrying a life inside you is news of immense pleasure. But if it is holding for long and your body expels it out? You may question yourself! Why you are not conceiving? Why is your womb not holding your baby? Your uterus may be diseased and not helping your pregnancy. The reason for this can be Endometriosis.

What is Endometriosis?

A disease condition in which the inner lining of the uterus called endometrium gets hypertrophied and come outside the uterus.

Symptoms of Endometriosis?

Painful periods (dysmenorrhea) Cramping of lower abdomen and pelvis you may experience lower back pain during menstruation.
Painful intercourse. Pain during or after you become intimate happens in Endometriosis.
Pain with motion or urination.
More bleeding. Bleeding during menstruation or in-between two cycles of menstruation.
Not conceiving or abortion.

How it get diagnosed?

Your doctor will ask for symptoms you are facing.

Pelvic exam. Manually examining pelvis with finger to check pelvis abnormalities.
Ultrasound. This test checks the inside of the organ for any abnormal growth.
Magnetic resonance imaging (MRI) – helps to find images of an organ
Laparoscopy. Your doctor may advise you to a surgeon to perform a procedure that provides the surgeon to visualize your abdomen (laparoscopy).

How laparoscopy is performed for Endometriosis?

A laparoscope is an endoscope that is a tubular, slender metallic, lighted telescope. These laparoscopes are sometimes highly equipped with hot and cold light, laparoscopy suction and irrigation pump. It allows your doctor to view inside your body cavity or organ. Diagnostic laparoscopy can diagnose if you are having condition or fibroids.
Laparoscopy can be for treatment also. With miniature instruments. Your doctor may do many surgeries.
Let’s have a look to the laparoscopic procedure,
Laparoscopy is an indoor basis procedure. You have to get admitted for laparoscopy.
Anaesthesia- is performed under general anaesthesia. So patients get back to their senses in 4-5 hours.
You have to be nill by mouth for at least 12 hours.
After all procedure work. The surgeon makes tiny incisions and inflate the abdomen then insert laparoscope with the camera to visualize cavity. Many times these laparoscopes are equipped with laparoscopic suction irrigation pump to wash and clean areas to visualize. Normal saline is put inside with the help of irrigation pump and then with laparoscopic suction pump, it is taken out.
During laparoscopic surgery, a mini instrument is inserted in another incision. To wash the bleeding during surgery laparoscopic suction irrigation pump is very useful to have a clear image on the monitor. Your surgeon, may cut, remove tissue (excision) or burn it with a laser beam or electrocautery.

When you are facing tremendous pain (unexplained) in lower abdomen and back. Consult you, a gynaecologist. It’s a matter of concern. Add wings to your womb and make it healthy. The laparoscopic test provides direct visualization of organs.

3February 2020

Why nose bleeds?

Blood in discharge from the nose! Is there any want to worry? Commonly, bleeding nostril is called epistaxis. It is very commonplace medical findings among people and not a disease condition. But it’s miles worrisome symptom. It is the most commonplace emergency in Otorhinolaryngology.

Sometimes we may also are lucky in finding the motive or the factor of bleeding however it is not constantly easy. One of the feasible reasons is the negative visualization of the curve areas of the nostril, that is situated within the deep inside the nose. But the fantastic news is there! Endoscopes. Endoscopes are actually boon to medical doctors and patients, for the reason that it not simplest helps in a very good visualization, but also presents a direct technique of remedy to the area.

WHAT CAUSES NOSE TO BLEED?

Deviated nasal septum
Ulcers
Congested polyps
Enlarged adenoids
Angiofibroma

HOW DIAGNOSIS MADE BY ENDOSCOPY?

It is carried out on OPD (out-patient department) basis. No admission to health facility required.
These inflexible nasal endoscopies normally done beneath neighborhood anaesthesia or sometimes mild sedation is used.
After anaesthesia Endoscope is inserted with the assist of some lubricant gel. Mostly lignocaine gel.
Visualizing the vicinity of bleeding. The first step consists of seeing the nasal vestibule, the nasopharynx, and the inferior nasal meatus.
Then examining the sphenoethmoidal recess and the superior nasal meatus.
Followed by means of checking middle nasal meatus.
It has to be stated that the priority is given to control the bleeding if there is excessive bleeding and not to visualize the cause of bleeding. When the bleeding arrested endoscopy is performed.

CAN IT BE TREATED WITH ENDOSCOPE?

The answer is yes! A nasal rigid Endoscope can deal with epistaxis with the assist of endoscopic equipment.
Endoscope is also beneficial inside the treatment of epistaxis. The ways by means of which epistaxis get handled consists of,
Endoscopic nasal packing with gelfoam (blood absorbing agent which gives stress to the bleeder to make forestall bleeding).
Clotting of bleeders through the usage of endoscopic cautery, it uses electrical energy to clot bleeder( endoscopic cautery or diathermy ).
Endoscopic polypectomy (surgical treatment to cast off nasal polyps with the aid of endoscopic visualization of the polyp attachment to nasal wall).
Endoscopic ligation (tie up the bleeders).
Cryotherapy (low-temperature agent use to stop bleeding with the aid of shrinking the bleeders).

WHY ENDOSCOPY FOR EPISTAXIS?

Easy, now not strain fully. Done under anaesthesia.
No admission to clinic required. OPD basis procedure. Surgery and treatment may additionally want sooner or later admission.
Visualization with endoscopes.
Easily available at many healthcare centers.

You just want to be freed from worry and visit your doctor for treatment.
We are right here to assist and give statistics in your queries regarding endoscopes and it is a range, features, types and many more. Just approach us at http://diasurge.com/.

17January 2020

DOES LAUGHING OR COUGHING HURTS IN YOUR LOWER ABDOMEN? READ BELOW TO KNOW.

Do you feel pain; bulging and stress in the lower abdomen worsen it? Sometimes, area around the bulge can be sensitive. You may also feel periodic twinges or a pulling sensation. It may be due to a medical condition known as HERNIA. HERNIA involve a protruding internal organ or a body part being pushed through muscle or tissue. There are many types of hernia depending on the site of origin like inguinal, femoral, umbilical, incisional hernia.

ARE ALL HERNIAS PAINFUL?

Yes, hernias are painful and cause discomfort in the site when,

Forcefully laughing
Heavy lifting
Coughing
Bending over

Other symptoms may include,

Heartburn
Recurrent vomiting
Stomach pressure
Burning sensation

HOW TO DIAGNOSE IT

* Usually diagnosis is made by physical examination.
* Ultrasound of abdominal wall
* Endoscopy – to rule out any other disease.

DO HERNIAS NEED TREATMENT?

Hernia is not self-limiting, it keeps on increasing. Binder or supportive braces are also available. There is not any medical treatment rather surgical interventions are possible.

WHAT IF LEFT UNTREATED?

It will get worse if left untreated. Complication are following-

Pressure on surrounding tissues
Bowel obstruction
Strangulated hernia
Nausea and vomiting
Bulge turns dark in color
Inability to pass gas or absent bowel movements
Chest pain, stomach ulcers

SURGERY! MADE YOU WORRY?

Let’s know about laparoscopic surgery.

Minimal invasive surgery (endoscopic surgery) is the solution for you. This surgery is done by metallic tube with camera and lenses. Surgery is done with very small incision on abdomen. Easily repairable.

These surgeries are performed by specialized doctors. Minimally invasive surgery, also known as laparoscopy, involves a series of small incisions. A gas is used to inflate the affected area, which makes it easier for the surgeon to see the structures to be treated.

Another tube with a small camera will then be inserted into one of the incisions, with the others serving as entry points for the surgeon’s tools. This procedure is typically performed with general anesthesia. Those eligible for minimally invasive surgery tend to experience less post-op discomfort, as well as less scarring. You may also be able to return to regular levels of activity sooner than those who have open surgery.

Let’s contact your doctor about your condition. Get it checked and treated with new, advanced and latest technology. For more information about laparoscopic instrument, different types of endoscopy contact us on our website http://diasurge.com

8January 2020

Gallbladder Stones and diagnosis by Endoscopes

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Background:-

CHOLELITHIASIS means stones in gallbladder. These days it is a common problem in general population. Gallstones can sometimes come out of the gallbladder and get trapped in common bile duct and obstruct the flow of bile from liver and gallbladder to small intestine (duodenum). Thus leads to severe pain and feeling of fullness in abdomen.

Symptoms:-

Following symptoms may occur in CHOLELITHIASIS.

– Nausea and vomiting

– Abdominal pain

– Indigestion

– Jaundice (yellowish sclera)

– Pale stool

– Anorexia

Diagnosis:-

– Ultrasound of whole abdomen, CT abdomen

– ERCP (Endoscopic Retrogradecholangio Pancreatography)

– Blood reports

Treatment:-

It’s treatment includes surgery after reducing pain with NSAIDs (Non-steroidal anti-inflammatory drugs) and antibiotics. Surgery involves removal of gallbladder with stones. Earlier it was done through a large incision on Abdomen (open cholecystectomy). Nowadays, with a help of endoscopic techniques, surgery (Laparoscopic cholecystectomy) become easy and safer. It requires 3 to 4 small holes to perform the procedure.

Preparation before surgery:-

– You should have your all investigations done as advised by your surgeon.

– You have to be empty stomach for 6-8 hours.

– Take a shower nicely with antiseptic soap on your surgery day.

How it is performed?

The surgery is performed by surgeon having specialisation in laparoscopic surgeries.

It involves following steps,

Surgery is done under general anesthesia.
Sterilization of part (abdomen)
Surgeon make a keyhole in your abdomen just below umbilicus. Then, insert a trocar (hallow, tubular metallic instrument) to make a port and inflate you abdomen with carbon dioxide to visualize the internal organs clearly. In the same port, a rigid laparoscope (tubular metallic with lenses and light attached to camera) is inserted, with help of this internal organs can be seen on monitor.
Other ports are made guided by camera for the insertion of other surgical instruments like scissors, hook, clamp, suction etc.
With the help of surgical instruments gall bladder is removed along with stones.
Abdomen is deflated after the procedure to avoid abdominal distension.
Repairing of incisions and dressing done.
General anesthesia usually lasts less than 2 hours, so you get conscious in 2 hours.

When to resume to normal diet?

Within 6-8 hours you can start with you liquid diet followed by semi-solid diet. By next day you can start with normal diet provided meal have low fat and less spices in it.

After surgery your body can no longer store bile as gall bladder is removed, this has little or no effect on digestion. Some may experience indigestion and heart burn for few days.

Why Laparoscopic surgery is preferred?

It require small incisions.
Decreases duration of hospital stay.
Recovery is faster.
Decreases the complication rate.
No exposure of internal organ to outside environment.
Less use of instruments.
Less haemorrhage.

To get more information regarding leading manufacturer of cost effective rigid endoscopes equipped with high resolution optical glass rod lenses, HD camera, co2 insufflators, cold LED light source, irrigation pump, suction, HD medical monitors. Please visit http//:www.diasurge.com[/vc_column_text][/vc_column][/vc_row]

Emergency Call : +31-65-3850598

Email Address : netherlands@diasurge.com

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