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    Tag: laparoscopic surgery

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    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

    1. 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.
    2. 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.
    3. 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.
    4. 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.
    5. 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.
    6. 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.
    7. 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/

    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?

    1. Rapid healing < 48 hours.
    2. LABG is a reversible procedure.
    3. It doesn’t create disturbance in normal natural anatomy and function.
    4. The band is inflatable as well adjustable.
    5. More effective.
    6. 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.

    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