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    Tag: laparoscopy surgery

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    7August 2020

    THE USE OF SURGICAL TELESCOPE IN MINIMALLY INVASIVE SURGERIES

    The minimally invasive procedure performs many conditions of diagnosing and treating with the help of a surgical telescope. There are two main types of surgical scope (Rigid & Flexible). Flexible endoscopes are needed to thoroughly examine the depths of tubular structures that turn corners (e.g.intestine, bronchial tree, and male canine urethra), but rigid endoscopes are more convenient for examining nontubular structures such as the abdominal cavity, thoracic cavity, or joint spaces, etc. A surgical telescope helps in providing a clear visualization of the infected area which is inside the body. Rigid endoscopes are made of metal tubes that contain a series of high-resolution optical glass rod lenses, and the light channel to allow visualization out of the axis of the telescope and increase the FOV (Field of view) by rotating the instrument. Direct visualization of a diseased area inside the body can be achieved by using a telescope through a small incision in the skin. Rigid endoscopes are commonly used in urology, gynecology, ENT, arthroscopy, endoscopic spine surgery, and general surgery.

    IMPORTANCE

    Endoscopic technology allows direct, optically controlled access to numerous internal organs without open surgical intervention. The use of endoscopy units has been increasing day by day because of providing the support of the imaging system through a clear image. The endoscope is often fitted with one or more extra channels through which operating instruments may be passed such as electrosurgery probes, manipulating, grasping, crushing forceps, etc. With the versatile telescopes, a full range of endoscopic applications are (Laparoscope, Arthroscope, Hysteroscope, Cystoscope, Rhinoscope, Nephroscope, Encephaloscope, Laryngoscope, etc)

    TYPES OF SURGICAL TELESCOPES

    • Mini Laparoscope / Laparoscope
    • Thorascope
    • Cystoscope
    • Hysteroscope
    • Ureterorenoscope – Direct View
    • Ureterorenoscope – Offset Eyeview
    • Ureterorenoscope – Tilted Eyepiece
    • Mini Arthroscope / Arthroscope
    • Otoscope
    • Sinuscope
    • Laryngoscope
    • Bronchoscope

    The viewing angle with length and diameter of a telescope is an important consideration it affects both orientation and visual access. The range of viewing angles is.

    • Forward – Viewing angle (0 Degree Telescope)
    • Forward Oblique angles (12, 30, 45 Degree Telescope)
    • Acute Angles (70, 90, 120 Degree Telescope)

    The range of diameter starting from 1.6mm to 10mm with a length of 50mm to 341mm. The choice of telescope largely depends on the procedure being performed and the experience of the endoscopist.

    For more details about the surgical telescopes, endoscopy HD camera, Rigid Laparoscopy, Surgical Monitors and Minimally invasive surgery devices, visit our website www.diasurge.com

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    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.

    1. Pelvic exam. Manually examining pelvis with finger to check pelvis abnormalities.
    2. Ultrasound. This test checks the inside of the organ for any abnormal growth.
    3. Magnetic resonance imaging (MRI) – helps to find images of an organ
    4. 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.

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    26February 2020

    ACL INJURY: THINGS TO KNOW ABOUT

    Most of the time a person suffers from intense pain in knee while playing any sports or doing heavy work.  Generally, people injure their knees is by hurting ACL (anterior cruciate ligament) present in the knee. ACL is the band of connective tissue that joins and binds bones together in the knee. It maintains the stability of the knee. You may tear or stretch ACL when you suddenly change your position or with sudden turning, running or jumping. It makes it difficult to put pressure on the knee.

     

    How Does It Happen?

    Sportsmen and Athletes very commonly injure their ACL with sudden break and sharp change in directions. Playing soccer, football, tennis, basketball or volleyball, or doing gymnastics are having more chances of twisting knees by mistake when opposing. Persons’ speed and way of turning knee both affect the ACL tear.

    How does it feel?

    Many notice sound from knee when they get their ACL injured.

    • PAIN- pain depends on the grade of injury. The total tear gives you intense pain.
    • SWELLING- it happens in the first 24 hours after injury. It may get reduced with raising, resting, and ice compress.
    • TROUBLE WALKING- you will not feel a stable knee joint and unable to put pressure on the knee.
    • REDUCED RANGE OF MOTION- unable to bend and flex one joint.
    • LOOSE KNEE JOINT- you may feel losen joint.

    How to Make a Diagnosis?

    • Physical signs and symptom with your history makes a temporary diagnosis. The doctor will ask you to move your leg in a certain way which you will not be able to do if ACL injury present.
    • X-ray. Just to differentiate it with fracture
    • Arthroscopy. This generally means to “visualize inside the joint.” The orthopedic surgeon gives a small incision on your skin. He inserts a pencil-sized tool (rigid endoscope) with a light and lens (arthroscope) inside the joint. Visualizing it directly on a monitor. The doctor can rule out the type of injury and may correct it if needed.

     

    How ACL injury treated?

    The extent of the injury may affect the type of treatment. Following option are available,

    • FIRST AID– minor injury gets resolved by cold compress, the elevation of the leg, resting the joint, bandaging and use of a crutch.
    • MEDICATION- Analgesics and anti-inflammatory can reduce swelling and pain. If pain is intense doctor may give steroid injection in joint.
    • KNEE BRACES- gives extra support to the knee joints.
    • PHYSIOTHERAPY- It is helpful in returning back to the normal activity of the knee joint.
    • SURGERY- If ACL is torn pathetically, and you feel losen know. A surgeon may advise your surgery. Mostly arthroscopy surgery is in trend for these injuries. The surgeon will give a small incision to visualize joint through arthroscope placed in that cut. Getting images on the monitor gives a clear-cut idea of injury that happened to the joint. Arthroscopy surgeries mainly involve removing the damaged ACL and replace it with tissues that grow in ligament afterward.

    Get your knee to stabilize with ACL reconstructive surgery by arthroscope. Consult your doctor and visit us at http://diasurge.com.

     

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