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    Tag: laparoscopy surgical instrument

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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.

    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]