| Discussion in 'All Categories' started by Denish Staw - Nov 3rd, 2011 10:31 pm. | |
Denish Staw
|
Dear Doctor I want to know what are the side effect of laparoscopic surgery on our body. |
|
re: Bad effect pf laparoscopic surgery
by Dr M.K. Gupta -
Nov 3rd, 2011
10:35 pm
#1
|
|
|
Dr M.K. Gupta
|
Dear Staw Laparoscopic surgery as such does not have any bad effect but the pneumoperitoneum which we create is creating some bad effect. Pneumoperitoneum raises intra-abdominal pressure. Physiological changes are minimized if the intra-abdominal pressure |
|
re: Bad effect pf laparoscopic surgery
by Dr M.K. Gupta -
Nov 3rd, 2011
10:37 pm
#2
|
|
|
Dr M.K. Gupta
|
Pneumoperitoneum raises intra-abdominal pressure. Physiological changes are minimized if the intra-abdominal pressure less than 15 mmHg. This value should be monitored on the insuflation equipment. Physiological effects include: Respiratory: Diaphragmatic displacement, reduced lung volumes and compliance, increased airway resistance, increased V/Q mismatch, hypoxia/hypercapnia from hypoventilation, increased risk of regurgitation CVS: Increased systemic vascular resistance, raised mean arterial pressure, compression of IVC, reduced venous return, reduced cardiac output Renal: Reduced renal blood flow, reduced glomerular filtration rate, reduced urine output |
|
re: Bad effect pf laparoscopic surgery
by Dr M.K. Gupta -
Nov 3rd, 2011
10:58 pm
#3
|
|
|
Dr M.K. Gupta
|
Dear Staw Below is some general principles: General principles for laparoscopic surgery Laparoscopic techniques have been developed for many operations including cholecystectomy, fundoplication, vagotomy, hemicolectomy, hernia repair, appendicectomy, and oesophagectomy. Compared with laparotomy the major advantages are: Reduced tissue trauma required for surgical exposure. Reduced wound size and postoperative pain. Improved postoperative respiratory function: Following open cholecystectomy FVC is reduced by approximately 50percent and changes are still evident up to 72 h postoperatively. Following laparoscopic cholecystectomy FVC is reduced by approximately 30percent and is normal at 24 h postoperatively. Reduced postoperative ileus. Earlier mobilization. Shorter hospital stay. Surgical requirements Gravitational displacement of abdominal viscera from the operative site. Decompression of abdominal viscera, especially the stomach (nasogastrictube) and bladder (urinary catheter). Prevents injury on trocar insertion. Pneumoperitoneum. This separates the abdominal wall from the viscera. An intra-abdominal pressure of 15 mmHg is adequate for most procedures. Modern equipment has an automatic limit on abdominal pressure. Beware older equipment which may not have an automatic limit, as can deliver gas flows producing an intra-abdominal pressure greater than 40 mmHg. Carbon dioxide can be used to create the pneumoperitoneum. This has the advantage of being non-combustible allowing the use of diathermy or laser. Disadvantages include systemic absorption and peritoneal irritation producing pain. Intra-operative effects of laparoscopic surgery Pneumoperitoneum raises intra-abdominal pressure. Physiological changes are minimized if the intra-abdominal pressure less than 15 mmHg. This value should be monitored on the insuflation equipment. Physiological effects include: Respiratory Diaphragmatic displacement, reduced lung volumes and compliance, increased airway resistance, increased V/Q mismatch, hypoxia/hypercapnia from hypoventilation, increased risk of regurgitation CVS Increased systemic vascular resistance, raised mean arterial pressure, compression of IVC, reduced venous return, reduced cardiac output Renal Reduced renal blood flow, reduced glomerular filtration rate, reduced urine output Patient positioning. With upper abdominal procedures the patient is placed head up (reverse Trendelenberg position). For lower abdominal procedures the patient is placed head down (Trendelenberg position). The usual tilt is 15 |
|
re: Bad effect pf laparoscopic surgery
by Dr M.K. Gupta -
Nov 3rd, 2011
11:05 pm
#4
|
|
|
Dr M.K. Gupta
|
Anaesthetic management Preoperative Contraindications to laparoscopic surgery are relative. Successful laparoscopic procedures have been carried out on patients who were anticoagulated, markedly obese, or pregnant. Fit and young patients tolerate the physiological changes well. Elderly patients and those with cardiac or pulmonary disease have more marked and varied responses. NCEPOD 1996/1997 recommended caution in patients who were ASA less than 3, age more than 69 years, those who had a history of cardiac failure, and those with widespread ischaemic heart disease. Patients with marked respiratory or cardiac disease must be thoroughly reviewed and optimized preoperatively and have a surgeon experienced in the procedure as the operator. Beware of patients being admitted on the day of surgery without the appropriate preoperative preparation. Prescribe paracetamol 1 g PO and an NSAID, e.g. diclofenac 50 to 100 mg PO, 2 h preoperatively. Be prepared to convert to an open procedure (1 |
Accessing Expertise Anywhere: Free Online Medical Advice by World Laparoscopy Hospital
In an age where information is at our fingertips, the World Laparoscopy Hospital is taking the concept of accessibility and expertise to a whole new level. This renowned medical institution is offering a valuable service that transcends geographical boundaries - free online medical advice.
The Power of Digital Health
The digital revolution has significantly transformed the way we access healthcare information and connect with medical professionals. World Laparoscopy Hospital has harnessed this power to provide a platform where individuals from around the world can seek medical guidance from top-notch experts without leaving their homes.
The Importance of Medical Advice
Medical advice is a fundamental aspect of healthcare. It serves as a bridge between patients and the knowledge and experience of healthcare professionals. Timely and accurate medical advice can be a lifeline, offering reassurance, guidance, and potentially life-saving information.
World Laparoscopy Hospital: A Beacon of Medical Excellence
World Laparoscopy Hospital is globally recognized for its excellence in Minimal Access Surgery and surgical training. The institution's commitment to innovation, research, and patient care is evident in its mission to extend free online medical advice to those in need.
Key Features of World Laparoscopy Hospital's Online Medical Advice Service:
-
Expertise Across Specialties: The hospital boasts a roster of expert physicians, surgeons, gynecologists, urologists, and pediatric surgeons. This diverse range of specialists ensures that individuals can receive advice on a wide spectrum of medical issues.
-
Accessibility: The online platform breaks down geographical barriers. Patients from any corner of the world can access this service, making it especially beneficial for those in remote or underserved areas.
-
Convenience: Online medical advice is available 24/7, providing the convenience of seeking guidance at any time, day or night. This accessibility is particularly crucial for urgent medical queries.
-
Privacy: World Laparoscopy Hospital maintains strict patient confidentiality, ensuring that sensitive medical information remains secure.
-
Multilingual Support: Recognizing the global nature of its audience, the hospital offers support in multiple languages, enhancing accessibility for non-English speakers.
-
Holistic Guidance: The hospital's expert physicians provide comprehensive advice, addressing not only immediate concerns but also offering insights into long-term health and well-being.
Empowering Patients
The provision of free online medical advice aligns with World Laparoscopy Hospital's mission to empower patients and enhance healthcare outcomes. It allows individuals to take an active role in managing their health and seeking expert guidance when needed.
A Source of Reassurance and Knowledge
In times of uncertainty, illness, or when facing medical questions, World Laparoscopy Hospital's free online medical advice offers a ray of hope. It's a source of reassurance, a font of knowledge, and a testament to the potential of digital health in improving lives.
World Laparoscopy Hospital's commitment to providing free online medical advice represents a significant step towards democratizing healthcare. It brings the expertise of world-class medical professionals to anyone with an internet connection, offering guidance, hope, and the promise of better health. In an era defined by connectivity, this institution stands as a beacon of medical excellence in the digital landscape.
If you have a surgical concern and can’t reach a doctor right away, or you’re not sure where else to ask a qualified laparoscopic surgeon, you can get our Medical Help through this Forum of World Laparoscopy Hospital which is available 24 hours a day, Just fill-up the form given and within few our the answer of your question will be posted on this forum. Please keep in mind we answer the question only related to laparoscopic surgery. You can also search and browse thousands of answer already posted on this forum
Using Free Medical Advice Related to Laparoscopic Surgery Service, you can send your questions to our Laparoscopic Surgeon and the Doctor will reply within few hour. It’s as if you are having an email exchange with your very own private surgeon! As soon as you post your question, a qualified laparoscopic surgeon will start answering it. Our expert can help you learn more about the treatment and procedure options available to you for different health problems and diseases.They’ll also give you information to discuss with your doctor when deciding what kind of surgical treatment is best for you.
The Doctor will provide you with the all the medical information you need, and will guide you as you choose a course of action, all from the comfort of your home or office. No more sitting in the waiting room for hours just to get some basic information from your laparoscopic surgeon; no more self-diagnosis after reading pages and pages of confusing and contradictory Online information.
World Laparoscopy Hospital gives you the personalized health information you need to decide on the right treatment for you. The information that you provide will be seen by every person for education and information purpose so please not write your real name.
