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Advantage, Disadvantage And Contraindication Of Laparoscopic Surgery - Lecture Of Dr R K Mishra
For Gynecologist / Sep 1st, 2020 9:41 am     A+ | a-

This video demonstrate Laparoscopic or “minimally invasive” surgery is where the surgeon makes a very small incision, often in the patient’s belly button, and uses this incision to insert a camera, called a laparoscope, into the abdominal cavity. The surgeon then looks at a television screen to perform the operation.

While laparoscopic surgery has many advantages over traditional open surgery, there are certain conditions and situations in which it may not be appropriate or safe. Here are some common contraindications of laparoscopic surgery:

Severe obesity: Patients who are severely obese may not be good candidates for laparoscopic surgery due to the increased risk of complications such as difficulty with visualization, longer operative time, and higher risk of injury to surrounding organs.

Abdominal adhesions: Adhesions are bands of scar tissue that can form inside the abdomen after surgery or injury. Adhesions can make laparoscopic surgery difficult and increase the risk of complications.

Pregnancy: Laparoscopic surgery is generally safe during pregnancy, but there are certain conditions, such as a ruptured ectopic pregnancy or a high-risk pregnancy, where laparoscopic surgery may not be appropriate.

Severe heart or lung disease: Patients with severe heart or lung disease may not be good candidates for laparoscopic surgery due to the increased risk of complications.

Bleeding disorders: Patients with bleeding disorders or who are taking blood-thinning medications may not be good candidates for laparoscopic surgery due to the increased risk of bleeding.

Severe abdominal infection: Patients with a severe abdominal infection may not be good candidates for laparoscopic surgery due to the increased risk of spreading the infection.

Large tumors: Patients with large tumors may not be good candidates for laparoscopic surgery due to the increased risk of incomplete resection or injury to surrounding organs.

Inability to tolerate pneumoperitoneum: Laparoscopic surgery involves the use of carbon dioxide gas to create a working space inside the abdomen. Patients who are unable to tolerate this gas may not be good candidates for laparoscopic surgery.

Severe renal impairment: Patients with severe renal impairment may not be good candidates for laparoscopic surgery due to the increased risk of complications.

Previous abdominal surgery: Patients who have had multiple previous abdominal surgeries may not be good candidates for laparoscopic surgery due to the increased risk of adhesions and injury to surrounding organs.

Hiatal hernia: Patients with a hiatal hernia may not be good candidates for laparoscopic surgery due to the increased risk of injury to the esophagus during surgery.

Abnormalities of the abdominal wall: Patients with abnormalities of the abdominal wall, such as hernias or tumors, may not be good candidates for laparoscopic surgery due to the increased risk of complications.

Intestinal obstruction: Patients with an intestinal obstruction may not be good candidates for laparoscopic surgery due to the increased risk of complications and the need for open surgery.

Severe liver disease: Patients with severe liver disease may not be good candidates for laparoscopic surgery due to the increased risk of complications.

Large spleen: Patients with a large spleen may not be good candidates for laparoscopic surgery due to the increased risk of injury to surrounding organs.

Advanced cancer: Patients with advanced cancer may not be good candidates for laparoscopic surgery due to the increased risk of incomplete resection or injury to surrounding organs.

Severe neurological disorders: Patients with severe neurological disorders may not be good candidates for laparoscopic surgery due to the increased risk of complications.

Inability to tolerate anesthesia: Patients who are unable to tolerate general anesthesia may not be good candidates for laparoscopic surgery.

Severe cardiovascular disease: Patients with severe cardiovascular disease may not be good candidates for laparoscopic surgery due to the increased risk of complications.

Hemodynamic instability: Patients who are hemodynamically unstable may not be good candidates for laparoscopic surgery due to the increased risk of complications.

Advanced age: Patients who are advanced in age may not be good candidates for laparoscopic surgery due to the increased risk of complications.

Morbid obesity: Patients who are morbidly obese may not be good candidates for laparoscopic surgery due to the increased risk of complications.

Abnormalities of the uterus or ovaries: Patients with abnormalities of the uterus or ovaries may not be good candidates for laparoscopic surgery due to the increased risk of complications.

Certain bleeding disorders: Patients with certain bleeding disorders, such as hemophilia, may not be good candidates for laparoscopic surgery due to the increased risk of bleeding.

Active infection: Patients with an active infection may not be good candidates for laparoscopic surgery due to the increased risk of complications.

It is important for patients to discuss their medical history and any potential contraindications with their healthcare provider before undergoing laparoscopic surgery. In some cases, laparoscopic surgery may still be appropriate with special considerations or modifications.
2 COMMENTS
Dr. Jai Prakash
#2
Nov 1st, 2023 5:50 am
This video effectively explains laparoscopic surgery's minimally invasive approach, highlighting its use of small incisions and a laparoscope. It discusses the advantages over traditional surgery while also addressing contraindications like severe obesity, which may increase the risk of complications. A valuable resource for understanding the suitability of laparoscopic procedures.




Dr. Sadat Nazri
#1
Nov 1st, 2023 5:23 am
This video provides a clear explanation of laparoscopic surgery, emphasizing its minimally invasive nature and benefits. It also highlights important contraindications, like severe obesity, which can impact the safety and effectiveness of the procedure. A useful resource for understanding the suitability of laparoscopic surgery for various conditions.




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