What is laparoscopy?
Laparoscopy (aka keyhole or band-aid surgery) is a surgical procedure in which a telescope and specialized instruments are inserted into the abdomen using 2-4 tiny incisions.
How is laparoscopy performed?
Firstly the abdomen is distended with medical grade CO2 (using an instrument called veress needle). A telescope (made of rod lenses and connected to a light source) is first passed into the abdomen to assess the pelvis and its structures. Tiny ports are placed on the abdomen so that gas does not leak out. Instruments about 36 cm in length are introduced into the abdomen depending on the procedure.
What instruments are commonly used for a laparoscopic procedure?
There are several kinds of instruments but broadly classified as non-energy and energy instruments. Non-energy instruments usually comprise of graspers, scissors, dissectors, suction, etc.
Energy sources are monopolar instruments – which are used during procedures like PCO drilling. Bipolar instruments are used in situations to coagulate excessive bleeding. The harmonic scalpel is a specialized energy source that uses one vibrating end with another non –vibrating end to effectively seal and cut structures.
Energy sources coupled with non- energy sources decreases the time taken to complete the surgery to a significant degree.
What is hysteroscopy?
Hysteroscopy is a form of endoscopy where the uterine cavity is filled with fluid and a telescope is passed inside for vision. Sometimes the hysteroscope is attached with an operator sheet, which helps to perform surgical procedures within the cavity.
What are the advantages of laparoscopy?
The advantages of laparoscopy are far more numerous than conventional open surgery.
What are the disadvantages of laparoscopy?
Laparoscopic procedures require immense training, thus any surgery performed by novice surgeons can be disastrous. Laparoscopy requires precise hand-eye co ordination that is attained only by experience and training. Laparoscopy also required medical practitioners to understand physics, interface & ergonomics, which is why many surgeons lack the drive to learn laparoscopy.
Another reason as to why the adaptation rate of laparoscopy is so low is because most surgeons lack the knowledge of intra corporal knotting.
We at Indigo Womens Center are determined to spread awareness and train aspiring surgeons in the art of laparoscopy so that the ultimate goal of patient safety is achieved.