Laparascopic Surgery

Keyhole Surgery The term "Laparoscopic Surgery" (or Keyhole Surgery) simply means that an operation can be performed using specially adapted instruments which are placed within the body through small holes, rather than by using a conventional "open" operation. Not all operations can be perfomed this way and the technique is not necessarily always the best option for a given operation.

Laparoscopic surgery became popular in the mid 1990s. It can be an option for patients undergoing many operations including gall bladder removal, hernia repair, obesity surgery, hiatus hernia repair, appendix removal plus some gynaecological and urological procedures. Laparoscopy can also be used by surgeons as a "test" procedure to look at the inside of the abdomen, in patients with unexplained abdominal symptoms.  

Laparoscopic operations need to be performed under general anaesthesia. Air is introduced into the abdominal cavity through a hollow tube and the abdomen is "inflated". Once this is done, a long laparoscope (surgical telescope) is inserted into the abdomen so the surgeon can see what is inside. It is then possible to place small hollow tubes (normally 5mm or 1cm in diameter) through the abdominal wall. These tubes contain air tight valves and allow long operating instruments (a bit like knitting needles) to be placed into the abdomen and used to perform the operation.

The main advantages of Laparoscopic Surgery are firstly that the cuts and subsequent scars on the body are small and therefore the patient feels much less pain and the smaller scars are more asthetically pleasing. Secondly, the magnification of the camera allows the surgeon to get a better view of what is going on. There are, however, some risks related with the techniques and these include injury to structures distant from where the camera is pointing, pressure on the diaphragm from the gas in the abdomen which can compromise breathing and lastly, possible hernias forming at the sites where the instruments are inserted. 

When appropriate, the option of laparoscopic surgery is discussed with patients, however it must be remembered that the aim of all surgery is to ensure that the patient experiences a safe, risk free procedure without complications. If the surgeon feels that laparoscopic surgey is not appropriate for a given problem, the reasons for the decision will be fully discussed with the patient.   


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The Specialist Medical Clinic Marbella Veins Clinic Marbella