Medical technology has greatly improved, especially in the area of laparoscopic surgery, which has helped to decrease recovery time in women’s health, pediatric and abdominal emergency surgeries.
II. Laparoscopic surgery has establish itself a top preferred procedure for many different surgeries rather it be diagnostic or therapeutic.
• Since laparoscopy has emerged in late 1980’s, laparoscopy surgery is known as minimal invasive surgery. The procedures are done with small incisions about a half an inch where trocar (plastic ports) are placed. Then surgeon’s inserts a thin video camera in one port and in the other port introduces a thin long instruments that are used for grasping, clipping, clapping, heat or cutting. Gas (carbon dioxide) fills
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the abdomen cavity to make the organ easier to view on the monitor screen. The procedure may seem simple and may be most of the time simple the process has many unarguable benefits. University of southern California department of surgery list great benefits in their article “What is Laparoscopic Surgery” stating that “less post-operative discomfort, quicker recovery times, shorter hospital stays, earlier return to full activities, much smaller scars and there may be less internal scarring when the procedures are performed in a minimally invasive fashion compared to standard open surgery.” Laparoscopy is a great tool to evaluate the abdomen for unexplained pains and bleeding. World Journal of emergency surgery states “laparoscopy has been shown to be highly effective at determining peritoneal penetration resulting in decreased laparotomy rates, length of stay and cost.” However according to “Laparoscopy in penetrating abdominal trauma” written by O. Alimoglu “patients with penetrating trauma to the thoracoabdominal and anterior abdominal wall are good candidates for laparoscopic evaluation.” In addition with that Alimoglu stresses patient must be hemodynamically stable without need for laparotomy. And he goes on to say laparoscopy may be limited in diagnose of hollow viscus injury it can however repair diaphragmatic injuries. In emergency case there comes more risk such as missed injuries or gas embolization due to diaphragmatic injury. As well the complications of maintenance of trocar placement. • Although Laparoscopic surgery seems like it a technique that may not that common in trauma situations. Laparoscopic surgery is very promising technology and it is continuously evolving to cut cost, infections, reduce recovery for everyone. III. Laparoscopy in women’s health has developed greatly to improve women’s health ranging from relief to an unexplained pain and/or bleeding to infertility issues. • Benefits to having a pelvic laparoscopy is endless, it saves money, has a fast recovery time compared to open surgery, risk of infection is low and can provide diagnostic and therapeutic procedure. • For example, when women have a hysteroscopy and laparoscopy combined they can achieve savings, according to Michelle Sullivan, author of “Hysteroscopy at laparoscopy restored fertility, cut costs.” “The single procedure cost an average of $15,000 less than having a sequential procedure.” She goes on to say “thirty people having the dual procedure saved the system $450,000.” Other factors that lead to more savings is the recovery time. Since most laparoscopic surgeries can be done as outpatient there is a short to no hospital stays which, saves on hospital stay costs that may be applied to the patient as they're out of pocket from their insurance company. The quick recovery time is all possible in the process of the how the laparoscopic surgery is done. The surgeon will make a small incision in the navel, which is where the laparoscope to be inserted maybe a few other smaller incisions for any additional instruments that may be needed. Then the abdomen is filled with and gas to make the pelvic organ more visible during the procedure. Due to this minimally invasive procedure the scarring and risk of infection are minimal. Scarring is said to be a high priority in younger patients stated by Stuart Wolf Jr MD author of “When LESS is more: The values of cosmesis”. According to Cleveland Clinic “Female Pelvic Laparoscopy” About three out of every 1,000 women who have laparoscopy had complications.” Although the risk of complications is slim there are risks of bleeding and problems cause of general anesthesia. • Open Surgery in comparison comes with much higher risk, inflated hospital costs as well more pain and discomfort.
Open surgery is just that, big openings in the pelvic, abdominal area that may leave horrendous scarring. In addition to the insertion being bigger it leaves the open cavity, open to infection. Even though surgery rooms are very aseptic there are always a way for pathogen to enter and cause serve infections. With open cavity surgery is done, this means longer hospital stay maybe not by very much longer. However the pain and discomfort after the procedure may not be so comparable. With a small incision given by laparoscopy surgery some patient may return to regular daily duties as soon as the same …show more content…
day. IV. Pediatric surgery today is constantly getting better, many advancements in laparoscopic instrument and surgery have been made to help children with many appendectomy, cholecystectomy and hernias. • Furthermore in the pediatric laparoscopic surgery aspect it’s benefits are similar.
As listed in “Challenges in Paediatric Laparoscopic Surgeries” writing by Ruchi Gupta and Saru Singh laparoscopic advantages are “potentially reduces the surgical stress and fluid shifts that may accompany it; in addition there is less need for postoperative analgesia, reduction of postoperative respiratory and wound complications; shortens postoperative convalescence, including an intensive care unit stay; rapid return to normal diet and decreased overall hospital stay.” Gupta also goes on to state “children younger than 9 months do not suffer separation anxiety and requires no sedatives.” In turn makes the common and more recently favored laparoscopic appendectomy easier. The benefits of reduce pain after surgery and low infection rate and fast recovery time is ideal for active children. Most of the success is from the advancements from new technology and instruments that are used in laparoscopy. “Single-port Laparoscopy ; Consideration in Children” by David Krpata he states “one of the most promising advancements is the use of flexible laparoscopy, which uses flexible instruments to improve triangulation.” These are some of emerging technology that is out there better less invasive technique and instruments are always in the
works. • Pediatric cases are very sensitive due to children anatomy being smaller size and weight. However, children are mostly really active so there is no real comparison to open appendectomy for example where the recovery time is more by a sixth of a day. Children can return to their normal diet and activity as soon as the afternoon comes around. And as previous states a survey in LESS advice that younger patients care about scarring laparoscopy may leave a small minimal scar. In conclusion todays laparoscopic technique is surpassing general open surgery.
The first laparoscopic cholecystectomy (LC) using keyhole approach was done by Professor Mouret of Lyon, France in 1987, when he was completing a gynecologic laparoscopy on a woman also suffering from symptomatic gall stones, he removed it laparoscopically instead of opening up. Dr. Eddie Reddick reported 100 cases of laparoscopic cholecystectomy in 1989. The classical four port technique of LC as described by Reddick became the most widely adopted technique.
However, patient needs to have gallbladder removed. Patient with cholecystitis requires hospital admission for complete bowel rest and other treatment. NG tube insertion and gastric decompression is other non-pharmacological way to prevent further gall bladder stimulation. Surgical treatment of cholecystitis includes laparoscopic choleycystectomy, percutaneous cholecystectomy and open cholecystectomy .The treatment of choice for symptomatic cholecystitis is laparoscopic choleycystectomy. Approximately 90% of gallbladder removal is done laparoscopically because it is considered as gold standard treatment. This procedure is performed by using four small incisions and gallbladder is removed by using one of them. Likewise, Percutaneous cholecystectomy is other treatment option for diagnosis and treatment of acute cholecystitis for patients who are at risk for any surgical procedure or general anesthesia. Open cholecystectomy is performed when the inflammation is severe. In this procedure gallbladder is surgically opened and the purulent drainage, bile and stones are removed. Cochrane reviews suggest that there is no difference in complication rate, mortality or operative time in comparison to laparoscopic and open cholecystectomy (Graham, 2008). However, because of less surgical risk, less hospital stay and short recovery period current usual treatment option is
Labiaplasty refers to the plastic surgery procedure that is designed to change the shape, asymmetry and/or size of the labia. The labia are the lips that surround the vagina. There are two sets of lips surrounding the vagina, the labia major, which are the large, outer lips and the labia minor, which are the small inner vaginal lips.
Throughout my research, two products caught and held my attention as being a viable alternative to surgery. One is for use in males and the other is for use in females. Factors that need to be considered are safety, cost, and effectiveness in one single
Hinkle, J., Cheever, K., & , (2012). Textbook of medical-surgical nursing. (13 ed., pp. 586-588). Philadelphia: Wolters Kluwer Health
Abdominoplasty surgery includes two categories. Complete and partial or mini-abdominoplasty. Patients who need most of the correction are recommended for Complete abdominoplasty. Patients who require small incisions and whose fat deposits are located just below the navel are treated with mini-tummy tucks. Traditional tummy tuck makes use of surgical means to resolve these problems. However, post operation shows some side effects such as long recovery period and risk of tummy tuck scars. A type of non-surgical tummy tuck used is laser tummy tuck surgery. The advantages of laser tummy tuck procedure includes shorter recovery period, absence of tummy tuck scars, and ability to reach areas where it is impossible for traditional tummy tuck procedure to reach.
The hospital promised early ambulation following hernia surgery. The hospital facility was designed to encourage movement without unnecessarily causing discomfort. Postoperative regimen designed and communicated by the medical team to patients
Kaiser, L. R., A. C. O. Surgeons, and W. H. Pearce. Acs surgery, principles & practice. 6th. Webmd Prof Pub, 2007. eBook.
ways to, initially perform invasive surgeries in less invasive ways has been beneficial to both the
On my first clinical rotation outside of 5w, in the Roanoke Memorial Hospital, I had the pleasure of visiting the OR. My last week of clinical rotation, I got the opportunity to witness two different cases. I saw a hemorrhoidectomy, and a Laparoscopic colectomy. Although I only had an opportunity of witnessing the hemorrhoidectomy in the middle of the procedure, both procedures were quite invasive. There were both very interesting to watch.
Kavoussi, L. R., Moore, R. G., Adams, J. B., & Partin, A. W. (1995). Comparison of robotic versus human laparoscopic camera control. Journal of Urology. doi:10.1016/S0022-5347(01)66715
Weight loss, in the perspective of medicine, health, or physical fitness, is a decrease of the total body mass, due to a mean loss of fluid, body fat or adipose tissue and/or lean mass, namely bones mineral deposits, muscle, tendon, and other connective tissue. It can occur unintentionally due to an underlying disease or can arise from a conscious effort to improve an actual or perceived overweight or obese state. The search for the ideal weight loss operation began more than 50 years ago because exercise and diet alone is apparently ineffective in treating people with extreme and excessive obesity. Surgical pioneers expanded modern procedures that at first produced malabsorption then constrained volume intake, and finally combined both systems. Discrepancies, adjustments, and revisions of these innovative procedures, joint with concentrated efforts to go after and file results, have led to the growth and progress of modern bariatric surgery. More current research has the hormonal and metabolic effects of these procedures as the central point of view. Such discoveries at the cellular level will help widen the potential machine of weight loss and co morbidity reduction beyond the customary justification of reduced food consumption and malabsorption.
The medical field has revolutionized the health and well being of society. Throughout the decades, the medical field has been through sweeping changes that leave society astonished. It seems like each year that passes by, there is a new technological advancement that modernizes the medical field. Not only do these advancements modernize medicine, but they in return aid doctors, nurses, and specialists by improving their effectiveness within the field. About ten years ago, the da Vinci Surgical System was introduced to hospitals and the medical field, in general because the FDA had finally approved the system within the United States (Dunkin). The da Vinci Surgical System, also known basically as robotic surgery, introduced the use of a surgical robot, which is operated by the doctor himself using a controlled manipulator (Declan et al.). Prior to the invention of robot-assisted surgeries, most surgeons simply did a typical laparoscopic surgery on a patient. Laparoscopic surgery is “a type of surgery performed through several small incisions, rather than one (or more) large ones as in standard "open" surgery” (Schmitz). Through the development of superior technology, such as the surgical robot; it brought about changes that effected doctors, patients, and the medical world.
1.I currently work in the surgical unit and one of the major recovery enhancements is early ambulation after any surgery, especially orthopedic and abdominal. Early ambulation will accelerate the return of bowel function (as evidenced by passage of stool and flatus) reduce the rate of overall complications and decrease the length of hospital stays. Evidence-based practices have shown that early post-operative ambulation contributes to decreased pulmonary complications. “When exploring postoperative activity in the general and orthopedic nursing literature, there is sparse evidence outlining nursing's critical thinking skills associated with decreasing the first postoperative activity from the historical 14-day mark to the most current model of day 1 or 2 for the joint replacement population. Also, there were no recently published reports describing a contemporary
There are two different types of robots that can be used in surgeries, which are passive and active. According to Gerhardus, “ A physician controls a passive robot” (245). Physicians use passive robots to help them be more precise, accurate, and safer when performing a surgery. Gerhardus states that a passive robot is mainly used to perform cardiac surgery (245). The use of robot-assisted surgery has advantages and disadvantages. Surgeons, who are willing to use robots during surgery, will improve their patient’s quality of care, and they will cause the amount of pain the patient experience to reduce, and the patient’s recovery will be much quicker (Gerhardus 245). For instance, a patient whose surgery was performed using a robotic system will recover in about a week, however; another patient who had the same surgery, but the surgeon did not use the robotic system will recover in about two weeks or sometimes even longer. Also, according to Gerhardus, “Robot-assisted surgery reduces the rate of occurrence of bacterial infections and blood transfusions” (250). According to Gerhardus the disadvantage of using robots to help perform surgery is that each medical facility will have to spend a large amount of money to make sure that the workers are educated and trained to use this type of technology, when performing a surgery (249). Even though robot-assisted surgery has a disadvantage, it is only one