|
Dr. Stevan R. Clark Where surgical and general medical
care come together at an unprecedented level of expertise. With
the most modern laparoscopic and medical technology your care
is complete but with minimally invasive intervention.
What is laparoscopy?
Laparoscopy is the
use of a viewing tube called a laparoscope to see inside of the
abdomen and pelvis. Laparoscopy can be performed for the diagnosis
and surgical treatment of conditions within the belly. Through
a very small incision in the abdominal cavity instruments can
be inserted to perform the various steps in the procedure. The
abdominal cavity is distended and made visible by the instillation
of absorbable gas (typically, carbon dioxide). Most patients
receive general anesthesia during the procedure.
Laparoscopy
comes from two Greek words. The first is lapara, which means
"the soft parts of the body between the rib margins and
hips," or, more simply, the "flank or loin." The
other Greek word is skopein, which means "to see or view
or examine." Skopein has become -scope in English.
The technique of laparoscopy
was developed in the beginning of the 20th century and found
use mainly in Europe. The procedure has undergone rapid development
in recent years, thanks to the efforts of both European and American
surgeons and endoscopists. Laparoscopy has been used for years
extensively by gynecologists for the diagnosis of diseases of
the ovary and uterus.
What are advantages of laparoscopy?
The advantages of laparoscopy
include a much shortened post-operative period and less post-operative
pain. The avoidance of large abdominal incisions decreases some
of the post-operative complications related to the heart and
lungs. In addition, recent studies show decreased mortality with
some laparoscopic procedures, such as cholecystectomy (removal
of the gallbladder), as compared to the old open surgical procedures.
Laparoscopic surgery entered
a new era in the late 1980s when removal of the gallbladder by
laparoscopic techniques was developed, again by European surgeons.
Fiberoptic instruments and video cameras have come to allow procedures
on the smallest of structures.
Today, the use of laparoscopy
has been extended to surgical procedures involving the appendix,
colon, uterus, repair of hiatal hernias, and more. The procedure
has come full circle from one of diagnosis to what is now known
as "minimally invasive" surgery.
|