Operative Laparoscopy

Total Page：16

File Type：pdf, Size：1020Kb

Operative Laparoscopy Technique Procedure involves the placement of a laparoscope (special telescope with a video camera attached) into the abdomen at the belly button. The pelvis including the uterus, fallopian tubes, ovaries, bladder and appendix are all visualized to determine the source of the patient's problem. The treatment necessary is determined based upon what the surgeon sees during this exam. Potential treatments include ovarian cyst removal, ovarian removal, excision or destruction of endometriosis, and removal of scar tissue. Incisions 3-4 small incisions (less than one inch) are made on the abdomen for this procedure. Operative Time Operative times vary greatly depending on the findings at the time of surgery. Your surgeon will proceed with safety as his/her first priority. Average times range from 45-90 minutes. Anesthesia General anesthesia Preoperative Care Nothing by mouth after midnight The procedure is usually scheduled immediately after your menstrual period. Hospital Stay Day surgery or 23 hour observation Postoperative Care These guidelines are intended to give you a general idea of your postoperative course. Since every patient is unique and has a unique procedure, your recovery may differ. You will be prescribed both an anti-inflammatory and a narcotic pain medicine for postoperative use. We recommend that anti-inflammatory medications, such as ibuprofen, naproxen, etc., be used on a scheduled (regular) basis and that narcotic pain medicine be utilized on an "as needed" basis. Driving is allowed after your procedure only when you do not require the narcotic pain medicine to manage your pain. Patients may return to work in 2-3 days following the procedure. Incisions may bruise but they should not become red or inflamed. 1700 6th Avenue South ● Birmingham, AL 35249 ● (205) 934-9999 .

Copy Link

Recommended publications

Chapter 1 History of Laparoscopic Surgery
Chapter 1 History of Laparoscopic Surgery Kiyokazu Nakajima, Jeffrey W. Milsom, and Bartholomäus Böhm Although laparoscopic surgery has transformed surgery only in the past two decades, its evolution is only the natural byproduct of the medical doctor’s curiosity to directly visualize and treat surgical dis- eases. The earliest known attempts to look inside the living human body date from 460 to 375 BC, from the Kos school of medicine led by Hippocrates in Greece.1,2 They described a rectal examination using a speculum remarkably similar to the instruments we use today. Similar specula were discovered in the ruins of Pompeii (70 AD) that were used to examine the vagina, the cervix, and the rectum, and obtain an inside view of the nose and ear.1 The Babylonian Talmud written in 500 AD described a lead siphon, named “Siphophert,” with a mouthpiece, which was bent inward and held a mechul (wooden drain).1,3 The apparatus was introduced into the vagina and was used to differentiate between vaginal and uterine bleeding. During these early years ambient light was used. The term “endoscopein” is attributed to Avicenna (Ibn Sina, 980–1037 AD) of Persia, although an Arabian physician, Albulassim (912–1013 AD), who placed a mirror in front of the exposed vagina, was the fi rst to use refl ected light as a source of illumination for an endoscopic examination. Giulio Caesare Aranzi in Venice (1530–1589) developed the fi rst endoscopic light in 1587. He used the Benedictine monk Don Panuce’s principle of the “camera obscura” for medical purposes – the
[Show full text]
Hybrid Procedure Offers a Less Invasive Alternative to Colectomy
The better way to get better Hybrid procedure offers a less invasive alternative to colectomy Insufflation gas provides important advantage The colonoscopy-laparoscopy procedure is made possible through the combined skills of the gastroenterologist and laparoscopic surgeon, and the use of CO2 rather than ambient air for insufflation — the introduction of gas into the colon to improve visibility. CO2 is more quickly absorbed by the gastrointestinal tract and results in less bowel distension, giving the laparoscopic surgeon a better field of vision within the abdominal cavity. © Copyright Olympus. Used with permission. “Some patients who would have required a bowel resection can instead benefit from this A new, minimally invasive procedure that is a hybrid of colonoscopy and less invasive procedure. We’re laparoscopy is proving to be a safe and effective alternative to open colectomy using this combined technique (removal of part of the colon) for patients with benign colon polyps that are as a way for patients to avoid colectomy,” explains James not removable endoscopically. Yoo, M.D., a colorectal surgeon Patients who undergo this hybrid procedure experience less pain and often go at UCLA. “This procedure home after only one or two days. Scarring and wound complications are minimal involves tiny incisions for the as the laparoscopic surgeon makes only small, keyhole incisions in the abdomen laparoscopic instruments and patients stay in the hospital only rather than the long incision characteristic of a traditional colectomy. a day or two.” WWW.UCLAHEALTH.ORG 1-800-UCLA-MD1 (1-800-825-2631) Who can benefit from the procedure? Participating When a routine colonoscopy reveals polyps, they are usually removed at the Physicians time of the procedure as a precaution against their progression to cancer.
[Show full text]
Laparoscopic Sentinel Node Mapping for Colorectal Cancer Using Infrared Ray Laparoscopy
ANTICANCER RESEARCH 26: 2307-2312 (2006) Laparoscopic Sentinel Node Mapping for Colorectal Cancer Using Infrared Ray Laparoscopy KOICHI NAGATA1, SHUNGO ENDO1, EIJI HIDAKA1, JUN-ICHI TANAKA1, SHIN-EI KUDO1 and AKIRA SHIOKAWA2 1Digestive Disease Center and 2Pathology Section, Showa University Northern Yokohama Hospital, Yokohama 224-8503, Japan Abstract. Background: Sentinel lymph node (SN) mapping colectomy (LAC). SNs were mapped by the submucosal by dye injection on conventional laparoscopy (CL) is often injection of dye on intra-operative colonoscopy, or by the precluded by the presence of mesenteric adipose tissue in use of a spinal needle and percutaneous subserosal injection patients with colorectal cancer. SN mapping on CL was of dye at a premarked site (pre-operative tattooing of compared with that on infrared ray laparoscopy (IRL) during polypectomy site with carbon). However, our experience laparoscopy-assisted colectomy (LAC). Patients and indicates that laparoscopic SN mapping by dye injection is Methods: Forty-eight patients with colorectal cancer who technically difficult because injection of the dye into the underwent LAC were enrolled. The tumor was identified by colon wall during LAC is cumbersome. Submucosal intra-operative fluoroscopy with marking clips. The tumor injection of dye on intra-operative colonoscopy makes LAC was stained intra-operatively by peritumoral injection of difficult and problematic. Distension of the small intestine indocyanine green dye. SNs were observed by CL and by IRL. with air on colonoscopy interferes with the operative field Results: In all 48 patients, dye injection and tumor and precludes laparoscopic procedures. Moreover, intra- localization during LAC were successful. The identification operative colonoscopic examinations require considerable of SNs on IRL was approximately five times better than that time, especially in patients with right-sided colon cancer.
[Show full text]
Procedure Coding in ICD-9-CM and ICD- 10-PCS
Procedure Coding in ICD-9-CM and ICD- 10-PCS ICD-9-CM Volume 3 Procedures are classified in volume 3 of ICD-9-CM, and this section includes both an Alphabetic Index and a Tabular List. This volume follows the same format, organization and conventions as the classification of diseases in volumes 1 and 2. ICD-10-PCS ICD-10-PCS will replace volume 3 of ICD-9-CM. Unlike ICD-10-CM for diagnoses, which is similar in structure and format as the ICD-9-CM volumes 1 and 2, ICD-10-PCS is a completely different system. ICD-10-PCS has a multiaxial seven-character alphanumeric code structure providing unique codes for procedures. The table below gives a brief side-by-side comparison of ICD-9-CM and ICD-10-PCS. ICD-9-CM Volume3 ICD-10-PCS Follows ICD structure (designed for diagnosis Designed and developed to meet healthcare coding) needs for a procedure code system Codes available as a fixed or finite set in list form Codes constructed from flexible code components (values) using tables Codes are numeric Codes are alphanumeric Codes are 3-4 digits long All codes are seven characters long ICD-9-CM and ICD-10-PCS are used to code only hospital inpatient procedures. Hospital outpatient departments, other ambulatory facilities, and physician practices are required to use CPT and HCPCS to report procedures. ICD-9-CM Conventions in Volume 3 Code Also In volume 3, the phrase “code also” is a reminder to code additional procedures only when they have actually been performed.
[Show full text]
The Costs and Benefits of Moving to the ICD-10 Code Sets
CHILDREN AND ADOLESCENTS This PDF document was made available from www.rand.org as a public CIVIL JUSTICE service of the RAND Corporation. EDUCATION ENERGY AND ENVIRONMENT Jump down to document HEALTH AND HEALTH CARE 6 INTERNATIONAL AFFAIRS POPULATION AND AGING The RAND Corporation is a nonprofit research PUBLIC SAFETY SCIENCE AND TECHNOLOGY organization providing objective analysis and effective SUBSTANCE ABUSE solutions that address the challenges facing the public TERRORISM AND HOMELAND SECURITY and private sectors around the world. TRANSPORTATION AND INFRASTRUCTURE U.S. NATIONAL SECURITY Support RAND Purchase this document Browse Books & Publications Make a charitable contribution For More Information Visit RAND at www.rand.org Explore RAND Science and Technology View document details Limited Electronic Distribution Rights This document and trademark(s) contained herein are protected by law as indicated in a notice appearing later in this work. This electronic representation of RAND intellectual property is provided for non-commercial use only. Permission is required from RAND to reproduce, or reuse in another form, any of our research documents for commercial use. This product is part of the RAND Corporation technical report series. Reports may include research findings on a specific topic that is limited in scope; present discus- sions of the methodology employed in research; provide literature reviews, survey instruments, modeling exercises, guidelines for practitioners and research profes- sionals, and supporting documentation;
[Show full text]
Minimally Invasive Single-Site Surgery for the Digestive System: a Technological Review
8/10/2018 Minimally invasive single-site surgery for the digestive system: A technological review J Minim Access Surg. 2011 Jan-Mar; 7(1): 40–51. PMCID: PMC3002006 doi: 10.4103/0972-9941.72381 PMID: 21197242 Minimally invasive single-site surgery for the digestive system: A technological review Parag W Dhumane, Michele Diana, Joel Leroy, and Jacques Marescaux IRCAD/EITS, Hôpitaux Universitaires, 1 Place de l’Hôpital, 67091 Strasbourg Cedex, France Address for correspondence: Dr. Joel Leroy, IRCAD/EITS, Hôpitaux Universitaires, 1 Place de l’Hôpital, 67091 Strasbourg Cedex, France. E-mail: [email protected] Received 2010 Jul 19; Accepted 2010 Aug 2. Copyright © Journal of Minimal Access Surgery This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Go to: Minimally Invasive Single Site (MISS) surgery is a better terminology to explain the novel concept of scarless surgery, which is increasingly making its way into clinical practice. But, there are some difficulties. We review the existing technologies for MISS surgery with regards to single-port devices, endoscope and camera, instruments, retractors and also the future perspectives for the evolution of MISS surgery. While we need to move ahead cautiously and wait for the development of appropriate technology, we believe that the “Ultimate form of Minimally Invasive Surgery” will be a hybrid form of MISS surgery and Natural Orifice Transluminal Endoscopic Surgery, complimented by technological innovations from the fields of robotics and computer-assisted surgery.
[Show full text]
Endoscopy Matrix
Endoscopy Matrix CPT Description of Endoscopy Diagnostic Therapeutic Code (Surgical) 31231 Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) X 31233 Nasal/sinus endoscopy, diagnostic with maxillary sinusoscopy (via X inferior meatus or canine fossa puncture) 31235 Nasal/sinus endoscopy, diagnostic with sphenoid sinusoscopy (via X puncture of sphenoidal face or cannulation of ostium) 31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or X debridement (separate procedure) 31238 Nasal/sinus endoscopy, surgical; with control of hemorrhage X 31239 Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy X 31240 Nasal/sinus endoscopy, surgical; with concha bullosa resection X 31241 Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery X 31253 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior X and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed 31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) X 31255 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior X and posterior 31256 Nasal/sinus endoscopy, surgical; with maxillary antrostomy X 31257 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior X and posterior), including sphenoidotomy 31259 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior X and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus 31267 Nasal/sinus endoscopy, surgical; with removal of
[Show full text]
Laparoscopic Surgery for Endometriosis
Laparoscopic surgery for endometriosis Introduction This leaflet covers laparoscopic surgery for endometriosis. It provides information for women who have been offered or are considering laparoscopic surgery for the treatment of endometriosis. Medical terms have been highlighted in italics. Diagnosis of endometriosis Endometriosis is best diagnosed and assessed by actually looking at the disease. This is the only means of making a definite diagnosis. Laparoscopy is an operation in which a small telescope (laparoscope) is inserted into the abdomen to look directly at the tissues. A laparoscopy is carried out under general anaesthetic. At the same time various procedures can be performed in order to destroy or remove the endometriosis, endometriotic cysts and release scar tissue (adhesions). Is laparoscopy always needed to diagnose endometriosis? Laparoscopy is the best test to diagnose endometriosis. Endometriosis can sometimes be felt on vaginal examination or an endometriotic cyst seen on an ultrasound scan. A normal vaginal examination or a normal scan does not exclude endometriosis. A blood test measuring a protein, CA 125, may assist, however a raised level is not specific to endometriosis. It indicates irritation or inflammation inside the body and can be raised in endometriosis, as well as appendicitis, pelvic infection and ovarian cysts. A raised level does not mean a diagnosis of cancer. Laparoscopic surgery is only one type of surgical procedure for endometriosis. It does not, as is commonly thought, turn a major operation into a minor one. It has the advantage of smaller cuts on the tummy (abdomen) and slightly shorter recovery than a bikini line cut (laparotomy). Laparoscopic surgery may not be suitable for all patients.
[Show full text]
Definitions of Bariatric Surgery CPT-4 Codes Description 43770
Appendix A: Definitions of Bariatric Surgery CPT-4 Description Codes 43770 Laparoscopy, surgical, gastric restrictive procedure: placement of adjustable gastric band 43644 Laparoscopy, surgical, gastric restrictive procedure with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) 43645 Laparoscopy, surgical, gastric restrictive with gastric bypass and small intestine reconstruction to limit absorption 43842 Gastric restrictive procedure, without gastric bypass, for morbid obesity, vertical banded gastroplasty 43843 Other gastric restrictive procedures, without gastric bypass, and other than Vertical Banded Gastroplasty 43844 Laparoscopic gastric restrictive procedure with gastric bypass and Roux en Y gastroenterostomy 43845 Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileolieostomy to limit absorption (BPD) 43846 Gastric restrictive procedure, with gastric bypass, for morbid obesity; with short limb (less than 100 cm) Roux-en-Y gastroenterostomy 43847 Gastric restrictive procedure, with small intestine reconstruction to limit absorption; with long limb (>150 cm) Roux-en-Y 43659 Gastrectomy, total; with Roux-en-Y reconstruction; Mini -gastric bypass S2082 Laparoscopy, surgical; gastric restrictive procedure, adjustable gastric band includes placement of subcutaneous port S2085 Laparoscopic gastric bypass ICD-9 Description Codes 44.68 Laparoscopic gastroplasty Banding Silastic vertical banding Vertical banded gastroplasty (VBG) Code also any synchronous laparoscopic
[Show full text]
Icd-9-Cm (2010)
ICD-9-CM (2010) PROCEDURE CODE LONG DESCRIPTION SHORT DESCRIPTION 0001 Therapeutic ultrasound of vessels of head and neck Ther ult head & neck ves 0002 Therapeutic ultrasound of heart Ther ultrasound of heart 0003 Therapeutic ultrasound of peripheral vascular vessels Ther ult peripheral ves 0009 Other therapeutic ultrasound Other therapeutic ultsnd 0010 Implantation of chemotherapeutic agent Implant chemothera agent 0011 Infusion of drotrecogin alfa (activated) Infus drotrecogin alfa 0012 Administration of inhaled nitric oxide Adm inhal nitric oxide 0013 Injection or infusion of nesiritide Inject/infus nesiritide 0014 Injection or infusion of oxazolidinone class of antibiotics Injection oxazolidinone 0015 High-dose infusion interleukin-2 [IL-2] High-dose infusion IL-2 0016 Pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance Pressurized treat graft 0017 Infusion of vasopressor agent Infusion of vasopressor 0018 Infusion of immunosuppressive antibody therapy Infus immunosup antibody 0019 Disruption of blood brain barrier via infusion [BBBD] BBBD via infusion 0021 Intravascular imaging of extracranial cerebral vessels IVUS extracran cereb ves 0022 Intravascular imaging of intrathoracic vessels IVUS intrathoracic ves 0023 Intravascular imaging of peripheral vessels IVUS peripheral vessels 0024 Intravascular imaging of coronary vessels IVUS coronary vessels 0025 Intravascular imaging of renal vessels IVUS renal vessels 0028 Intravascular imaging, other specified vessel(s) Intravascul imaging NEC 0029 Intravascular
[Show full text]
Case Report Procedures Include Rectal Examination, Proctoscopy and Abdominal Radiography
Laparoscopic assisted removal of rectalrectal foreign bodybody Ashish Bhanot, G. R. Patel, Mitesh Bachani, Vijayraj D. Gohil Department of Surgery, Govt. Medical College, Bhavnagar, Gujarat, India For correspondence: Ashish Bhanot, C-7 Doctors Quarters, Sir T. Hospital Campus, Bhavnagar - 364 001, Gujarat, India. E-mail: [email protected] ABSTRACT ‘Foreign’ means originating elsewhere or simply ‘outside the body.’ Foreign body rectum is not as common as other parts of the body. Rectal foreign bodies present are difficult to manage. Emergency-department Case Report procedures include rectal examination, proctoscopy and abdominal radiography. Soft or low-lying objects having an edge could be grasped and removed safely in the emergency department, but grasping hard objects is potentially traumatic and occasionally results in upward migration toward the sigmoid. Although foreign bodies can be removed in the emergency department in about two out of three cases, some 10% still require a laparotomy and a diverting colostomy to remove the object or to treat bowel perforation. We are presenting a case of laparoscopic assisted removal of tumbler using 10 mm suction cannula to push the object down. Laparoscopy helped not only in retrieval but also enabled visualizing any bowel perforation due to foreign body and its manipulation. Key words: 10 mm suction cannula, foreign body rectum, laparoscopic assisted, sigmoid colostomy How to cite this article: Bhanot A, Patel GR, Bachani M, Gohil VD. Laparoscopic assisted removal of rectal foreign body. Indian J Surg 2006;68:216-8. INTRODUCTION blood were trickling from the anus. On finger examination, there was a reduced tone of anal sphincter Rectal foreign body, although infrequent, and circumference of glass tumbler could be reached by presents a challenge in management.
[Show full text]
Guidelines Before & After Adjustable Gastric Banding
University of Missouri Health System Missouri Bariatric Services Guidelines Before & After Adjustable Gastric Banding Table of Contents Topic Page Risks & Benefits of Weight Loss Surgery 3 Guidelines for Your Hospital Stay, Self-Care, & Medications 8 Day of Surgery Expectations 8 What to Expect During Your Hospital Stay 9 Taking Care of Yourself at Home 10 Nutrition Guidelines Before & After Weight Loss Surgery 14 Basic Nutrition Information all Patients Should Know 15 Guidelines for Success after Surgery 33 How to Prepare for Surgery 34 Portions after Weight Loss Surgery 33 Postoperative Dietary Goals 39 Diet Progression 42 Band Adjustments 48 Digestive Difficulties after Surgery 49 Understanding Vitamins & Minerals after Surgery 51 Tips for Dining out after Weight Loss Surgery 52 Food Record 53 Frequently Asked Questions 55 Weight Loss Surgery Patient Resources 56 Exercise Guidelines Before & After Weight Loss Surgery 57 Warm Up & Cool Down Stretches 62 Home Strength Training Program 65 Stretch Band Exercises 67 Psychological Considerations after Weight Loss Surgery 70 My Personal Relapse Plan 73 Problem Solving 74 Daily Food Record 75 Guidelines For Preconception & Prenatal Care after Surgery 76 2 | P a g e Risk and Benefits of Weight Loss Surgery All surgery, no matter how minor, carries some risk. Weight loss surgery is major surgery; you are put to sleep with a general anesthetic, carbon dioxide is blown into your abdominal cavity, and we work around the major organs and operate on the stomach and intestines (this area of the body is known as the gastrointestinal tract). National statistics report there is a one to two percent risk of dying after Roux-en-Y gastric bypass.
[Show full text]