How to do laparoscopic surgery picture?

summary

Laparoscopic surgery in the treatment of peritoneal effusion has been very mature, and this surgical method has many advantages over the traditional treatment of abdominal surgery, minimally invasive, there is also a treatment period, patients can recover their condition well, so it is also favored by patients, but for this surgical method, how to do laparoscopic surgery? Let's talk about it.

How to do laparoscopic surgery picture?

Cut the skin 1cm at the lower edge of the umbilicus wheel, insert the pneumoperitoneum needle at 45 degrees from the incision, and connect a needle tube after no blood is drawn back. If the normal saline flows into the abdomen smoothly, it means that the puncture is successful and the needle is in the abdominal cavity. Connect the CO2 aerator, the air inlet speed should not exceed 1L / min, and the total amount should be 2-3l. The intra-abdominal pressure was less than 2.13kpa (16mmhg).

Laparoscopy needs to be inserted into the abdominal cavity from the cannula, so the cannula should be punctured first. The method is shown in the abdominal puncture section of this chapter. The incision should be 1.5cm. Lift the abdominal wall under the umbilicus, and insert the trocar into the abdominal cavity obliquely and vertically. When entering the abdominal cavity, there is a sense of breakthrough. Pull out the trocar core. After hearing the sound of gas rushing out of the abdominal cavity, insert the laparoscope, connect the light source, adjust the patient's position to 15 degrees of head low and hip high, and continue to inflate slowly.

The operator held a laparoscope and observed the uterus and ligaments, ovaries and fallopian tubes, recto uterine pits with an eyepiece. During observation, the assistant can move the uterine device to change the position of the uterus to cooperate with the examination. If necessary, suspicious lesions may be taken for pathological examination.

matters needing attention

A small amount of liquid diet, such as thin rice soup and noodle soup, can be given 6 hours after operation. Do not give patients sweet milk, soybean milk powder and other sugary drinks; Laparoscopic surgery incision is only 1 cm, so a week later the abdominal dressing can be removed, and can shower, and then gradually return to normal activities. Before a week or to pay attention to appropriate, light activities, so that the body recover as soon as possible.