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Laparoscopic Surgery – Incisionless Surgery

Laparoscopic or minimally invasive technique, or as it is known among the public, closed method surgery is a special application area of surgery. In open surgery, it was necessary to make an incision covering the entire abdomen in order to reach the inside of the abdomen. In laparoscopic (closed) surgery, operations can be completed with a few incisions of 0.5-1 cm in size.

Cannulas inserted into the abdomen from the port sites are called trocars. The operation is completed by inserting the camera, which is used to see the inside of the abdomen through the trocars, and many instruments specially developed for these techniques, into the abdomen. In order to provide ease of vision, the abdomen is expanded by inflating with carbon dioxide gas. In this way, the intra-abdominal organs move away from each other and a space is obtained where surgery can be performed.

Images from the camera are transferred to the operating room by video monitors. During the operation, the surgeon watches the images coming from the abdomen on the monitor. This system allows the surgeon to perform many operations performed with traditional methods with much smaller incisions. These methods are at least as safe as open surgery in experienced hands.

What are the Advantages of Laparoscopic Surgery?

Laparoscopic (closed) surgery takes its name from the laparoscope device used during the surgical procedure.

Laparoscopic (closed) surgical procedures have many advantages over open surgery. If we count the advantages of laparoscopic surgery;

  • Smaller incisions are made during laparoscopic (closed) surgery compared to open surgery,
  • The risk of infection in laparoscopic (closed) surgery is lower than in open surgery,
  • The cost of care in laparoscopic (closed) surgery is lower than in open surgery,
  • The hospital stay is shorter after laparoscopic (closed) surgery compared to open surgery,
  • Patients feel much less pain after laparoscopic (closed) surgery.
  • Recovery and return to daily life is faster after laparoscopic (closed) surgery. 

Laparoscopic Surgeries in Pediatric Surgery

  • inguinal hernia surgery
  • Ovarian cyst (ovarian cyst) surgery
  • Ovarian torsion (ovarian rotation) surgery
  • Operation for appendicitis
  • Opening a gastrostomy
  • gallbladder surgery
  • Intestinal knot surgery
  • Diaphragmatic hernia surgery

Diseases Intervened by Laparoscopic Method

1.Undescended testis

Undescended testis is a common disease in male infants. It occurs in about 5 out of 100 babies born. The situation where the testis is not in the bag and remains on the descent path is called "undescended testis". A good physical examination is often sufficient for diagnosis, but sometimes ultrasound support may be required.

Surgical intervention is required in testicles that do not descend until the 6th month after birth. If the testis does not descend, the development of the testis is adversely affected and permanent damage may occur. Early diagnosis and good surgery are the most effective treatment!

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