‘Laparoscopic Surgery’

Anesthesia For Laparoscopic Surgery -part 4-

Monday, July 19th, 2010

anesthesia for laparoscopic surgeryCOMPLICATIONS OF LAPAROSCOPIC SURGERY

Complications related to anesthesia occur between 0.016 to 0.075% of patients and very rarely fatal. Complications can be divided due to the anesthetic technique, due to CO2 insufflation or error in the techniques and surgical instruments.

1 .- Nausea and Vomiting: Handling the parietal peritoneum and the pneumoperitoneum after abdominal viscera, vagal stimulation can produce reflexes that trigger nausea, diaphoresis, and bradycardia. That is why we must take into account medication Ondancetron, Droperidol and H2 blockers prior to surgery. (more…)

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Anesthesia For Laparoscopic Surgery -part 3-

Thursday, July 15th, 2010

anesthesia for laparoscopic surgery

ANESHETERISK MANAGEMENT OF LAPAROSCOPIC SURGERY

1. – Pre Anesthetic Medication: Since laparoscopic surgery is a procedure that has been widely used for its minimally invasive approach, favoring a speedy recovery and the return to daily activities of the patient. We then use the appropriate anesthetic medication pre not prolong the patient’s recovery.

Therefore drugs that can prolong the patient’s stay in recovery are relatively contraindicated, such as long-term opioids such as fentanyl and also to prolong the anesthetic effect can cause itching and nausea postoperatively. But is up to the, anesthesiologist use. Longed for analysis, it is more advisable to use benzodiazepines, especially midazolam, its rapid metabolism and amnesic effects. (more…)

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Anesthesia For Laparoscopic Surgery -part 2-

Monday, July 12th, 2010

anesthesia for laparoscopic surgeryPHYSIOLOGICAL CHANGES DURING ANESTHESIA

During anesthesia in laparoscopic surgery we will find a series of pathophysiological changes that depend on CO2 insufflation into the abdominal cavity, resulting in hemodynamic, respiratory, metabolic and other systems which we must account for its handling and understand their possible complications.

1. – Hemodynamic changes: The hemodynamic changes observed during laparoscopic surgery will be determined by changes in position are subjected to patients and the mechanical effect exerted by the compression of CO2 into the peritoneal cavity. During induction, the pressures of reduced left ventricular filling in turn causing a decrease in heart rate, maintaining the same mean arterial pressure. These changes are probably due to the depressant action of induction agents as well as by decreased venous return by the position of the patient. (more…)

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Anesthesia For Laparoscopic Surgery -part 1-

Thursday, July 8th, 2010

anesthesia for laparoscopic surgery

INTRODUCTION

Laparoscopic procedures have revolutionized the current field of surgery, gynecology and urology modern, so that surgical graduate programs now include in their programs as part of laparoscopic surgery the surgeon’s training. Laparoscopic surgery has many advantages over traditional surgery “open”: You can do an outpatient basis, there is a quicker recovery and less trauma to skin scarring very small and less postoperative pain.

The concept of laparoscopy was accredited in 1920 Kellig who visualize the abdominal organs of a dog using cystoscopy. In 1923, he published his experience jacobeus Laparoscopy in human subjects. Originally atmospheric air was used as an agent to inflate the abdominal cavity for laparoscopy, a syringe through the abdominal cavity crossed by two holes made for this purpose. (more…)

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Laparoscopic Surgery

Monday, July 5th, 2010

laparoscopic surgeryDEFINITION

Laparoscopic surgery is a surgical technique that is performed through small incisions, using the assistance of a video camera that allows the team physician to view the surgical field within the patient and operate on it. Is called minimally-invasive techniques such as avoiding large knife cuts required by the conventional open surgery or possible, therefore, a post-operative period much faster and comfortable.

The surgery is performed through a video camera that is inserted into the body through an incision, this small camera has a cold light source that illuminates the surgical field within the body. (more…)

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