What should be prepared before laparoscopic surgery

Laparoscopic technology has the advantages of no laparotomy, less trauma, quick recovery and light postoperative pain. However, laparoscopic surgery is after all a kind of surgery, the patients who do this kind of surgery should pay attention to some problems before and after the surgery. Before laparoscopy, a comprehensive examination should be carried out on the patient, the patient's condition should be comprehensively understood and evaluated, the objective of microscopic examination, the operation and possible situations should be determined, and the proposed case should be handled.

1. Abdominal skin is prepared for general abdominal surgery, but special attention should be paid to the cleanliness of the umbilical cord, as puncture in the umbilical cord is required.

2. A half-flow diet was administered one day before intestinal preparation, and fasting was performed from 00:00 the night before surgery. The night before the operation and the morning of the operation clean enema.

3. Vaginal preparation involves the operation of uterine cavity, vaginal operation and the placement of uterine stick. Before surgery, vaginal secretions should be examined and vaginal cleaning should be performed.

4. Blood routine examination should be performed before blood preparation.

5. Sedative drugs were taken orally the night before the operation to ensure the quality of sleep and facilitate the operation. Medication before anesthesia was determined according to the way of anesthesia.

6. The catheter must be placed before indwelling the catheter to empty the bladder.

7. General anesthesia, epidural anesthesia, lumbar anesthesia and local anesthesia should be selected according to the patient's situation and combined with the size and difficulty of the operation.

Strict fasting is required before endoscopic surgery

Surgical anesthesia is divided into general anesthesia (general anesthesia) and local anesthesia (local anesthesia). Fasting is generally not required for local anaesthesia, whereas general anaesthesia is.

The stomach should be routinely emptied before elective surgery to avoid reflux of gastric contents, vomiting or aspiration during surgery, and the resulting asphyxia and aspiration pneumonia.

Generally, adults should fast for 12 hours and refrain from drinking for 4 hours before surgery to ensure gastric emptation. Children before surgery should fast (milk) for 4 to 8 hours, no water for 2 to 3 hours.

If the emergency patients are full of stomach but need surgery urgently, when general anesthesia is needed, awake endotracheal intubation can be considered, which is conducive to avoid or reduce the occurrence of vomiting and aspiration.

Gynecological palace, laparoscopic surgery, general anesthesia, elective surgery.

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