What Are The Procedures For Laparoscopic Surgery

The following are the basic steps of laparoscopic surgery. 1. The artificial pneumoperitoneum was cut 1cm into the skin at the lower edge of the umbilical wheel, and the pneumoperitoneum needle was inserted into the skin at 45 degrees through the incision, and then a needle tube was connected after no blood was drawn. If normal saline was flowing smoothly, the puncture was successful, and the needle was in the abdominal cavity. Connect the CO2 inflator, the intake speed should not exceed 1L/min, and the total amount should be 2-3L. Intra-abdominal pressure does not exceed 2.13KPa (16mmHg). 2. Trocar puncture laparoscopy needs to be inserted into the abdominal cavity from the trocar to the trocar, so the trocar needle should be inserted first. For the method, see the section of abdominal Puncture in this chapter. The laparoscope cannula is thick and the incision should be 1.5cm. Lift the abdominal wall under the umbilical cord and slowly insert the trocar into the abdominal cavity at first oblique and then vertically. When entering the abdominal cavity, the trocar core was pulled out. After hearing the gas rush in the abdominal cavity, the laparoscope was inserted, the light source was switched on, the patient's position was adjusted to 15 degrees of head low and hip high, and the patient continued to slowly inflate. 3. Laparoscopic observation The surgeon holds a laparoscope and observes the uterine and all ligaments, ovaries and fallopian tubes, and rectum uterine depression. During observation, the assistant can move the uterine apparatus to change the position of the uterus to cooperate with the examination. If necessary, the suspicious lesion tissue can be sent for pathological examination. 4. The laparoscope can be taken out only if there is no internal bleeding or organ damage during laparoscopy. After the gas in the abdominal cavity is discharged, the cannula is pulled out, and the abdominal incision is sutured, covered with sterile gauze and fixed with tape. 5. Laparoscopic post-treatment: (1) Antibiotics should be given to prevent infection; (2) Although the abdominal incision has been vented before suture, the abdominal cavity may still have residual gas and feel shoulder pain and upper abdominal discomfort, which is usually not serious and does not require special treatment.

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