The most notable advance in surgical practice in recent years has been laparoscopic surgery for the best laparoscopic surgeon in Chennai. The basic feature of laparoscopic surgery is that of reducing the exposure to surgical trauma. Consequently, laparoscopic surgery is a smaller invasive amount, less disabling and less disfiguring, allowing for shorter hospital stay and faster recovery. Faithful, however, to the principle that "all operations carry some risk of complications," laparoscopic surgery has its justifiable problem share.
During a laparoscopic procedure, the first step is to access the greater peritoneal sac in order to determine the pneumoperitoneum. The closed technique is taken into account in one access method, using the Veress needle. After nasogastric suction and drainage of the bladder, a stab incision is formed at the umbilicus, followed by the blind passing of a Veress into the abdomen. Place of the needle within the greater peritoneal sac is often checked by aspiration through a water filled syringe and by the water drop test. Once the surgeon is confident that the needle is within the greater peritoneal sac, pneumoperitoneum is formed and trocars are inserted.
A second access method is that of open technique. The surgeon incises the anterior abdominal fascia, and hence the peritoneum under direct vision, after making the umbilical skin incision. Upon insertion of the primary trocar, the surgeon will then examine the greater peritoneal sac for any adhesions. The surgeon can either suture the fascia closed around the trocar, or use the wedge-shaped Hasson trocar to determine a lock to allow pneumoperitoneum to occur.
During a laparoscopic procedure, the first step is to access the greater peritoneal sac in order to determine the pneumoperitoneum. The closed technique is taken into account in one access method, using the Veress needle. After nasogastric suction and drainage of the bladder, a stab incision is formed at the umbilicus, followed by the blind passing of a Veress into the abdomen. Place of the needle within the greater peritoneal sac is often checked by aspiration through a water filled syringe and by the water drop test. Once the surgeon is confident that the needle is within the greater peritoneal sac, pneumoperitoneum is formed and trocars are inserted.
A second access method is that of open technique. The surgeon incises the anterior abdominal fascia, and hence the peritoneum under direct vision, after making the umbilical skin incision. Upon insertion of the primary trocar, the surgeon will then examine the greater peritoneal sac for any adhesions. The surgeon can either suture the fascia closed around the trocar, or use the wedge-shaped Hasson trocar to determine a lock to allow pneumoperitoneum to occur.
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