Professor MD MD hc Guido Schumacher
When it comes to surgery, quite often you may hear the words: “laparoscopic method”, “they advise me laparoscopic surgery”, “it was done laparoscopically” etc. To any uninformed person it may seem sophisticated but, in fact, it is nothing complicated.
Laparoscopic surgery is a surgical method using intervention into the body through one or more small incisions. Opposite to traditional surgery, that usually uses a large incision to provide free access to a site of operation, laparoscopy deals with “keyhole” invasions and often the performance area is located far from the entry spot.
Laparoscopic surgery is named for laparoscope which is a telescopic tube with a system of mirrors introduced inside the body to visualize the situation passing successive images to the display where operating team can view it and control the surgery. Other entries can be used for surgical tools and probes. When abdominal surgery is performed by laparoscopy, the abdomen is inflated with carbon dioxide to create more space for manipulations.
One of the most common areas of applying of laparoscopy are surgeries of the biliary tract and gallbladder. Cholecystectomy which is surgery to remove gallbladder is mostly today performed laparoscopically. In Clinic of Braunschweig we apply not only conventional laparoscopy but also surgery by robotized system.
Cholecystectomy is method to treat gallstones causing symptoms as pain, swelling of the gallbladder, vomiting and indigestion. The gallstones are found with ultrasound. Sometimes X-rays examination is required prior to cholecystectomy for better surgery planning. Laparoscopy for gallbladder removal is done under general anesthesia; when a patient goes asleep a surgeon makes the incisions to introduce a camera, tools and probe. Laparoscopic surgical removal of the gallbladder is safe and effective procedure that can be done on outpatient basis. Living without gallbladder does not cause any problems to majority of people.
Another field where laparoscopy is increasingly widely used is treatment of diseases of female reproductive tract. There is a number gynecologic operation performed with laparoscopic technique as:
This list can be extended as almost any of gynecologic diseases requiring surgery can be treated with laparoscopic method.
Laparoscopy is also used for diagnosis and treatment of female infertility. Examination with an optical tube allows finding any potential reason of infertility as scars or adhesions, fibroid tumors or endometriosis which is knows as a factor reducing the possibility to get pregnant. Once found the problems can be removed at the same time excluding advanced stages of endometriosis that may require extra examination and evaluation.
Hernias can occur in different locations. When an organ or piece of tissue squeeze or protrude trough weakened muscle, we call this a hernia. Often hernias do not need any treatment and even may disappear themselves but in some cases surgery can be considered. There many types of hernias, mostly related to gastroenterological tract and the abdomen and it is difficult to enumerate them in a few lines.
Inguinal hernia, which develops in the groin mostly in men, may need emergency surgery when it becomes incarcerated or strangulated. In this case, laparoscopy is quite common option to deal with it especially when the hernia is small. Using mesh in laparoscopy helps to prevent a recurrence and smaller incisions shorten recovery time.
Sometimes you may read “laparoscopic knee surgery” but it is not right. When it comes to joints, the right name is “arthroscopy”. Arthroscopic articular surgery is one more sphere of invasive medicine where scopes – or arthroscopes – are widely used. In joint surgery arthroscopy helps to preserve natural function of articulars, as it is often used for reconstructive sparing procedures. Knee surgery is particularly known for using of this method.
There are several treatments for knee by means of arthroscope:
Using of laparoscopic techniques has raised knee surgery to the state of art when patients could have the procedure on outpatient basis and start working within a few hours after treatment.
In our clinic we offer laparoscopic, endoscopic, arthroscopic etc surgery in numerous departments. Depending on your problem you may have treatment in Gynecology Surgery Department, General Surgery Department, Spine Center or Cardiac, Thoracic and Vascular Surgery Department but keep in mind that all of us a member of the same team of the top professionals in surgery and our main goal is to improve your life quality. Please contact us if you wish to know laparoscopic surgery cost as it differs based on area and extent of surgery.