COMPLICATIONS IN LAPAROSCOPIC SURGERY
About this ebook
laparoscopy had been adapted to other type of surgery including
gynaecology. Gynaecological laparoscopy was firstly introduced by
European physicians Raoul Palmer and Has Frangenheim. It initially was
used for both diagnostic and therapy purposes like tubal ligation.1
Along with the further development of operation technique,
laparoscopy has been used in more complicated gynaecological surgery
due to its offered advantages such as smaller wound, faster recovery
time, better outcomes and accuracy. The human body's anatomy has not
altered. However, advances in surgical techniques and the handling of
complications are required due to technological advancements in
operating materials and processes. Laparoscopy differs fundamentally
from other operating techniques in that the initial entry is typically
carried out while the patient is blind. Blind entrance can harm organs or
vessels, especially in people who have had surgery in the past. One of
the challenges with the entry is the potential for damage to go
undetected for some time, requiring significant abdominal surgery. The
development of surgical tools and methods has also made it possible for
the surgeon to use the laparoscopic approach for even significant
surgeries. This has a good correlation with new learning curves. 1,2
With its well-established advantages of minimizing blood loss,
reducing post-operative pain, and shortening hospital stays,
laparoscopic surgery has transformed patient care. Some of its unique characteristics in compared to open surgery include the use of a
pneumoperitoneum, a minimally invasive entry into the belly, and the
insertion of straight stick tools through tiny ports. These traits do,
however, come with a special set of risks, such as haemodynamic
instability, visceral injury, blood vessel damage, and problems related to
poor ergonomics. However, the risk of complication such as wound
infection, vomit, nausea, abdominal infection and septicaemia can’t be
eliminated.
Laparoscopic surgeries frequently involve the use of
electrosurgery. The lengthier instruments are inserted through a trocar,
which may be composed of plastic, metal,