Scar Free Surgery
|Mr Rasheed a highly experienced laparoscopic (keyhole) surgeon and
the lead for the Gwent keyhole surgery team carries out scar-free
surgery by operating through the navel. The technique is the latest
development in 'minimally access' surgery.
It involves making a cut in the navel which is then widened and held open while long surgical instruments are inserted and removed through the hole.
The only visible sign of the operation is a small scar which is hidden by the wrinkle of the navel.
The following can be diagnosed and/or treated during emergency laparoscopy?
- Acute Salpingitis.
- Omental Necrosis.
- Ectopic Pregnancy.
- Acute Diverticulitis.
- Mesenteric Adenitis.
- Intestinal Adhesions.
- Intestinal Infarction.
- Complicated Ovarian Cysts.
- Pelvic Inflammatory Diseases.
- Bedside Laparoscopy in the ICU.
- Complicated Meckel's diverticulum.
- Laparoscopy for Acute Appendicitis.
- Laparoscopy for Intestinal Ischemia.
- Laparoscopic Management of Diverticulitis.
- Laparoscopic Management of Perforated Ulcer.
- Diagnostic Laparoscopy for Acute Abdominal Pain.
- Laparoscopic Management of Intestinal Obstruction.
- Laparoscopy for Abdominal Trauma (Blunt and Penetrating).
- Laparoscopic Re-operations for Postoperative Complications.
How is it done?
The emergency laparoscopy is done in the same way as elective laparoscopy by a specialist laparoscopic surgeon skilled at advanced therapeutic laparoscopy (able to treat the diagnosed pathology by keyhole).
What are the benefits of emergency laparoscopy?
- Emergency laparoscopy improves the diagnostic accuracy
- Emergency laparoscopy reveals a clinical misdiagnosis in 41% of female of reproductive age group.
- Emergency laparoscopy enables a better evaluation of the peritoneal cavity than that obtained by the standard laparotomy.
- The procedure allows rapid and thorough inspection of the para-colic gutters and the pelvic cavity that is not possible with the open approach.
- Diagnostic and therapeutic surgery is possible at the same time.
- Less post-operative complications like wound infection, adhesion and hernias.
- Less post-operative pain.
- Short hospital stay.
- Faster recovery.
What is the recovery period?
The recovery period after emergency laparoscopy depends on the diagnosis and the treatment received. Patients may start drinking liquids 4 hours after anaesthesia. Patients are encouraged to mobilise 4 hours after surgery. They are usually allowed home the next day and the majority go back to routine activity in 5 days and back to work in 10 days.
Role of Emergency Laparoscopy in Trauma
Emergency laparoscopy plays an important role in haemodynamically stable trauma patients with suspected peritoneal breach following a penetrating anterior abdominal wall trauma. Proving that penetration has not occurred negates the need for laparotomy. The current diagnostic modalities, including USS and CT scanning are unable to do this due. Laparoscopy has been shown to be highly effective at determining peritoneal penetration, resulting in decreased laparotomy rates, length of stay and cost.