Laparoscopy
1. What is a laparoscopy?
Answer: Laparoscopy is a minimal invasive surgical technique using gas for insulfasi through the peritoneum and other tools through minimal incision with a video camera reference
2. What gas used in laparoscopic and why?
Answer: CO2, because they are more easily tied by blood and reduce the risk of gas embolasi.
3. mentioned lack of CO2 in laparoscopy!
Answer: The lower the pH and increased PCO2
4. what is the advantage of laparoscopy?
answer: a short hospitalization, minimal pain, low costs and reduces ileus
5. adhesions attached organs need to be separated can cause bleeding, mention these factors!
answered:
· First the patient is the presence of disease or infection is not treated promptly.
· Both of the doctors that his ability to master laparoscopic techniques.
· Third, factor devices, including hospitals, whether those devices are damaged or old
6. mentioned indications for laparoscopic examination?
answered:
1) check your heart and do biopsiterpimpin on suspected local disease or diffuse
2) check for the possibility of gallbladder disease or enlargement caused by blockage in the dutus koledokus.
3) Establish aetiology abdominal tumors located in areas that may be seen with the laparoscopic
4) Assessing the possibility of staging the operation and set in patients with malignant tumors, and within certain limits set in abdominal metastases
5) Establish aetiology ascites, particularly those resistant to treatment
7. mentioned contraindication for laparoscopic examination?
replied:
1) Blood clotting disorders
2) patients who are not cooperative
3) cardio-pulmonary disease severe
4) massive ascites
5) diaphragm or abdominal wall hernia
6) intestinal obstruction
7) state of severe obesity
8. mentioned kompilkasi associated with laparoscopy?
Answer:
1) Pain when moving the trokar to change the field of view
2) Pain when the parietal peritoneum mengenia spade tool
3) Bleeding from the affected organ or tumor spade tool
4) Perforation of the colon
5) Air embolism
6) Merembesnya ascites fluid from the abdominal wall incision
9. mentioned factors that could thwart the laparoscopy?
Answer:
1) Preparation of inappropriate patient
2) It did not work to make the biopsy
3) Unable to continue the examination until completion
4) Interpretation of the results of a less precise view of laparascopy.
10. mentioned indications for emergency laparascopy!
Answer:
1) Patients with acute abdominal conditions without trauma
2) Patients with blunt abdominal trauma
11. what stands for “FRED”
Answer: Fog Reduction Elimination Device
12. sode functions mentioned in the laparoscopy!
answer: the edge of the liver can be removed, until the visible surfaces of anterior-inferior region and palpation of the liver gallbladder and other organs. And move to be revealed omental mayus intestine, colon and other organs.
13. what the name is accompanied by sedation during local anesthesia?
replied: diazepam 10 mg intravenously
14. What kind of actions performed by the surgeon yag before action lavase peritoneum?
Answer: a small vertical incision is made below the umbilicus and the fascia is clamped by a Kocher clamp, the fascia and peritoneum diinsisi to enter. Kanula stitches inserted and held by the tobacco pouch or two stitches are tied to the life of a wire or kanula secrets.
15. what causes shoulder postlaparoskopi nyer?
replied: continued pain from the CO2 above the diaphragm and the incision in the diaphragm
16. mentioned indications for laparoscopic inguinal repair done!
answered:
1) bilateral inguinal hernia
2) sustainable hernia
3) resume full activity as soon as possible (such as a football player)
17. on the state of severe obesity is a contraindication, why?
Answer: because in patients who are obese or have a thick abdominal wall muscles, sometimes difficult to move trokar to change the field of view. So in such circumstances required additional anetesia loka (lidocaine or silokain 1% -2%)
18. What is meant by trocar?
replied: Tools such as pipes with valves to access the camera and other tools during surgery.
19. how many trocar mounted on the body and where trocar placement during laparoscopy?
answered:
There are four trocar mounted on the body. First, situated at the navel. Second, is located approximately 2-4 cm from the sternum (between the chest and the navel) 50-10 mm wide. Third Trocar trocar placed in the middle of the second bit to the right (below the ribs), 2-3, or 5 mm wide. Trocar fourth, when necessary, will be installed at the bottom right hand side, as wide as 5 mm.
20th. What links laparoscopy in patients with closed head trauma?
Answer: The possibility of pneumoperitoneum may cause increased intracranial pressure by blocking venous return from the superior vena cava and inhibits respiratory movement
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