ʻO ka ʻoki laparoscopic: nā pono a me nā pōʻino

ʻOiai ʻoe e hana koke ʻia, ʻaʻole haʻi aku ke kauka lapaʻau iā ʻoe ma mua o ka hana ʻana ma lalo o ka laparoscopy. ʻIke ʻoe i kēia ʻōlelo ma ke ʻano he hoʻāʻo ʻē aʻe. Hoʻopilikia kēia hopohopo iā ʻoe i ke ao a me ka pō. A ʻaʻohe mea maʻalahi ma mua o kēia ʻenehana diagnostic a me ka ʻokiʻoki, i hoʻomohala ʻia e Dr. Raoul Palmer i ka makahiki 1944.

Nā kumu a me nā hōʻailona o ka laparoscopy

Ua ʻae ʻia i loko o ka pōʻaiapili o ka gynecological surgery, abdominal or visceral surgery ʻoki obesity, i ka nui nui obesity, ai 'ole i ka urology i ka hihia o ka prostatectomy, a pau e pono ai, he liilii incisions e hookomo i ka pahupaʻiwikiō (luminous optics) i loko o ka opu i mea e hoʻokō a hana i kaʻoki kino, a laila e kamaʻilio e pili ana i ka laparoscopy. No laila, me ka ʻike ʻole, hoʻemi mākou i ka laparoscopy, e like me ka mea i kapa ʻia, i kahi hana maʻalahi.

Eia naʻe, ʻo ia ke ʻano diagnostic. ʻO ia me ke kōkua o kahi endoscope (kahi mea me kahi ʻōnaehana kukui a me kahi pahu kiʻi wikiō) hiki iā ʻoe ke hana i kahi maʻi maʻi. I kēia hihia, ke kamaʻilio nei mākou laparoscopy ʻoiai ma ke ʻano o ka ʻoki ʻana a mākou e kamaʻilio nei ʻoki ʻokiʻoki.

Ma ke kumu, ʻaʻole pono ka laparoscopy e wehe i ka paia o ka ʻōpū e komo i ka ʻōpū o ka ʻōpū.

ʻO ke kaʻina hana laparoscopy

ʻO ka mea ʻē aʻe, ma hope o ka anesthesia maʻamau e pono ai, hana ke kauka i hoʻokahi a ʻoi aku paha nā ʻoki liʻiliʻi ma ka pae o ka piko, kahi i hoʻokomo ʻia ai ka endoscope. A laila, me ka hoʻohana ʻana i ka carbon dioxide, hoʻonui ʻo ia i ka ʻōpū a hana i wahi e hiki ai iā ia ke hoʻolauna i nā mea hana āna e hoʻohana ai no ka hana, a ʻo ka hope, e kau ʻo ia i nā trocars, kahi ʻano paipu, nona kāna kuleana e pale ai i ka ʻōpū. ka hoʻopanee ʻia. I ka wā o ka hana, e hoʻohana ʻo ia i ka pale e ʻike i kāna hana.

ʻO nā pono a me nā pōʻino o ka laparoscopy

Nui nā pōmaikaʻi o ka hana laparoscopic. I kēia hihia, hoʻemi ʻia ka pilikia o ka hana, a me nā pilikia postoperative. ʻOiaʻiʻo, ma ka hāʻawi ʻana i ke kauka lapaʻau i kahi degere o ka pololei o ka gestural, ʻaʻole ka laparoscopy i ka trauma a me nā pōʻino ʻē aʻe e pili ana i ke ʻoki maʻamau. Hoʻoluʻolu kēia i nā lumi hana.

Eia kekahi, ʻo kēia ʻano hana ʻokiʻoki e hōʻemi i ka pilikia o ka maʻi; i kekahi mau hihia, e ho'ēmi i ka lōʻihi o ka hana a i ʻole e hoʻemi i ka lōʻihi o ka hale maʻi a me ka hoʻomaha maʻi. ʻAʻole poina i ka pae aesthetic, hōʻoia kēia i nā ʻōpala liʻiliʻi, i kekahi manawa ʻike ʻole ʻia.

Eia nō naʻe, he hana kēia e hoʻopilikia ai i ke kauka lapaʻau i ka optically, tactilely a ma ke ʻano o ka neʻe ʻana o nā mea kani, no laila he mea nui e nīnau i kahi kauka lapaʻau kūpono. ʻAʻole poina ʻo ke koena kalapona i hoʻohana ʻia hiki ke hōʻeha i ka mea maʻi e like me ka pehu a i ʻole ke koena ʻeha. No laila, ʻoiai ka hoihoi, pili ka laparoscopy me nā pilikia o ka hana, e like me ka pilikia o ke koko, fistulas, embolism, etc.