Our Summary
This research paper presents a simple method for applying Seprafilm during laparoscopic surgery. Seprafilm is a material used to prevent tissues from sticking together after surgery, but it’s hard to insert and apply due to its fragility and stickiness when wet. Some existing methods for applying Seprafilm during laparoscopic surgery require special equipment or are technically difficult.
The authors’ method involves cutting Seprafilm into three rectangle pieces, letting them absorb moisture for a few minutes, and then placing them on a piece of gauze. The gauze is then folded and held with forceps. The gauze and Seprafilm are inserted into the body through a small tube and placed close to the surgical site. The gauze acts as a station, preventing the Seprafilm from sticking to surrounding tissue and making it easier for surgeons to handle. The gauze is then used to press the Seprafilm onto the target area and is easily removed.
This method was successful in all cases and took an average of 100 seconds to apply one sheet of Seprafilm. No patients experienced small bowel obstruction within 30 days after surgery. This method doesn’t require special training or equipment, making it accessible to all surgeons.
FAQs
- What is Seprafilm and why is it used in laparoscopic surgery?
- What is the method proposed by the authors for applying Seprafilm during laparoscopic surgery?
- How successful and efficient was this new method of applying Seprafilm during surgery?
Doctor’s Tip
A helpful tip a doctor might tell a patient about laparoscopic surgery is to trust in the expertise of the surgical team and follow any post-operative care instructions carefully. Additionally, they may advise the patient to ask any questions they have about the procedure beforehand and to communicate any concerns or symptoms they experience after surgery. It is also important for patients to attend follow-up appointments to ensure proper healing and recovery.
Suitable For
Patients who are typically recommended for laparoscopic surgery include those with conditions such as gallbladder disease, appendicitis, hernias, and some types of cancer. Additionally, laparoscopic surgery may be recommended for patients who are looking for a less invasive surgical option with faster recovery times and reduced risk of complications compared to traditional open surgery.
Timeline
Before laparoscopic surgery: The patient will meet with their healthcare provider to discuss the procedure, potential risks and benefits, and any necessary pre-operative tests or preparations. The patient may also need to follow certain dietary or medication instructions leading up to the surgery.
Day of laparoscopic surgery: The patient will check in at the hospital or surgical center and be prepped for surgery. This may include changing into a hospital gown, having vital signs taken, and starting an IV line. The patient will then be taken to the operating room where the laparoscopic procedure will be performed under general anesthesia.
During laparoscopic surgery: The surgeon will make small incisions in the abdomen and insert a camera and specialized instruments to perform the surgery. The surgeon will use the laparoscope to guide them and perform the necessary procedure, such as removing a gallbladder or repairing a hernia.
After laparoscopic surgery: The patient will wake up in the recovery room and be monitored for any complications. Pain medication may be provided to manage discomfort. The patient will be given instructions on post-operative care, including wound care, activity restrictions, and follow-up appointments. The patient may experience some pain, bloating, or shoulder pain from the gas used during surgery, but these symptoms typically improve within a few days.
Post-operative follow-up: The patient will have follow-up appointments with their surgeon to monitor their recovery and ensure that everything is healing properly. The patient may also be referred to physical therapy or other specialists as needed. Overall, most patients recover well from laparoscopic surgery and are able to resume their normal activities within a few weeks.
What to Ask Your Doctor
Some questions a patient should ask their doctor about laparoscopic surgery with Seprafilm application include:
- What is Seprafilm and why is it being used during my laparoscopic surgery?
- How will the Seprafilm be applied during the surgery?
- What are the potential benefits of using Seprafilm in my surgery?
- Are there any risks or complications associated with the use of Seprafilm?
- How long does it typically take to apply Seprafilm using the method described in the research paper?
- Will I need any additional follow-up care or monitoring after the surgery due to the use of Seprafilm?
- Are there any alternative methods or materials that could be used instead of Seprafilm?
- How experienced is the surgical team in using Seprafilm during laparoscopic procedures?
- Will the use of Seprafilm impact my recovery time or post-operative outcomes?
- Are there any specific instructions or precautions I should follow after the surgery to ensure the effectiveness of the Seprafilm application?
Reference
Authors: Shimizu H, Kuriu Y, Arita T, Kiuchi J, Yamamoto Y, Konishi H, Morimura R, Shiozaki A, Ikoma H, Kubota T, Fujiwara H, Okamoto K, Otsuji E. Journal: Asian J Endosc Surg. 2022 Apr;15(2):449-452. doi: 10.1111/ases.12995. Epub 2021 Sep 30. PMID: 34595840