Our Summary
This study looks at the use of emergency laparoscopic surgery (a less invasive type of surgery) in Russia over a five-year period. They found that the use of this type of surgery increased for several conditions including acute cholecystitis (inflammation of the gallbladder), acute appendicitis, perforated ulcers, and ileus (a type of bowel obstruction).
The study also found that the use of laparoscopic surgery varied depending on the hospital and location. It was used more in higher-level hospitals and less in rural hospitals. This is likely due to differences in the availability of the necessary equipment and trained surgeons.
They concluded that while the use of laparoscopic surgery is increasing, it is still not uniformly available across all regions and hospital types. Factors such as the availability of equipment and trained surgeons, as well as the hospital’s location and patient population, can all influence whether this type of surgery is used.
FAQs
- What conditions saw an increase in the use of laparoscopic surgery in Russia over the study period?
- Did the use of laparoscopic surgery vary depending on the hospital and location in Russia?
- What factors can influence the availability and use of laparoscopic surgery in hospitals across different regions?
Doctor’s Tip
One helpful tip a doctor might tell a patient about laparoscopic surgery is to follow all pre-operative instructions carefully, such as fasting before the procedure and stopping certain medications as directed. This can help minimize the risk of complications during surgery and promote a successful recovery. Additionally, it is important to communicate any concerns or questions with your healthcare team before the procedure to ensure you are well-informed and prepared for the surgery.
Suitable For
Patients who are typically recommended for laparoscopic surgery include those with conditions such as acute cholecystitis, acute appendicitis, perforated ulcers, and ileus. Additionally, patients who are looking for a less invasive surgical option or who have a lower risk of complications may also be recommended for laparoscopic surgery. Factors such as the availability of equipment and trained surgeons, as well as the hospital’s location and patient population, can all influence whether laparoscopic surgery is recommended for a particular patient.
Timeline
Before laparoscopic surgery, a patient will typically undergo a consultation with their surgeon to discuss the procedure, potential risks and benefits, and to ensure they are a suitable candidate for the surgery. They may also undergo preoperative testing such as blood work and imaging studies.
On the day of the surgery, the patient will be admitted to the hospital and prepared for the procedure. This may include fasting, receiving medications to help relax and prevent infection, and marking the surgical site.
During the surgery, small incisions are made in the abdomen and a laparoscope (a thin, flexible tube with a camera) is inserted to allow the surgeon to see inside the body. Surgical instruments are then used to perform the necessary procedure, such as removing a diseased organ or repairing a damaged area.
After the surgery, the patient will be monitored in a recovery area before being transferred to a hospital room. They will receive pain medication as needed and be encouraged to start moving around to aid in recovery.
In the days following the surgery, the patient will be given instructions on how to care for their incisions, manage pain, and gradually resume normal activities. Follow-up appointments will be scheduled to monitor the healing process and address any concerns. Overall, the recovery time for laparoscopic surgery is typically shorter than traditional open surgery, with less pain and scarring.
What to Ask Your Doctor
Some questions a patient should ask their doctor about laparoscopic surgery include:
- What are the potential benefits of laparoscopic surgery compared to traditional open surgery for my condition?
- What are the potential risks and complications associated with laparoscopic surgery?
- How experienced are you in performing laparoscopic surgery for my specific condition?
- What is the expected recovery time and post-operative care for laparoscopic surgery?
- Will I have any restrictions or limitations after the surgery?
- How will my pain be managed during and after the surgery?
- What are the chances of needing additional surgery or experiencing complications after laparoscopic surgery?
- Are there any alternative treatment options to consider before deciding on laparoscopic surgery?
- How will I be monitored during the surgery to ensure my safety?
- Will I need any special preparation or testing before undergoing laparoscopic surgery?
Reference
Authors: Revishvili AS, Olovyanny VE, Kuznetsov AV. Journal: Khirurgiia (Mosk). 2024;(9):5-15. doi: 10.17116/hirurgia20240915. PMID: 39268731