Adrenalectomy.
Small tumors of the adrenal glands can be removed completely by reanastomosis. It is a procedure consisting in moving away the gland in an effective way and minimizing the pain. The patient recovers very quickly and could go out one day after the surgery. Contradictory with the pain caused by open surgery, this method almost completely eliminates and improves the aesthetic sequels taken place by a lobotomy or laparotomy (open surgeries). It only requires of 4 small incisions.
Look at video: Adrenalectomy Laparoscopy right for adrenal and renal cysts.
Bypass Laparoscopy.
Denominated like the union of a small stomach by obesity surgery in the small intestine. This procedure uses manual techniques with extracorporeal knots (outside of the body) and it is very sure based on all of the characteristics and support of this knot type. Finally the patient eats a little food and the absorption is minimal so they lose weight very quickly in sure way, it also eliminates illnesses like diabetes and arterial hypertension. It requires strict control after surgery for a surgeon specialized in bariatric.
Look at video: union of the new stomach in the intestine (bypass)
Appendectomy for a complicated appendix.
Some of the cases of appendicitis can be a difficult procedure including open surgery. Laparoscopy diminishes any possibility of complications by advanced cases of appendicitis that open surgery can’t do. It is a possibility because the lens gives perfect visualization of the anatomical structures involved in an inflammatory vision, diminishing any complications during the evolution of prompt detection and repair of the damage. (Difficult to achieve with open surgery by that limited of some incisions). It eliminates the possibility of infection of the wounds practically from the controlled procedure and the piece contaminated by bacteria is taken out through a tube that avoids the contact of detached tissues with a surgical wound, avoiding large time of healing of the infected wound or dehiscent (opened up by bad quality of fabrics). The last advantage of this procedure is that it reduces pus abscesses unique or multiples collection, it allows completed irrigation in all of abdominal cavity than traditional surgery. It can be done in the most difficult cases of appendicitis.
Look at video: Appendectomy with abscess and coalition with the uterine trumpet
Derivation of pseudo cyst located in the pancreas.
Some patients that suffer inflammation in the pancreas from stones (lithiasis) or for increments in the sanguine fats (pancreatitis) they can develop as we know as pancreatic pseudo cyst (false cyst of the pancreas) because it doesn't contain a true wall. These false cysts can grow as in the abdominal pain and the stages could have nauseas, intolerance of foods and vomit, with secondary malnutrition and death. This problem can be resolved by laparoscopy. The procedure is to connect between the false cyst and the intestine, causing the drainage of the intestine and with time they will disappeara.
Look at video: Cistojejunumanastomosys
Drainage of pseudo cyst for broken pancreas.
In some cases the false pancreas cysts have been broken causing abdominal pain and abdominal chemical peritonitis. We could do the inspection, identification, drainage and unroofing of the false cyst by laparoscopy as a secure method. This procedure avoids the damage that has perpetuated and to eradicate the intestinal inflammation. In many cases the patient doesn`t require a second surgery for their control. This allows for a fast recovery, it also doesn’t increase periods of abdominal inflammation.
Look at video: Drainage secondary collection to pseudo cyst of broken pancreas
Splenectomy.
In some hematologic or blood illnesses where the red globules and/or platelets are decreased drastically (anemia), it is necessary to extirpate the spleen, a solid organ that is located in the left side below ribs, playing as a filter that reduces cellular lines. Removing this “filter" or spleen by laparoscopy (laparoscopic splenectomy) increases significantly the platelets and globules count, contributing to the improvement of a better clinical square in the patient and reducing or eliminating the number of transfusions and bleeding that these people obtain. The laparoscopic method is a very sure, aesthetic method, without pain and it helps to reduce the frequent complications in open surgery (open Splenectomy).
Look at video: Splenectomy or extraction of the spleen
Removal of Gastric Bands.
When the adjustable gastric bands, used by obese patients for the reduction of weight, don’t help in weight loss, and begin to cause problems in the high alimentary canal (bleeding, closing of the stomach, reflux, erosions, Barett esophagus or pre-cancer, perforation or gastric penetration) it is necessary to remove it. The elimination is carried out preferably by laparoscopy. It can be easy or difficult depending on how stuck it is inside the abdomen and adjacent viscous. The ideal method for elimination is by laparoscopy. This method provides the best functional and aesthetic result in the patient.
Look at video: Extraction of gastric band
Sleeve Gastrectomy Laparoscopy
The gastrectomy in sleeve laparoscopy is one of the most modern and functional in reducing weight in morbid obesity cases. Initially sleeve laparoscopic gastrostomy was intended as a temporary method or first procedure to help lose weight, but excellent results were seen on how the patient lost all excess weight as well as losing 70% of the Fat Index. It is a restrictive method although it has a certain hormonal component for reducing a specific substance in blood that produces appetite in the human being (Grelina). It is done ideally by laparoscopy for the comfort of arriving until the deepest in the hiatus. It is a very sure method in expert hands. It requires of four small holes for its execution. The patient goes out of the hospital in about two days with a liquid diet.
Look at video: Gastrostomy in sleeve for obesity morbid
Gastrojejumanastomosis.
In cases where the patient ingests sour or alkaline toxic substances accidentally or voluntarily and/or patients with benign tumors closed in the terminal part of the stomach not permitting the food in the intestine, it is required to do a gastrointestinal bypass to be able to pass the gastric juices and the food caught in the stomach. This procedure is denominated as gastrojejumanastomosis. It can be done successfully by laparoscopy. The patient's recovery is extraordinary and will be able to eat again in a few days post surgery. In these patients, nutrition is very important in order to obtain appropriate intestinal scaring, otherwise the risk of water-pipes or flights and complications are very high. The procedure can be carried out with grapeo system (mechanical gastrojejum) or with suture extracorporeal (manual gastrojejum). Both are very effective methods. The patient returns to his normal life in few weeks
Look at video: Mechanic Gastrojejumanastomosis
Look at video: Manual Gastrojejunoanastomosis
Right Hemicholectomy for tumor (right colon resection laparoscopic).
Certain conditions such as complicated appendicitis that cause damage or rupture of the large intestine (a part of the colon called "Blind"), tumors of the same location and / or diverticula of the colon are possible to resect (remove) via laparoscopy. This method results in excellent recovery in spite of major surgery. By laparoscopy we avoid complications that are more common in open surgery and abdominal aesthetic is achieved as well as early re-integration into the social life of the patient.
Look at video: Right hemicholectomy for cecal tumor (right colon).
Inguinal Hernia.
The abdominal wall hernias are resolved in a safe and effective Laparoscopic way. The method is controversial because of the difficulty it presents, becoming a challenge even in experienced hands, especially in recurrent hernias (hernias already operated on by open technique that failed) and who have fibrosis or adhesions from the lack of "virginity" of the abdomen . Laparoscopic hernioplasty is a very safe and cosmetic method. It is ideal for medium and small hernias and mainly bilateral inguinal hernias, where a single approach can repair two hernias (left and right channel). It is possible to repair any type of abdominal wall hernia by laparoscopy with only three small incisions of 0.5mm.
Look at video: Laparoscopic Inguinal hernia repair
Myotomy for esophageal achalasia.
There are certain diseases of the esophagus that prevent the normal transit of food into the stomach causing weight loss and malnutrition in severe cases as well as secondary death. One of these problems is esophageal achalasia. Current treatment for this condition when pharmaceutical and endoscopic measures are exhausted, is to cut off muscle fibers at the cardio and lower esophageal sphincter (cardiomyotomy esophagus). With this procedure the patient returns to normal life within days of surgery, gaining weight and recovering nurturing himself after losing all organic functions as a patient.
Look at video: Laparoscopic myotomy for achalasia of the esophagus with scissors
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