Now it is time for Combined Laparoscopic Procedures

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General Surgery / Jan 9th, 2013 11:00 am A⁺ | a^-

Video of Laparoscopic Hysterectomy and Laparoscopic Appendicectomy Combined Procedure in same patient

With advancements in minimal access surgery, combined laparoscopic procedures are now performed for the coexisting abdominal pathologies at the same surgery. As long as because the basic surgical principles and indications for combined procedures are adhered to, more patients with concomitant pathologies can savor the good thing about minimal access surgery. Minimal access surgical procedures are feasible and appearance to possess several positive aspects in simultaneous treating two different coexisting pathologies without significant addition in postoperative morbidity and a hospital stay. If surgeon practical knowledge All the combined surgery were performed successfully and patient has lots of advantage.

Combined laparoscopic procedures could be a modality of choice for concomitant pathologies inside the abdomen, intraperitoneal or extraperitoneal spaces. Laparoscopic approaches permit simultaneous treatments with noninvasive procedures. The benefits of minimal access approach, lesser pain and morbidity, shorter hospital stay. These combined minimally invasive procedures provides advantages of single time anesthesia for surgical intervention for multiple pathologies.

Hysterectomy is among the normally performed surgery in the world. When laparoscopic hysterectomy procedures were compared with abdominal hysterectomy, less loss of blood and minimal probability of complications were reported as the features of laparoscopic approach. Laparoscopic colposuspension that has been first described in 1991, continues to gained popularity due to the many reported advantages including improved visualization, faster recovery and decreased blood loss. . Laparoscopic cholecystectomy that has been first performed in France by Mouret later have various advantages

including improved visualization, faster recovery and decreased hemorrhaging. Appendicectomy was basically performed by Prof. SEM. 2 of any two procedure explained above might be used together. Ou initial experiences for laparoscopic combined procedures with multiple pathologies are restricted to level 2 laparoscopic procedures together.

The following most common laparoscopic procedure can be easily combined together:

1. Laparoscopic Cholecystectomy + Laparoscopic Appendicectomy

2. Laparoscopic Colecystectomy + Laparoscopic Hysterectomy

3. Laparoscopic Hysterectomy + Laparoscopic Appendicectomy

4. Laparoscopic Hysterectomy + Laparoscopic Ovarian Cystectomy

5. Laparoscopic Hysterectomy + Laparoscopic Adhesiolysis

6. Laparoscopic Hysterectomy + Laparoscopic Burch Suspension

7. Laparoscopic Hysterectomy + Laparoscopic Sacrocolpopexy

8. Laparoscopic Cholecystectomy + Laparoscopic Sleeve Gastrectomy

9. Laparoscopic Splenectomy + Laparoscopic Cholecystectomy

10. Laparoscopic Splenectomy + Laparoscopic Appendicectomy

Noninvasive surgery offer various advantages such as decreased a hospital stay, less operative pain and morbidity, early go back to work far better cosmesis. In the event the procedures are executed as well furthermore the patients hold the advantages of minimal access surgery and also has single hospital admission, reoperative evaluation, and anesthesia exposure. the likelihood in selected cases endoscopic combined procedures bring important advantages like decrease morbidity, mortality, stay in hospital, elimination of future hospitalizations and repeated anesthetic exposures, a reduction in enough time lost from work and acceptance. Aside from the profit to the individual, in addition, it definitely seems to be economical both towards the patients and also to a healthcare facility services.