It is a modern surgical procedure that uses specialized techniques and instruments to perform procedures with smaller incisions than traditional open surgery. It is also known as minimally invasive surgery or laparoscopic surgery. With this approach, trauma to surrounding tissues is reduced, postoperative pain is reduced, recovery time is shortened, and cosmetic outcomes are improved. The concept of minimal access surgery encompasses a variety of procedures across various medical specialties, including general surgery, gynecology, urology, and orthopedics.
The surgical team, including the surgeon, anesthesiologist, and nursing staff, evaluates the patient comprehensively in advance of minimal access surgery. Preoperative testing is typically conducted on patients undergoing minimal access surgery, including blood tests, imaging studies (like X-rays or CT scans), and electrocardiography (ECG). During preoperative counseling, the patient may be informed about the procedure, expected outcomes, potential risks, and instructions about postoperative care. Before surgery, patients may need to abstain from food and drink and discontinue certain medications, such as blood thinners, as advised by their healthcare provider.
The surgeon inserts specialized instruments and a camera (laparoscope) into the body through small incisions, usually ranging from a few millimeters to a few centimeters in length. With the camera, surgeons can visualize internal structures and perform the procedure accurately since high-definition images are provided. To enhance visibility and create space, the surgeon may inflate the abdominal cavity with carbon dioxide gas.
Minimal access surgery procedures include:
Laparoscopic Cholecystectomy: Removal of the gallbladder for conditions such as gallstones or inflammation.
Laparoscopic Appendectomy: Removal of the appendix for appendicitis.
Laparoscopic Hysterectomy: Removal of the uterus for conditions such as fibroids or abnormal bleeding.
Laparoscopic Nephrectomy: Removal of the kidney for conditions such as kidney cancer or kidney stones.
Laparoscopic Hernia Repair: Repair of hernias, such as inguinal or ventral hernias, using mesh reinforcement.
Laparoscopic Colon Resection: Removal of part of the colon for conditions such as colon cancer or diverticulitis.
Since minimal access surgery involves smaller incisions and less tissue trauma, it generally results in faster recovery than traditional open surgery. Postoperative pain may be reduced, hospitals may be shorter, and patients may return to normal activities more quickly. In the recovery area after surgery, patients are closely monitored for vital signs, pain management, and potential complications like bleeding. After surgery, patients may be discharged home the same day or within a few days with instructions for postoperative care, pain management, activity restrictions, and follow-up appointments.
There are several advantages to minimal access surgery, but there are also some risks and potential complications, including:
Infection at the incision sites
Bleeding
Organ or tissue injury
Blood clots (deep vein thrombosis or pulmonary embolism)
Adverse reactions to anesthesia
Pneumothorax (collapsed lung) in thoracic procedures
To minimize the risk of complications, patients should discuss the potential risks and benefits of minimal access surgery with their surgeons.
After minimal access surgery, patients are advised to follow their surgeon's instructions for postoperative care, including wound care, pain management, medication adherence, dietary recommendations, and activity restrictions. Follow-up appointments are vital to ensuring optimal long-term outcomes, addressing any concerns or complications, and monitoring recovery progress. The right aftercare and adherence to medical advice can help patients achieve successful outcomes and resume their daily activities.
