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Principles and indications of laparoscopic surgery

Released on May. 20, 2021

Principles of laparoscopic surgery:

Laparoscopic surgery is the product of modern high-tech applications in clinical practice. It uses the guiding trocar as the passage between the abdomen and the outside world, the artificial pneumoperitoneum generates observation and operation space, the laparoscope and the endoscopic camera system generate the surgical field of vision, and the special surgical instrument replaces the operator's hands for remote operation to complete the operation. Laparoscopic surgery can currently not only perform abdominal visceral resection, such as gallbladder, appendix, ovarian, brand, kidney, etc., but also various repair and suture operations, such as gastric perforation, intestinal perforation, hernia repair, etc. Fix the cecum and perform functional reconstruction, such as anastomosis after gastrointestinal resection.

Range of indications for laparoscopic surgery:

(1) At the same time as the early diagnosis of ectopic pregnancy, tubal incision and embryo extraction or fallopian tube excision should be performed at the same time.

(2) Carry out pelvic infectious disease pathogen inspection, and perform pelvic adhesion decomposition, abscess incision and drainage, fenestration or resection of fallopian tube ovarian cysts at the same time. In the diagnosis of the cause of infertility, tubal plastic surgery, tubal stoma, etc. are performed at the same time.

(3) Electrocoagulation destruction operation or focus excision operation of endometriosis lesions.

(4) Fenestration and drainage of pelvic masses, ovarian cysts, ovarian tumor exfoliation, adnexectomy, and resection of mesangial cysts.

(5) Hysterectomy or myomectomy should be performed for uterine fibroids, adenomyoma, and adenomyosis.

(6) Surgery for malignant tumors of the genital tract: early endometrial cancer, cervical cancer, ovarian cancer surgery, including radical hysterectomy, pelvic and para-aortic lymph node dissection, omentum and appendectomy.

(7) Diagnosis and treatment of genital tract malformations.

(8) Family planning: removal of the intrauterine contraceptive device, wound repair of uterine perforation, fallopian tube ligation, and fallopian tube anastomosis.

(9) Reproductive assistance: mature egg aspiration, gametophyte intrafallopian tube transplantation, polycystic ovary puncture, and perforation.

(10) Pelvic floor dysfunction correction surgery: posterior pubic bladder urethra suspension.