Academic Journal
One-day laparoscopic surgery
| العنوان: | One-day laparoscopic surgery |
|---|---|
| المؤلفون: | MICALI, Salvatore, M. Bitelli, F. Torelli, M. Valitutti, F. Micali |
| المساهمون: | Micali, Salvatore, M., Bitelli, F., Torelli, M., Valitutti, F., Micali |
| سنة النشر: | 1998 |
| المجموعة: | Archivio della ricerca dell'Università di Modena e Reggio Emilia (Unimore: IRIS) |
| مصطلحات موضوعية: | laparoscopic, surgery |
| الوصف: | Since ten years laparoscopic techniques have been employed as alternatives of many established open procedures in gynecologic, abdominal and finally urologic surgery. Laparoscopic techniques show significant advantages compared to open surgery, such as less hospitalization, reduced need of analgesic drugs, quick return to daily activities and far a better cosmetic results. Laparoscopic surgery has been advocated for urologic, uro-gynecologic and andrologic diseases. Since 1983 one-day surgery was proposed for only a few gynecologic and abdominal procedures and only recently for laparoscopic renal biopsy and abdominal testis evaluation. In these preliminary experiences the conditions for a correct management of laparoscopic one-day surgery have been clearly pointed out: 1. correct surgical indication; 2. through knowledge of surgical technique; 3. duration of the procedure less than 90 minutes; 4. correct anesthesia. Technique of anesthesia must be adapted to the surgical procedure required, its duration and the physical features of the patient. General anesthesia is usually preferred for either longer and more complex procedures or when a higher abdominal insufflation pressure is needed. Spinal or local anesthesia are preferred for simpler procedures or when only one trocar is required. At date only few urologic procedures seem to be suitable to one-day laparoscopic surgery. 1) Varicocele: although laparoscopic varicocelectomy in one-day surgery has never been reported previously, it can be performed in a short time, only 3 trocars are needed and insufflation pressure can be maintained within 15 mm Hg. 2) Renal biopsy and marsupialization of renal cysts. These are usually managed percutaneously but in some particular indications procedures under direct vision should be preferable. Both are short-lasting and only superficial general anesthesia is required; as surgical access is retroperitoneal only two trocars are sufficient; at date only renal biopsies have previously been reported. 3) Diagnostic procedures on ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | ELETTRONICO |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/9707775; info:eu-repo/semantics/altIdentifier/wos/WOS:000076427100229; volume:70(3 Suppl); firstpage:63; lastpage:66; numberofpages:4; journal:ARCHIVIO ITALIANO DI UROLOGIA ANDROLOGIA; http://hdl.handle.net/11380/710226; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-0031852938 |
| الاتاحة: | http://hdl.handle.net/11380/710226 |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.670D262C |
| قاعدة البيانات: | BASE |
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