Pelvic laparoscopy

ʻO ke pelvic laparoscopy kahi ʻoki e nānā i nā kino pelvic. Hoʻohana ia i kahi mea hana nānā i kapa ʻia he laparoscope. Hoʻohana ʻia ke kīʻaha e mālama i kekahi mau maʻi o nā pelvic.

ʻOiai ʻoe e hiamoe nui ana a ʻaʻohe ʻeha ma lalo o ka anesthesia laulā, hana ke kauka i ka ʻokiʻoki hapalua (1.25 kenimika) i ka ʻili ma lalo o ka pihi ʻōpū. Hoʻomoe ʻia ke kinoea kalapona i loko o ka ʻōpū e kōkua i ke kauka e ʻike maʻalahi i nā ʻōpū.

Hoʻokomo ʻia ka laparoscope, mea kani e like me ka teleskopa liʻiliʻi me ke kukui a me ka pahu paʻi wikiō i hiki i ke kauka ke nānā i kēlā wahi.

Hoʻokomo ʻia nā mea hana ʻē aʻe i loko o nā ʻoki liʻiliʻi i ka ʻōpū o lalo. ʻOiai ke nānā nei i kahi mea nānā wikiō, hiki i ke kauka ke:

• E kiʻi i nā hōʻailona kikoola (biopsy)
• E nānā i ke kumu o nā ʻōuli
• Wehe i nāʻiʻo makaʻu a i ʻole nā ​​mea ʻino ʻē aʻe, e like me mai endometriosis
• Hoʻoponopono a wehe i kahi ʻāpana a i ʻole nā ​​ovaries a i ʻole nā ​​paipu uterine
• Hoʻoponopono a wehe i nā ʻāpana o ka kōpū
• Hana i nā kaʻina hana ʻē aʻe (e like me ka appendectomy, ka hoʻoneʻe ʻana i nā wahi lymph)

Ma hope o ka laparoscopy, hoʻokuʻu ʻia ke kinoea carbon dioxide, a pani ʻia nā ʻoki.

Hoʻohana ʻo Laparoscopy i kahi ʻoki ʻoki liʻiliʻi ma mua o ke kaha ākea. ʻO ka hapa nui o ka poʻe i loaʻa kēia kaʻina hana hiki ke hoʻi i ka home i ka lā like. ʻO ka ʻokiʻoki liʻiliʻi ʻo ia hoʻi ka wikiwiki o ka hoʻōla. Loaʻa ka emi o ke kahe o ke koko me ke kahakaha laparoscopic a me ka liʻiliʻi o ka ʻeha ma hope o ke kaha ʻana.

Hoʻohana ʻia ka pelvic laparoscopy i ʻelua no ka ʻike a me ka lāʻau. Paipai ʻia paha no:

• ʻO kahi pelvic mass a i ʻole ovarian cyst i loaʻa me ka hoʻohana ʻana i ka ultrasound pelvic
• Ka maʻi ʻaʻai (ovarian, endometrial, a cervielle paha) e ʻike ai inā ua pālahalaha ʻia ia, a i ʻole e wehe i nā lymph node a i ʻole nāʻaʻaʻa.
• ʻO ka maʻi pelvic wā lōʻihi (wā lōʻihi), inā ʻaʻohe kumu ʻē aʻe i loaʻa
• Ectopic (tubal) hāpai keiki
• Endometriosis
• Ka hapai paʻakikī ʻana a i ʻole ka hānau ʻana o kahi pēpē (infertility)
• ʻEha ʻeha, ʻeha pelvis nui

Hiki ke hana ʻia i kahi laparoscopy pelvic i:

• Wehe i kou uterus (hysterectomy)
• Wehe i nā fibroids uterine (myomectomy)
• "E hoʻopaʻa" i kou mau paipu (tubal ligation / sterilization)

Nā pilikia no kekahi ʻoki pelvic:

• Kahena
• Hoʻopili ke koko i ka wāwae a i ʻole nā ​​pelvic veins, i hiki ke hele i nā akemāmā a, kākaʻikahi ka make
• Nā pilikia hanu
• Ka hōʻino ʻana i nā meaola a me nā mea pili kokoke
• Nā pilikia puʻuwai
• Maʻi kīnā

ʻOi aku ka palekana o Laparoscopy ma mua o kahi kaʻina hāmama no ka hoʻoponopono ʻana i ka pilikia.

E haʻi mau i kāu mea mālama ola:

• Inā ʻoe a hāpai paha
• He aha nā lāʻau āu e lawe nei, ʻo nā lāʻau, nā mea kanu, a i ʻole nā ​​mea hoʻopihapiha āu i kūʻai ai me ka ʻole o ka lāʻau

I nā lā ma mua o ke kaha ʻana:

• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i ka aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), a me nā lāʻau ʻē aʻe paʻakikī i kou koko ke ʻū.
• E nīnau i kāu mea nāna e hāʻawi i nā lāʻau i hiki iā ʻoe ke lawe i ka lā o kou ʻoki ʻana.
• Inā puhi ʻoe, hoʻāʻo e kū. E noi i kāu mea hāʻawi mai i kōkua.
• E hoʻonohonoho no kekahi e hoʻokele iā ʻoe i ka home ma hope o ke kahakaha ʻana.

I ka lā o kou ʻoki kino:

• Nonoi ʻia ʻoe ʻaʻole e inu a ʻai paha i kekahi mea ma hope o ke aumoe i ka pō ma mua o kou ʻoki ʻana, a i ʻole 8 mau hola ma mua o kou ʻoki kino.
• E lawe i nā lāʻau i haʻi aku ai kāu mea lawelawe iā ʻoe e lawe me kahi wai liʻiliʻi.
• E haʻi aku kāu mea lawelawe iā ʻoe i ka wā e hōʻea ai i ka haukapila a i ʻole ka haukapila.

E hoʻolōʻihi ʻoe i kahi manawa ma kahi e hoʻōla ai ke ala ʻoe mai ka anesthesia.

Hiki i nā poʻe he nui ke hoʻi i ka home i ka lā like e like me ke kaʻina hana. I kekahi manawa, pono paha ʻoe e noho i ka pō, ke kaukaʻi ʻia i ka hana a ka ʻokiʻoki i hana ai me ka hoʻohana ʻana i ka laparoscope.

ʻO ke kinoea i hoʻomomo ʻia i loko o ka ʻōpū e hoʻohoihoi i ka ʻōpū no 1 a 2 mau lā ma hope o ke kaʻina hana. ʻIke kekahi poʻe i ka ʻāʻī a me ka poʻohiwi no nā lā he nui ma hope o kahi laparoscopy no ka mea hoʻonāukiuki ke kinoea dioxide i ka diaphragm. Ke komo nei ke kinoea, e hala kēia ʻeha. Hiki ke kōkua i ka moe ʻana i lalo e hōʻemi i ka ʻeha.

E loaʻa iā ʻoe kahi kuhikuhi no ka lāʻau ʻeha a i ʻole e haʻi ʻia iā ʻoe nā lāʻau lapaʻau ʻē aʻe āpau hiki iā ʻoe ke lawe.

Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau ma waena o 1 a 2 mau lā. Eia naʻe, Mai hāpai i kekahi mea ma mua o 10 paona (4.5 kilokilo) no 3 mau pule ma hope o ke kahakaha ʻana e hoʻemi i kou makaʻu i ka loaʻa ʻana o ka hernia i kāu mau ʻokiʻoki.

Kaukaʻi ʻia i ka hana i hana ʻia, hiki iā ʻoe ke hoʻomaka pinepine i nā hana moekolohe ke pau ke kolo ʻana. Inā loaʻa iā ʻoe kahi hysterectomy, pono ʻoe e kali i kahi manawa lōʻihi ma mua o ka moekolohe hou ʻana. E noi i kāu mea hāʻawi i ka mea e koi ʻia no ke kaʻina hana āu e loaʻa nei.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Kahe mai ka maʻi kōā
• ʻO ke kuni ʻaʻole e hele
• ʻO Nusea a me ka luaʻi
• ʻEha ʻeha loa

Celioscopy; ʻOki poʻomanaʻo band-aid; Pelviscopy; Laparoscopy Gynecologic; ʻO laparoscopy exploratory - gynecologic

• Pelvic laparoscopy
• Endometriosis
• Pākuʻi pelvic
• Ovarian cyst
• Pelvic laparoscopy - moʻo

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Burney RO, Giudice LC. Endometriosis. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 130.

ʻO Carlson SM, Goldberg J, Lentz GM. Endoscopy: hysteroscopy a me laparoscopy: nā hōʻike, nā contraindications, a me nā pilikia. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 10.

Patel RM, Kaler KS, Landman J. Fundamentals o ka laparoscopic a me ka robotic urologic ʻoki kino. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 14.