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Laparoscopic surgeryLLaparoscopic surgeryLaparoscopic surgeryEnglishNAChild (0-12 years);Teen (13-18 years)AbdomenNAProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZJoley Johnstone, RN, BScN10.000000000000047.00000000000001056.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Laparoscopy surgery uses small cuts to insert a camera and tools into the abdomen to perform a surgical procedure. Learn about laparoscopy surgery.</p><h2>What is laparoscopic surgery?</h2><p>Laparoscopic (lap-uh-ra-SCOP-ic) surgery is a way to perform operations using only very small incisions (cuts) into the skin. This type of surgery uses a thin rod-shaped instrument with a tiny camera on the tip, called a laparoscope. The laparoscope is put into the body and moved from the outside by the surgeon. The camera sends pictures to a TV monitor or other viewing device. During the operation, the surgeon can see the organs inside the body on the viewing device.</p><p>Because this modern surgical technique does not require opening up the body as much as traditional open surgery does, medical people call laparoscopy minimally invasive surgery.</p><p>Laparoscopy is used for many different types of surgery on the abdomen and pelvis. Depending on the type and reasons for the surgery, the laparoscopy may take several hours.</p> <figure> <span class="asset-image-title">Laparoscopic surgery</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Laparoscopic_surgery_MED_ILL_EN.jpg" alt="Laparoscope and gas inside abdomen" /> <figcaption class="asset-image-caption">A small incision is made at the belly button. A long tube-like camera called a laparoscope is inserted through this incision into the abdomen. The abdomen is inflated with gas so that the doctor can see the organs inside. One to three other small openings may be made elsewhere on the abdomen for other instruments.</figcaption> </figure><h2>Key points</h2> <ul> <li>Laparoscopy is a common surgical procedure that involves several small cuts in the abdomen (belly). </li> <li>It can be used for diagnosis and treatment of many gynaecological problems, but not for every problem. </li> <li>Your child will probably not have to stay in hospital. </li> <li>Your child'should not have very much pain after the procedure. </li> </ul><h2>During a laparoscopic surgery</h2><p>Like traditional open surgery, laparoscopy is done in the hospital. Your child will be prepared for surgery and will probably have to stop eating and drinking several hours before the procedure begins. </p><p>During the procedure, your child will be put to sleep with a special "sleep medicine" called general anesthetic. This helps make sure that your child will sleep through the procedure and will feel no pain. </p><p>Your child's abdomen (belly) is filled with carbon dioxide gas (CO2). This lifts the abdominal wall like a dome. It gives the surgeon a better view of the organs inside the body, like the uterus, ovaries and bladder. It also gives the surgeon more space to work inside the body. </p> <figure> <span class="asset-image-title">Laparoscopic incision points</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Laparoscopy_incision_points_MED_ILL_EN.jpg" alt="Incision points under belly button and on lower abdomen" /><figcaption class="asset-image-caption">A small incision is made at the belly button. One to three other small openings may be made elsewhere on the abdomen for other instruments. The incisions are about 1-2 cm in length.</figcaption> </figure> <p>The surgeon makes a 1 cm incision (about half an inch) near the belly button for the laparoscope. Then the surgeon makes small 5 mm incisions (about a quarter inch each) in the lower corners of the abdomen. These incisions are for any other instruments that might be needed. </p><p>The number and exact location of the incisions depends on which type of surgery is being performed. If different incisions are being used, your doctor will tell you ahead of time. </p><p>After the operation is finished, all the instruments are removed. The CO2 gas is removed from inside the body. Any remaining CO2 is absorbed and naturally processed by the blood. The surgeon closes the incisions with dissolving stitches and/or steristrips. Steristrips are little sticky tapes used to help hold together and protect the healing skin.</p><h2>After the laparoscopic surgery</h2> <p>Children usually recover faster from laparoscopic surgery than from traditional open surgery. Many patients go home the same day as the surgery. Because of the smaller incisions, scars are very small compared to traditional surgery. </p> <p>Many children return to school after a few days.</p> <p>Depending on the surgery, your child may take a little longer to return to all of their usual physical activities, such as contact sports. Ask your doctor what activities your child can and cannot do in the days and weeks after the surgery.</p> <h2>Managing pain after the operation</h2> <p>Children usually have less pain after laparoscopic surgery than after traditional open surgery. If there is pain after the surgery, your child's doctor may prescribe a pain medication. Or, the doctor may suggest your child take a non-prescription pain medication such as <a href="/Article?contentid=153&language=English">ibuprofen</a>.</p> <p>Your child's shoulders might be sore as the remaining CO2 gas from the operation is re-absorbed into the body. The gas can irritate the diaphragm, which is a muscle in the abdomen. Because the diaphragm muscle shares nerves with the shoulders, some children have sore shoulders after the surgery. </p>
Laparoscopie (cœlioscopie)LLaparoscopie (cœlioscopie)Laparoscopic surgeryFrenchNAChild (0-12 years);Teen (13-18 years)AbdomenNAProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZJoley Johnstone, RN, BScN10.000000000000047.00000000000001056.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Vous en apprendrez davantage sur une opération par laparoscopie.</p><h2>Qu'est-ce qu'une op​ération par laparoscopie?</h2><p>Une opération par laparoscopie (ou cœlioscopie) est un moyen de faire des opérations en ne faisant que de très petites incisions (ouvertur es) dans la peau. Dans ce type d'opération, on se sert d'un mince instrument en forme de tige avec une caméra au bout, appelé laparoscope. Le laparoscope est inséré dans la cavité, et le chirurgien peut le déplacer de l'extérieur. La caméra envoie des images à un écran de télévision ou un autre appareil de visualisation. Pendant l'opération, le chirurgien peut voir les organes du corps sur l'appareil.</p><p>Étant donné que cette technique chirurgicale moderne ne nécessite pas une aussi grande incision qu'une opération « ouverte » habituelle, les membres du milieu médical appellent la laparoscopie une « opération à effraction minimale ».</p><p>La laparoscopie sert à différents types d'opération à l'abdomen et au pelvis. Selon le type et les raisons de l'opération, la laparoscopie peut durer plusieurs heures.</p> <figure><span class="asset-image-title">Chirurgie laparoscopique</span><img src="https://assets.aboutkidshealth.ca/akhassets/Laparoscopic_surgery_MED_ILL_FR.jpg" alt="Un laparoscope et du gaz dans l’abdomen" /><figcaption class="asset-image-caption">On pratique une petite incision dans le nombril. On y insère un laparoscope, un long tube muni d'une caméra, jusque dans l'abdomen. On gonfle l'abdomen avec du gaz afin que le docteur puisse voir les organes à l'intérieur. On pourrait également faire une à trois petites incisions supplémentaires ailleurs dans l'abdomen afin d'insérer d'autres instruments..</figcaption> </figure> <br><h2>À retenir</h2><ul><li>La laparoscopie est une intervention chirurgicale courante où l' on pratique plusieurs petites incisions dans l' abdomen (ventre).</li><li>On peut s' en servir pour diagnostiquer et traiter de nombreux problèmes gynécologiques, mais elle ne peut servir à régler tous les problèmes.</li><li>Votre enfant n' aura probablement pas à séjourner à l' hôpital.</li><li>Votre enfant ne devrait pas ressentir trop de douleur après l' opération.</li></ul><h2>Pendant une opération par laparoscopie</h2><p>Comme c'est le cas pour une opération normale ouverte, la laparoscopie est faite à l'hôpital. Votre enfant sera préparé pour l'opération et devra probablement cesser de manger et de boire plusieurs heures avant le début de l'intervention.</p><p>Pendant l'intervention, votre enfant sera endormi avec un médicament spécial appelé anesthésie qui fera dormir votre enfant tout au long de l'intervention et il ne ressentira aucune douleur.</p><p>L'abdomen (ventre) de votre enfant est rempli de dioxyde de carbone (CO2). Cela soulève la paroi abdominale comme un dôme et permet au chirurgien de mieux voir les organes à l'intérieur du corps, comme l'utérus, les ovaires et la vessie. Cela donne aussi au chirurgien plus d'espace pour travailler dans la cavité.</p> <figure> <span class="asset-image-title">Emplacement des incisions laparoscopiques</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Laparoscopy_incision_points_MED_ILL_FR.jpg" alt="Points d’incision sous le nombril et sur le bas de l’abdomen" /><figcaption class="asset-image-caption">Une petite incision est pratiquée à l'endroit du nombril. On pourrait également faire une à trois petites incisions supplémentaires dans l'abdomen afin d'insérer d'autres instruments. La longueur des incisions va de 1 à 2 cm.</figcaption> </figure> <p>Le chirurgien pratique une incision d'un centimètre (environ un demi-pouce) près du nombril, où est inséré le laparoscope. Ensuite, il fait des petites incisions de 5 mm (environ un quart de pouce chacune) dans les coins inférieurs droits de l'abdomen. ​ Ces incisions sont pour tout autre instrument qui pourrait être nécessaire.</p><p>Le nombre et l'emplacement exact des incisions dépendent du type d'opération. Si on fait différentes incisions, votre médecin vous avisera à l'avance.</p><p>Quand l'opération est terminée, on retire tous les instruments, ainsi que le CO2. Tout le CO2 résiduel est absorbé et traité par le sang. Le chirurgien ferme les incisions avec des points fondants (sutures résorbables) et/ou des Steri Strips. Les Steri Strips sont de petits rubans collants qui servent à tenir la peau fermée et à protéger la peau qui guérit.</p><h2>Après l'opération par laparoscopie</h2><p>Les enfants se rétablissent habituellement plus rapidement d'une opération par laparoscopie que d'une opération ouverte normale. De plus, de nombreux patients retournent à la maison la même journée. Étant donné que les incisions sont plus petites, les cicatrices sont aussi beaucoup moins apparentes que celles d'une opération normale.</p><p>De nombreux enfants retournent à l'école après quelques jours.</p><p>Selon l'opération, il se peut que votre enfant ait besoin de plus de temps avant de retourner à ses activités physiques, comme des sports de contact. Demandez à votre médecin quelles sont les activités que votre enfant peut faire et ne peut pas faire dans les jours et les semaines qui suivent l'opération.</p><h2>Gestion de la douleur après l'opération</h2><p>Les enfants ont habituellement moins mal après une opération par laparoscopie qu'après une opération ouverte normale. S'il y a une douleur après l'opération, le médecin de votre enfant pourrait prescrire un médicament contre la douleur, ou encore suggérer que votre enfant prenne un médicament sans ordonnance, comme l'ibuprofène (Advil).</p><p>Les épaules de votre enfant pourraient être douloureuses, à mesure que le résidu de CO2 de l'opération est réabsorbé dans l'organisme. Le gaz peut irriter le diaphragme, un muscle de l'abdomen. Étant donné que le muscle du diaphragme partage des nerfs avec ceux des épaules, certains enfants ont mal aux épaules après l'opération.</p>

 

 

Laparoscopic surgery1005.00000000000Laparoscopic surgeryLaparoscopic surgeryLEnglishNAChild (0-12 years);Teen (13-18 years)AbdomenNAProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZJoley Johnstone, RN, BScN10.000000000000047.00000000000001056.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Laparoscopy surgery uses small cuts to insert a camera and tools into the abdomen to perform a surgical procedure. Learn about laparoscopy surgery.</p><h2>What is laparoscopic surgery?</h2><p>Laparoscopic (lap-uh-ra-SCOP-ic) surgery is a way to perform operations using only very small incisions (cuts) into the skin. This type of surgery uses a thin rod-shaped instrument with a tiny camera on the tip, called a laparoscope. The laparoscope is put into the body and moved from the outside by the surgeon. The camera sends pictures to a TV monitor or other viewing device. During the operation, the surgeon can see the organs inside the body on the viewing device.</p><p>Because this modern surgical technique does not require opening up the body as much as traditional open surgery does, medical people call laparoscopy minimally invasive surgery.</p><p>Laparoscopy is used for many different types of surgery on the abdomen and pelvis. Depending on the type and reasons for the surgery, the laparoscopy may take several hours.</p> <figure> <span class="asset-image-title">Laparoscopic surgery</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Laparoscopic_surgery_MED_ILL_EN.jpg" alt="Laparoscope and gas inside abdomen" /> <figcaption class="asset-image-caption">A small incision is made at the belly button. A long tube-like camera called a laparoscope is inserted through this incision into the abdomen. The abdomen is inflated with gas so that the doctor can see the organs inside. One to three other small openings may be made elsewhere on the abdomen for other instruments.</figcaption> </figure><h2>There are different reasons to perform laparoscopy</h2> <p>There are different types of laparoscopy:</p> <ul> <li>Laparoscopy to find out the cause of a problem like pain, or to provide more information after other tests are done, is called diagnostic laparoscopy. </li> <li>Laparoscopy to treat a problem is called operative laparoscopy. Sometimes if a problem is found at a diagnostic laparoscopy then it can be fixed at the same time. This means we only need to do one operation, not two. </li> </ul> <p>In gynaecology, laparoscopy is done for the following reasons:</p> <ul> <li>treating ovarian cysts </li> <li>removing some ovarian masses </li> <li>diagnosing and treating ovarian torsion (twisting) </li> <li>evaluating chronic pelvic pain </li> <li>diagnosing and treating endometriosis </li> <li>evaluating infertility </li> <li>treating some ectopic pregnancies </li> </ul> <h2>Laparoscopy is not for everyone or for every situation</h2> <p>There are many other reasons laparoscopy might be performed. However, laparoscopy is not always right for everyone. It cannot always be done for every type of condition requiring surgery. </p> <p>Your doctor will discuss with you why laparoscopy is right or not for your child's condition.</p><h2>Key points</h2> <ul> <li>Laparoscopy is a common surgical procedure that involves several small cuts in the abdomen (belly). </li> <li>It can be used for diagnosis and treatment of many gynaecological problems, but not for every problem. </li> <li>Your child will probably not have to stay in hospital. </li> <li>Your child'should not have very much pain after the procedure. </li> </ul><h2>Following up after the operation</h2> <p>Your child will see the doctor again about six weeks after the surgery to discuss the operation and find out how your child is now doing. </p> <p>If the doctor wants to see you sooner, he will let you know</p> <p>If you have questions about the surgery, make a list to ask your doctor.</p><h2>During a laparoscopic surgery</h2><p>Like traditional open surgery, laparoscopy is done in the hospital. Your child will be prepared for surgery and will probably have to stop eating and drinking several hours before the procedure begins. </p><p>During the procedure, your child will be put to sleep with a special "sleep medicine" called general anesthetic. This helps make sure that your child will sleep through the procedure and will feel no pain. </p><p>Your child's abdomen (belly) is filled with carbon dioxide gas (CO2). This lifts the abdominal wall like a dome. It gives the surgeon a better view of the organs inside the body, like the uterus, ovaries and bladder. It also gives the surgeon more space to work inside the body. </p> <figure> <span class="asset-image-title">Laparoscopic incision points</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Laparoscopy_incision_points_MED_ILL_EN.jpg" alt="Incision points under belly button and on lower abdomen" /><figcaption class="asset-image-caption">A small incision is made at the belly button. One to three other small openings may be made elsewhere on the abdomen for other instruments. The incisions are about 1-2 cm in length.</figcaption> </figure> <p>The surgeon makes a 1 cm incision (about half an inch) near the belly button for the laparoscope. Then the surgeon makes small 5 mm incisions (about a quarter inch each) in the lower corners of the abdomen. These incisions are for any other instruments that might be needed. </p><p>The number and exact location of the incisions depends on which type of surgery is being performed. If different incisions are being used, your doctor will tell you ahead of time. </p><p>After the operation is finished, all the instruments are removed. The CO2 gas is removed from inside the body. Any remaining CO2 is absorbed and naturally processed by the blood. The surgeon closes the incisions with dissolving stitches and/or steristrips. Steristrips are little sticky tapes used to help hold together and protect the healing skin.</p><h2>After the laparoscopic surgery</h2> <p>Children usually recover faster from laparoscopic surgery than from traditional open surgery. Many patients go home the same day as the surgery. Because of the smaller incisions, scars are very small compared to traditional surgery. </p> <p>Many children return to school after a few days.</p> <p>Depending on the surgery, your child may take a little longer to return to all of their usual physical activities, such as contact sports. Ask your doctor what activities your child can and cannot do in the days and weeks after the surgery.</p> <h2>Managing pain after the operation</h2> <p>Children usually have less pain after laparoscopic surgery than after traditional open surgery. If there is pain after the surgery, your child's doctor may prescribe a pain medication. Or, the doctor may suggest your child take a non-prescription pain medication such as <a href="/Article?contentid=153&language=English">ibuprofen</a>.</p> <p>Your child's shoulders might be sore as the remaining CO2 gas from the operation is re-absorbed into the body. The gas can irritate the diaphragm, which is a muscle in the abdomen. Because the diaphragm muscle shares nerves with the shoulders, some children have sore shoulders after the surgery. </p><h2>All surgeries have some risk</h2> <p>All surgeries have risks from infection, bleeding, the anesthetic and other problems. All steps are taken to reduce these risks. </p> <p>Sometimes, though very rarely, organs and structures in the body can be injured during a laparoscopic surgery. The risk of injuring these organs is less than 1%. If this rare situation occurs, the surgeon can usually repair the damage right away. Sometimes, if there is an injury, the little incisions have to be converted to a bigger incision so the surgeon can get a better look at the injury and fix it. This is extremely rare. </p>https://assets.aboutkidshealth.ca/akhassets/Laparoscopic_surgery_MED_ILL_EN.jpgLaparoscopic surgeryFalse

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