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Supracervical (subtotal) laparoscopic hysterectomy (LSH) is performed similar to the total laparoscopic surgery but the uterus is amputated between the cervix and fundus. [79] Dual-port laparoscopy is a form of laparoscopic surgery using two 5 mm midline incisions: the uterus is detached through the two ports and removed through the vagina. [80 ...
Hysteroscopy can be used in conjunction with laparoscopy or other methods to reduce the risk of perforation during the procedure. [9] Endometrial polyp. Polypectomy. Abnormal uterine bleeding; Adenomyosis; Endometrial ablation [10] (Some newer systems specifically developed for endometrial ablation such as the Novasure do not require hysteroscopy)
Hyalobarrier is a substance to keep tissue apart post surgery and therefore prevent adhesions.It contains autocross-linked hyaluronan.Highly viscous due to condensation. Hyaluronan is present in cartilage and skin hence there is a natural metabolic pathway for
Medications include ondansetron, granisetron, and dolasetron. Anticholinergics can be used as a long-acting patch placed behind the patient's ear. Adverse effects include dry mouth and blurry vision. Care must be taken when handling the patch, as transfer of medication to the eye can induce pupillary dilation. Avoid use in elderly patients.
There are a number of advantages to the patient with laparoscopic surgery versus an open procedure. These include: Reduced hemorrhaging, which reduces the chance of needing a blood transfusion. [12] [13] Smaller incision, which reduces pain and shortens recovery time, as well as resulting in less post-operative scarring. [13] [14] [15]
Using the laparoscopic approach the uterus is visualized and its fibroids located and removed. Studies have suggested that laparoscopic myomectomy leads to lower morbidity rates and faster recovery than does laparotomic myomectomy. [2] As with hysteroscopic myomectomy, laparoscopic myomectomy is not generally used on very large fibroids.
Patient-controlled analgesia (PCA [1]) is any method of allowing a person in pain to administer their own pain relief. [2] The infusion is programmable by the prescriber. If it is programmed and functioning as intended, the machine is unlikely to deliver an overdose of medication. [3]
Another problem with pain management is that pain is the body's natural way of communicating a problem. [6] Pain is supposed to resolve as the body heals itself with time and pain management. [6] Sometimes pain management covers a problem, and the patient might be less aware that they need treatment for a deeper problem. [6]