Many people who have undergone surgery have experienced this experience, and when choosing a surgical method, they will face the entanglement of minimally invasive surgery or traditional surgery. So what exactly is minimally invasive surgery? What is the difference between minimally invasive surgery and traditional surgery? Under what circumstances should minimally invasive surgery be chosen? Today Xiaobian will tell you about it.
What is minimally invasive surgery?
Minimally invasive surgery, as the name suggests, refers to those surgeries with small trauma, which are technologies that only cause minor trauma to patients during surgical treatment and leave only small wounds after surgery, which is relatively scientific and technological achievements of traditional surgery, supplemented by laparoscopy, thoracoscopy and other high-tech instruments during surgery. Minimally invasive surgery has several advantages over traditional surgery:
1. Small wound: Taking appendicitis surgery as an example, only three holes need to be punched in the belly during surgery to allow doctors to operate surgical instruments, and the wound is generally only 0.5cm to 1cm.
2. Light pain: minimally invasive surgery adopts the mode of intravenous general anesthesia, and the patient can complete the operation in the sleep state, and the pain, soreness and numbness after the operation are not as big as traditional surgery.
3. Fast recovery: Minimally invasive surgery can reduce the interference with organs and their functions, so that the postoperative recovery time is greatly reduced.
4. Short hospitalization time: patients can generally get out of bed 6-8 hours after undergoing minimally invasive surgery, can be discharged in 3-5 days, and can basically recover in one week, while patients generally need to be hospitalized for 7-15 days after traditional surgery.
5. Less bleeding: Minimally invasive surgery uses advanced hemostatic instruments such as ultrasound knives, which helps to reduce the amount of intraoperative bleeding in patients.
Is there a "short board" in minimally invasive surgery?
While minimally invasive surgery has many advantages over traditional surgery, it also has disadvantages.
1. In the process of minimally invasive surgery, it is necessary to establish an artificial pneumo-abdomen and enter and exit more carbon dioxide gas into the abdominal cavity, which will significantly increase the pressure of the patient's abdominal cavity and cause a certain impact on cardiopulmonary function.
2. When the gas enters the subcutaneous space on the surface of the human body, there will be subcutaneous emphysema; gas enters the blood vessels, and gas embolism may also occur, and when the gas embolism is serious, it may also cause abnormal respiratory circulation or even death.
3. Because some minimally invasive surgeries are punched into medical devices without seeing the internal structure of the human body, there is a risk of damage to blood vessels and important organs.
4. Due to the difficulty of minimally invasive surgery, even experienced doctors cannot guarantee a 100% success rate, if minimally invasive surgery fails, it is still necessary to switch to traditional surgery, if this will cause more harm to patients.
What are the conditions under which minimally invasive surgery is not appropriate?
Minimally invasive surgery is not suitable for all surgical conditions and patients. For example, some surgical manipulation sites have severe adhesions and cannot be easily separated, making it impossible to perform minimally invasive surgery. Because the adhesions at the operation site are serious, it will directly affect the doctor's surgical vision and operation space, in this case, it is safer to choose traditional surgery.
In addition, in general, minimally invasive surgery requires the use of intravenous general anesthesia, which is extremely risky for patients who cannot use general anesthesia such as older women, pregnant women, and poor cardiopulmonary function.
All in all, although the benefits of minimally invasive surgery are many, when choosing the surgical method, the patient cannot insist on choosing simply because of the various benefits of minimally invasive surgery, or it is necessary for the doctor to make a professional diagnosis after a detailed evaluation of the patient's body before deciding on the surgical method. Finally, I hope everyone has a good body, and I hope that you will not use this popular science about surgery!