Ideal minimal access surgery has Reduced trauma associated with access No compromise of exposure of operative field Surgery can be performed using the following approaches Laparoscopic T thoracoscoPic Endoluminal Intra-articular joint surgery Combined approaches
Ideal minimal access surgery has: ➢ Reduced trauma associated with access ➢ No compromise of exposure of operative field Surgery can be performed using the following approaches: ➢ Laparoscopic ➢ Thoracoscopic ➢ Endoluminal ➢ Intra-articular joint surgery ➢ Combined approaches
Advantage of minimal access surgery Less tissue trauma Less postoperative pain Faster recovery Fewer postoperative complications Better cosmesis
Advantage of minimal access surgery ➢ Less tissue trauma ➢ Less postoperative pain ➢ Faster recovery ➢ Fewer postoperative complications ➢ Better cosmesis
Disadvantages of minimal access surgery Lack of tactile feedback Increased technical expertise required Possible longer duration of surgery Increased risk of iatrogenic injuries Difficult removal of bulky organs More expensive
Disadvantages of minimal access surgery ➢ Lack of tactile feedback ➢ Increased technical expertise required ➢ Possible longer duration of surgery ➢ Increased risk of iatrogenic injuries ➢ Difficult removal of bulky organs ➢ More expensive
Esta blished minimal access procedures Laparoscopic cholecystectomy Diagnostic laparoscopy Laparoscopic appendicectomy Laparoscopic fundoplication Laparoscopic(or thoracoscopic)Heller's myotomy Laparoscopic adrenalectomy Laparoscopic splenectomy Laparoscopic rectopexy
Established minimal access procedures ➢ Laparoscopic cholecystectomy ➢ Diagnostic laparoscopy ➢ Laparoscopic appendicectomy ➢ Laparoscopic fundoplication ➢ Laparoscopic (or thoracoscopic) Heller's myotomy ➢ Laparoscopic adrenalectomy ➢ Laparoscopic splenectomy ➢ Laparoscopic rectopexy
° Equipment Special medical equipment may be used, such as fiber optic cables, miniature video cameras and special surgical instruments handled via tubes inserted into the body through small openings in its surface. The images of the interior of the body are transmitted to an external video monitor and the surgeon has the possibility of ma king a diagnosis, visually identifying internal features and acting surgically on them
⚫ Equipment Special medical equipment may be used, such as fiber optic cables, miniature video cameras and special surgical instruments handled via tubes inserted into the body through small openings in its surface. The images of the interior of the body are transmitted to an external video monitor and the surgeon has the possibility of making a diagnosis, visually identifying internal features and acting surgically on them