What to prepare before laparoscopic surgery

Laparoscopic technology is known for its advantages of no laparotomy, less trauma, quicker recovery, and less postoperative pain. However, laparoscopy is after all a kind of surgery, and patients who have this kind of surgery should still pay attention to some problems before and after the surgery. In the implementation of laparoscopy before surgery, should be a comprehensive examination of the patient, a comprehensive understanding of the condition and assessment, to determine the purpose of microscopy, surgery and the possible occurrence of the situation and treatment of the proposed case.

1. The preparation of the abdominal skin is the same as in general abdominal surgery, but special attention should be paid to the cleanliness of the umbilicus, because it is necessary to puncture in the umbilicus.

2. Bowel preparation: The day before the operation, a semi-fluid diet is given, and the night before the operation is fasted from l0 o'clock until the day of the operation. Clean enemas were given in the evening of the day before surgery and in the morning of the day of surgery.

3. Vaginal preparation involves the uterine cavity, vaginal operation and placement of the uterus lifting rod of the surgery, the preoperative vaginal secretion should be examined and vaginal cleansing, found that patients with vaginal inflammatory diseases should be cured before surgery.

4. Blood preparation should be done before surgery.

5. Pre-operative medication is given orally the night before surgery to ensure quality of sleep, in order to cooperate with the operation, and pre-anesthesia drugs according to the anesthesia method to decide.

6. A urinary catheter must be placed before surgery to empty the bladder.

7. According to the patient's condition, combined with the size and difficulty of the operation, discretionary choice of general anesthesia, epidural anesthesia, lumbar anesthesia and local anesthesia.

Strict fasting is required before laparoscopic surgery

Surgical anesthesia is divided into general anesthesia (general anesthesia) and local anesthesia (local anesthesia). Local anesthesia usually does not require fasting, while general anesthesia does.

The stomach should be routinely emptied before elective surgery to avoid reflux, vomiting or aspiration of gastric contents during surgery, and the resulting choking and aspiration pneumonia.

Adults in general should fast for 12 hours and abstain from drinking for 4 hours before surgery to ensure gastric emptying. Pediatric patients should fast from food (milk) for 4 to 8 hours and from water for 2 to 3 hours before surgery.

Emergency patients who are full stomach but have an urgent need for surgery, the need for general anesthesia, can be considered to perform awake tracheal intubation, is conducive to avoiding or reducing the occurrence of vomiting and aspiration.

Gynecological hysteroscopic surgery, generally general anesthesia, elective surgery.