Minimally invasive treatment compared with traditional treatment:
Traditional surgery, due to its own operating characteristics, can't avoid causing greater trauma to the patient while treating the disease. Not only is the wound large, the operation time is long, the hospitalization time is long, the complications are large, the recovery is slow, and it is difficult to ensure the normal function of the uterus and ovaries, and the postoperative period is often painful; this trauma itself will cause serious consequences to the patient. Therefore, when surgery is mentioned, the first thing that comes to mind is the open heart and the knife. Formation of late phobia! Minimally invasive therapy gynecological minimally invasive surgery is characterized by no incision, safety and ease, no pain during the operation, short operation time (usually 5-15 minutes), short stay in hospital (usually 0-3 days), minimal trauma to the patient, no complications, and fast postoperative recovery. Preserving the normal function of the uterus and ovaries is the biggest difference from traditional surgery. Long-term clinical trials at home and abroad have proved that it is an advanced technical device that can be universally adopted. Of course, science is a double-edged sword, the use of bad in turn become a disaster, so the use of minimally invasive technology must be skillful mastery of the technical essentials of the physician to do to ensure.
Minimally invasive technology in gynecology
The advantages of minimally invasive gynecological laparoscopic technology have been recognized worldwide. The technology has a dual role of diagnosis and treatment, in the closed uterine cavity, abdominal cavity, the physician can look directly at the monitoring screen for diagnosis and surgical operation, thus greatly reducing the risk of surgery.
From centimeters to millimeters of rapid transformation
The late 1970s, foreign gynecologists performed the world's first laparoscopic appendectomy and cholecystectomy. Since then, laparoscopic surgery has become widely used in the field of surgery and, at the same time, has challenged gynecologists like never before. These challenges came from the renewal of surgical concepts, from the replacement of traditional equipment by advanced surgical equipment, and from the gynecologists' own perceptions. Since then, gynecologists have become active in the pursuit of minimally invasive fields, and obstetrics and gynecology has become the most active discipline in the minimally invasive field. Minimally invasive treatments represented by laparoscopy were accepted by gynecologists in China at the beginning of the 1990s, and a large number of clinical practices have begun. Surgical techniques are becoming more and more mature, and the proportion of minimally invasive surgeries in gynecological diseases is gradually increasing, and it has now become an important part of the treatment methods for gynecological diseases.
Minimally invasive techniques in gynecology
"Minimally invasive" refers to small traumas, but there is no clear definition and concept in clinical therapeutics. People agree that "minimally invasive" is: in the case of the human body as little trauma to the disease to be treated, and the therapeutic effect is similar to the "big trauma treatment" or better. In addition, physicians also seek to "the best internal environmental stability, the smallest surgical incision, the lightest systemic inflammatory response, the least scar healing under the elimination of the disease, so that the patient no pain, no bleeding, fewer complications, fewer costs, and a rapid return to normal life and work." These are the goals that patients and physicians **** the same pursuit. Under this concept, a variety of treatments that conform to the concept of "minimally invasive" emerged in the later part of the last century. The most notable of these was the laparoscopic surgery performed by gynecologists, especially the French gynecologist Philipe Mouret, who performed a cholecystectomy laparoscopically in 1987, which started a revolution in the field of surgery. This was followed by the laparoscopic hysterectomy performed by the American gynecologist Reich, which changed the field of gynecology with this most frequently performed procedure. The use of laparoscopic surgery has also led to the clinical application of various other minimally invasive treatments, expanding the concept of "minimally invasive" beyond gynecologic laparoscopic and hysteroscopic surgery. Compared with traditional invasive treatment, the concept of "minimally invasive" should be expanded to include any invasive treatment that can better maintain the stability of the body's internal environment, reduce tissue damage, and facilitate the body to recover as soon as possible and have a good prognosis can be categorized as "minimally invasive". The advantages of minimally invasive gynecological laparoscopic technology have been recognized worldwide. This technology has both diagnostic and therapeutic roles. In the closed uterine and abdominal cavities, the physician can diagnose and operate with a direct view of the surveillance screen, thus greatly reducing the risk of surgery. Due to the special physiological structure of female patients, the research of minimally invasive gynecological surgery is more urgent, and the development is also faster, nowadays minimally invasive technology with uterine laparoscopy as the core as the direction of modern gynecological surgery development is gradually replacing the traditional mode of treatment, and the mastery and application of minimally invasive gynecological technology has become the necessary skills of the majority of gynecological clinicians. China has carried out difficult cervical cancer extensive radical surgery, extensive radical treatment of malignant tumors, lymph node dissection ......
Minimally invasive gynecological surgery highlights six professional advantages:
Advantages: multi-angle "inspection", the effect is intuitive! Lumpectomy can check from different angles and directions without touching the abdominal organs, and can even see some very deep locations to achieve the effect of intuitive inspection, no leakage, no misdiagnosis. Advantage 2: Fast recovery Lumpectomy is performed in the closed pelvic and abdominal cavities, and the interference of the internal environment is very small, so the trauma suffered by the patients is far less than that of open surgery, and the patients will recover very soon after the operation, without complications and sequelae. Advantage three: short hospitalization time, the operation is operated by professional physicians, the treatment can be completed in a short time, without affecting the normal physiological function, after the operation, you can return to normal life and work. Advantage 4: Good effect of abdominal beauty The traditional surgical scar is in the form of a long line, which affects the appearance, while laparoscopic surgery leaves no scar, which is especially suitable for women's cosmetic needs. Advantage 5: Less pelvic adhesion Minimally invasive technology, no incision, less interference with the pelvic cavity, no gauze and hand contact with the tissues, few stitches or no need for stitches. There is no gauze or hand contact with the tissues, and few or no stitches are needed. The pelvis is fully flushed during the surgery, so pelvic adhesions are far fewer in patients after laparoscopic surgery than in transabdominal surgery. Advantage 6: Reduce the burden of patients The surgery is minimally invasive, with less medication, low cost, fast recovery, no need for hospitalization, reducing the burden of patients.
90% of gynecological open surgery can be replaced by minimally invasive technology
For gynecological tumors: uterine fibroids, ovarian cysts, cervical tumors, fallopian tube tumors, ovarian malignant tumors and so on. For cervical diseases: cervical erosion, cervical polyps, cervical hypertrophy, etc. For infertility: infertility caused by tubal adhesion, fluid accumulation, blockage, endometrial polyp, endometriosis, polycystic ovary syndrome, uterine adhesion, deformity, etc., as well as various kinds of unexplained infertility and habitual abortion. For gynecological acute abdomen: ectopic pregnancy, corpus luteum rupture, acute pelvic inflammatory disease and pelvic abscess, ovarian abscess torsion, tubal hydrosalpinx torsion and so on. For family planning: minimally invasive abortion, tubal reversal after birth control, positioning and removal of broken and displaced birth control rings, incarcerated birth control rings, removal of bone fragments remaining after abortion, etc.
Edit Eighty percent of surgical procedures can be accomplished through minimally invasive techniques
Minimally invasive techniques are divided into three categories
One is small-incision surgery, or fine surgery. For example, in the past, to cut a gallbladder, you needed to make an incision of about 8 centimeters or more in the abdomen, but small-incision surgery requires only a 2.5-centimeter incision, and is performed with special instruments such as dilators, clamps, and electrocoagulators, so the patient suffers a lot less damage than in conventional surgery. There is also the case of radical pancreatic cancer surgery, which in the past required the removal of the connected liver, but now fine surgical techniques can be used to preserve the patient's liver by stripping out the blood vessels buried in the liver. The principle of fine surgery is that functions, tissues and organs that can be preserved must be preserved. Second, endoscopic techniques. There are many kinds of endoscopes, including gastroscopy, enteroscopy, choledochoscopy, duodenoscopy, etc., which are all methods of examination and treatment utilizing a person's existing cavities. Thirdly, the luminal technique, which involves making several small eyes in a certain part of the patient and probing into the lumen for surgery, representative of laparoscopy, thoracoscopy, uretero-renoscopy, arthroscopy and so on. Today in the clinical on the most common gallbladder stones patients, as long as meet the indications, generally no longer Caesarean section, and laparoscopic technology.
Eighty percent of surgical procedures can be "minimally invasive"
In fact, in recent years, minimally invasive surgery to benefit the patient is not only Ms. Li one. The reporter learned from interviews with major hospitals in Guangzhou that nearly 80% of all surgical procedures can be accomplished through minimally invasive techniques. The so-called minimally invasive surgery, is the use of laparoscopy, thoracoscopy and other modern medical devices and related equipment, and by doctors skilled in minimally invasive techniques to carry out surgery. Minimally invasive surgery requires no incision, only 1 to 3 small holes of 0.5 to 1 centimeter in the patient's body, the patient does not leave scars, no pain, and the whole process of examination, treatment and rehabilitation can be completed in only 3 to 5 days. It reduces the harm to the human body caused by traditional surgery, and reduces the inconvenience and pain caused by the disease to the patients. In the words of academician Huang Zhiqiang, the founder of minimally invasive surgery in China, minimally invasive surgery is to "complete the surgery while leaving as little trauma as possible, and protect the patient's tissues and organs as much as possible". To summarize, minimally invasive surgery has the following advantages: 1. Less pain for patients: some surgeries can be performed under medication analgesia, and patients can complete the surgical treatment in an awake state; 2. Less trauma: since the incision is only 0.5-1 cm, the recovery is fast, and basically no scars are left; 3. Faster postoperative recovery: minimally invasive surgery has a shorter hospitalization time, and can be discharged from the hospital within 2-4 days after the surgery; 4. Lower cost of surgery: due to the small chance of infection and short hospitalization time, the cost of surgery is relatively lower. 5. It is a sustainable treatment: for example, kidney stones are easy to recur, if the patient is operated once for every recurrence, it will cause great damage to the body and it is not practical; while minimally invasive technology is less traumatic and quicker postoperative recovery, which allows the patient to undergo the surgery repeatedly for many times. It is reported that the tentacles of minimally invasive technology has been extended into various disciplines, such as abdominal surgery of the stomach, intestines, liver, spleen; obstetrics and gynecology of the ovaries, uterus, pelvis and other surgeries; urology of the kidneys, ureters, prostate surgery, etc.; brain surgery of the pituitary tumor removal, etc., can be completed through minimally invasive technology. Minimally invasive save is the follow-up cost of surgery Many careful patients will find that most hospitals minimally invasive surgery will be more expensive than conventional surgery. "Isn't it said that minimally invasive surgery saves more money? Why is this?" According to experts, minimally invasive surgery is more expensive than conventional surgery, referring to the cost of the surgical process alone, and if the follow-up costs of the entire operation to calculate, minimally invasive surgery is still more than conventional surgery to save money.