Intro

Question 1

Process of lap surgery?

Answer 1

• small incisions are made in the abdomen
• surgical instruments and a camera are inserted through these small incisions
• surgeons performs the surgery by watching a TV screen
• physiology: gas used is CO2, can be problem for pts w/ COPD
  alt: helium and nitrous oxide
• increased intra-abdominal pressure: effects (similar to intra-abdominal compartment syndrome) - ventilation, decreases venous return
• balance b/t cardiac fxn and volume status (anesthesia)

Question 2

Benefits of Lap?

Answer 2

• decreased pain
• better cosmetic response
• early return to ambulation

Question 3

General complications of laparoscopy?

Answer 3

- injury to adjacent organs:
bleeding solid organs
vascular injuries
bowel injury (puncture, cautery)
bladder/uterus injury
- access sites complications:
port site hernia
wound infection
- post-op shoulder pain