Minimally invasive surgery
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What is Minimally Invasive Surgery (Laparoscopy)?
Laparoscopy is a minimally invasive technique for viewing the internal structures of the abdomen. A laparoscope (camera) is inserted through a small incision in the abdomen. The camera magnifies internal structures on a monitor for thorough examination. Additional small incisions are made so surgical instruments can be used to perform the procedure.
A common application of laparoscopy is biopsy. Other procedures include gall bladder removal, prophylactic gastropexy (to help prevent bloat in large chested dogs), exploratory surgeries, cystotomy, and other common surgeries. In recent years, laparoscopy has offered as less traumatic and less painful alternative to traditional spays.
A study published in the 2005 Journal of the Veterinary Medical Association concluded laparoscopic spays caused less surgical stress and up to 65% less postoperative pain than a traditional surgical spay.
What is the Difference?
Traditional Surgery Example- Spays
In a traditional spay a 2” to 3” incision is made in the abdomen through which the ovarian ligament is detached from the abdominal wall and the ovaries are removed through a large incision. This procedure may cause bruising to the abdominal wall and post-operative pain. By performing the procedure laparoscopically the patient experiences less trauma, has a faster recovery time and minimal pain.
In a laparoscopic spay the procedure is performed through two or three small incisions (3-5 mm) in the abdomen. With the laparoscope the surgeon is able to see magnified views of the organs, which allows for greater precision. The ovarian ligament is carefully cut/cauterized with a harmonic scapel. The ovaries are removed through the small incision, without excess trauma. Laparoscopic spays provide the patient reduced pain, minimal recovery time and less trauma.
Advantages of Laparoscopic Surgery over Traditional Surgery
1.) Smaller incisions are less painful and reduce recovery time.
2.) Controlled cuts minimize pain and bruising caused by tearing tissue.
3.) Involves fewer complications, with minimal bleeding.
4.) Allows for excellent visualization of abdominal organs.
5.) The entire surgery is performed through a few tiny incisions rather than a larger abdominal opening.
6.) In large breed dogs a gastropexy can be performed easily- or if a spay is elected, at the time of surgery.