Laparoscopy
First developed for interventions in women’s pelvis in gynecology, then in Gastric and visceral surgery, it is now widely used in urological surgery.
What is laparoscopy?
This surgical procedure consists in creating a space in the abdominal cavity with a gas (ammonia dioxide) injected hrough a insufflator, then introducing an optical instrument linked to a camera via a trocart allowing visualization of the surgical field on a monitor.
Other trocarts allows passage of surgical instruments made specifically for laparoscopy.
This way there is no incision, no scars but only little holes through which the trocarts went in. This operative technique was developed at the Saint augustin clinic in the urology department in 1994.
Applications
All the urological surgeries can be done by laparoscopy:
Prostate
Kidney and its abnormalities
Bladder
Prolapse and incontinence in woman
Urinary lithiasis
Advantages of this mini invasive surgical procedure
Surgical advantages : an anatomical approach. Thanks to the magnifying power of the camera, reconstructions can be done with an image enlarged as much as with a microscope; It allows getting inside and realizing dissections spaces that were inaccessible by conventional surgery.
Medical advantages: Post op analgesic use is decreased. Going back to normal activities is faster.
Esthetical advantages : No scars
Medico-legal advantages : the intervention can be recorded