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| Package detail: | Poly bag and special shockproof paper box. |
| Delivery detail: | By air |
FAQ
Yes, single-port umbilical laparoscopic surgical instruments require special training to master them. According to the evidence, single-port laparoscopic surgery is difficult to operate because all instruments enter the abdominal cavity from the umbilicus, and it is easy to interfere with each other and form a difficult operating triangle. In addition, this operation poses a higher challenge to the experience and skills of the surgeon, and only experienced doctors can master this technology. Therefore, doctors need special training and practice to be proficient in single-port umbilical laparoscopic surgery.
The specific operating steps of single-port umbilical laparoscopic surgery are as follows:
Incision preparation: Make a longitudinal skin incision of about 2-3cm in the middle of the umbilicus. This incision is the key to the entire operation because it will be used to place all the required laparoscopes and operating instruments.
Establish an operating channel: Through this incision, the laparoscope and operating instruments are placed into the abdominal cavity in sequence. A special device (such as SILS) is usually used to help establish and maintain pneumoperitoneum.
Surgical operation: The surgical operation is performed in the abdominal cavity. This step is basically similar to traditional multi-port laparoscopic surgery, but the operation technique is different. Due to the chopstick effect, special attention should be paid to the control and direction of the instrument during operation.
Closing the incision: After the operation, the peritoneum and fascia are closed, and then the umbilical incision is sutured. The suture method is usually subcutaneous suture, and the suture used is 3-0 absorbable suture (such as Opepolyx-N) to ensure that there is no obvious scar after the wound heals.
Postoperative treatment: After the suture is completed, apply an appropriate amount of ointment and fill a small gauze piece in the navel depression. Remove the gauze piece 2-3 days after surgery.
The success rate and safety of single-port transumbilical laparoscopic surgery can be significantly improved through specialized training. The following is a detailed description:
Theory and practice are equally important: Training should include a combination of theoretical knowledge and practical operation skills. For example, Beijing Jishuitan Hospital invited many experts to teach theoretical knowledge and conduct practical operation demonstrations in the single-port laparoscopic surgery skills training class.
Advanced training class: Participating in the advanced training class can systematically learn single-port laparoscopic technology. For example, the West China Gynecology Single-port Minimally Invasive Effectiveness Training Camp (Advanced Class) not only explains the single-port technology, but also covers surgical contents with different approaches and different levels of difficulty.
Standardized promotion: Through standardized training, ensure the standardization and safety of surgical operations. For example, Renji Hospital promotes the standardized promotion and application of single-port laparoscopic technology by holding training classes.
Rich training content: The training content should be rich and effective. For example, the West China Gynecology Single-port Minimally Invasive Effectiveness Training Camp has a compact arrangement and novel content, which can effectively improve the actual operation ability of trainees.
Participation of senior physicians: The training targets should be senior attending physicians or above, and have a foundation in laparoscopic operation. For example, the training class of the Gynecology Branch of the Zhuhai Medical Association requires participants to have certain laparoscopic operation experience.
Expert guidance: Guidance and teaching by experienced experts. For example, in the training of Beijing Jishuitan Hospital, many senior professors personally taught and provided professional guidance and feedback.
Multi-faceted technical coverage: The training should cover a variety of surgical techniques and approaches. For example, the gynecological laparoscopy training base of West China Second Hospital of Sichuan University includes not only transumbilical single-port laparoscopic surgery, but also hysteroscopic surgery, transvaginal surgery, etc.
Single-port transumbilical laparoscopic surgery (TU-LESS) is a cutting-edge minimally invasive technology with advantages such as good aesthetic effect and no scars, but it also faces some technical difficulties. The following are common technical difficulties and how to overcome them:
In single-port laparoscopic surgery, all surgical instruments and equipment enter the abdominal cavity through a single incision, which makes collisions between instruments and limited operating space a major challenge. To overcome this problem, mini laparoscopic surgical instruments can be added to the appropriate part of the abdomen to help expose the surgical field, thereby facilitating the operation of single-port laparoscopic surgery.
Traditional multi-port laparoscopic surgery has three degrees of freedom for doctors to operate, while single-port laparoscopic surgery has only one degree of freedom, which can easily lead to operational difficulties. To address this problem, a robotic surgical system can be used to assist surgery, using the precise control of the robot to make up for the lack of operating space.
Single-port laparoscopic surgery requires higher experience and skills from the operator, and the surgical operation is complex and not easy to master and promote. In order to improve the success rate of the operation, doctors need to undergo a lot of training and practice, accumulate rich experience, and conduct strict indication control and evaluation before the operation.
In single-port laparoscopic surgery, since there is only one incision, it becomes more difficult to fix the organs and suture the wound surface. For this reason, special suturing techniques and instruments can be used to ensure the safety and effectiveness of the operation.
Although single-port transumbilical laparoscopic surgery has significant advantages in aesthetics and minimally invasiveness, it also faces technical difficulties such as instrument interference and limited operating space.
Internationally recognized single-port umbilical laparoscopic surgery training courses or certification institutions include the American Minimally Invasive Gynecology Fellowship.
What should be paid attention to during the recovery period after single-port umbilical laparoscopic surgery to ensure the best results?
The following matters should be paid attention to during the recovery period after single-port umbilical laparoscopic surgery to ensure the best results:
Diet management:
In the first and second months after surgery: a low-fat diet should be adopted, fruits can be eaten, raw, cold and irritating foods should be avoided, and alcohol should not be consumed.
In the third month after surgery: gradually transition from a low-fat diet to a normal diet.
Wound care:
The wound should be kept clean within 2 weeks after surgery, and the wound should not be exposed to water; if there is exudate from the wound or the wound is painful, it is recommended to go to the outpatient clinic in time.
Reexamination in the outpatient clinic about 2 weeks after surgery, and the wound covering should be removed according to the wound condition.
If there is no problem with the wound after 2 weeks after surgery, you can take a bath, but do not rub the wound.
Monitoring of abdominal symptoms:
If there is obvious abdominal pain, fever above 38°, dark tea-colored urine, or yellow skin and sclera, go to the outpatient clinic or emergency department in time.
Psychological support and health education:
Preoperative targeted psychological support and health education, and adequate preoperative preparation.
Strict and standardized postoperative nursing measures are an important guarantee for the safety and success of the operation.
Early activities:
Most patients can move freely in bed or bedside 6 hours after surgery, pass gas for 5-20 hours, and be discharged 1-3 days after surgery.
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