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Laparoscopy is a minimally invasive surgical procedure used to examine the organs of the abdomen. It entails making multiple small incisions (typically between 0.5 and 1.5 cm) through which a laparoscope (a thin, flexible tube equipped with a camera and light source) and other surgical equipment are introduced. Laparoscopy can be used for both diagnostic (such as biopsies and exploration) and therapeutic procedures.
Thoracoscopy is a minimally invasive surgical technique for examining and operating organs within the chest cavity (thorax). The procedure encompasses making small incisions (typically 1 to 2 cm) through which a thoracoscope (similar to a laparoscope) and other surgical tools are placed. Minimal Access Surgery MAS (Laparoscopy, Thoracoscopy) in Mukundapur can be used for a variety of diagnostic and therapeutic procedures on the lungs (e.g., biopsy, excision of lung nodules or tumours), pleura (the membrane that surrounds the lungs), and other regions of the chest cavity.
At Manipal Hospitals, Mukundapur, Kolkata, our specialists in the Department of Paediatric General Surgery are adept at utilising state-of-the-art minimally invasive procedures, ensuring optimal outcomes and faster recovery times for our young patients.
During the procedure, anaesthesia is administered to numb the pain. Multiple incisions are made in the abdomen, followed by the administration of carbon dioxide using a tube to make room for the specialist to operate. A specialised device known as a laparoscope is advanced through incisions. This device displays an image of your child's internal organs, enabling specialists to visualise the area. The surgeon uses the tubes at the other incision sites to insert surgical instruments and perform the procedure. In some cases, surgical instruments can also be inserted at a single incision used for laparoscopes, usually through the belly button. This procedure is called Single-site" Laparoscopy.
Laparoscopy has various advantages compared to open surgery, such as less discomfort, fewer incisions, shorter hospital stays, quick recovery times, and less scarring. The infection risk is also minimal compared to traditional surgeries.
Possible side effects or complications that may arise from Laparoscopic procedures in children include:
Infection or bleeding
Latrogenic traumas, characterised by accidental injuries caused by surgical instruments
Hernias
Your child will be taken to the recovery room, and our medical professionals will wait until the anaesthesia effects wear off. Once the child wakes up, they will be encouraged to walk around for a few minutes to stimulate their bowel movements and improve blood circulation and breathing. Moreover, your child may experience symptoms such as nausea due to anaesthetic effects. Any pain or discomfort that may arise will be addressed using pain relievers and antibiotics, which are administered either through the intravenous (IV) or oral route. Most Laparoscopic procedures do not require an overnight stay, unless in exceptional cases. Our specialists will let you know whether your child needs to stay at the hospital or can be discharged on the same day.
Most children will be able to return to normal activities, including returning to school, within the second-week post-procedure. During your child's recovery period, it is advised to refrain from participating in contact sports. Moreover, your child needs to get adequate rest to enhance their recovery. Additionally, the incisions should be kept dry, and no cosmetics, such as creams or lotions, should be applied post-bathing, which can be performed 48 hours after the procedure.
Some instructions you can follow to help your child have a smooth recovery after undergoing a Laparoscopy procedure include:
Encouraging your child to walk several times a day
Reminding your child to take deep breaths after the procedure
Adhering to pain and antibiotic medications prescribed by our specialist to prevent infections and minimise pain
Avoid smoking around your child
Some complications that may arise while performing Thoracoscopic procedures on paediatric children include:
Bleeding or infection at the site
Injury to thoracic organs
Pneumonia
Collapsed lung
These complications are, however, rare, and our specialists will let you know of any possible complications that may arise during the procedure, as well as assure you of timely intervention to address them for your child if any arise.
General instructions you can use to help prepare your child before undergoing a Thoracoscopic procedure include:
Informing our specialist of your child's existing medications. You may also be advised to refrain from giving your child certain medications, such as blood thinners, before the procedure
Abstaining your child from eating or drinking before the procedure
Leaving your child’s jewellery and accessories at home
Preparing your child mentally by explaining the procedure in a calm and age-appropriate language
Ensuring your child has a supportive and comfortable environment at home post-procedure.
During your child’s recovery, they can expect some amount of pain and discomfort, which will be addressed with pain relievers. Since Thoracoscopy are minimally invasive procedure, most children will be able to go home. In case a chest tube is placed on your child, it will be removed the next day. Moreover, for older children, our medical team will assist them in getting out of bed and performing certain breathing exercises to prevent complications like pneumonia.
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