Disadvantages and Contraindications of Laparoscopic Surgery - Lecture by Dr. R.K. Mishra at WLH
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Laparoscopic surgery, often hailed for its minimally invasive nature, has revolutionized the field of surgery, offering benefits like reduced recovery time, minimized postoperative pain, and smaller incisions. However, like any medical procedure, it comes with its own set of limitations, disadvantages, and contraindications that must be carefully considered by surgeons. Understanding these challenges is crucial for patient safety and successful surgical outcomes.
Disadvantages of Laparoscopic Surgery
Steep Learning Curve: Laparoscopic surgery requires a high level of technical skill and familiarity with the equipment. Surgeons must undergo extensive training to master the procedures. The use of advanced tools such as a harmonic scalpel or ligasure for dissection and hemostasis demands precision and experience. The steep learning curve can make the initial adoption difficult, especially in complex cases like laparoscopic colorectal or bariatric surgery.
Increased Operative Time: In many cases, laparoscopic procedures can take longer than their open counterparts, especially for surgeons early in their learning curve. The added time comes from port placement, limited visibility, and dexterity constraints imposed by the instruments.
Injury to adjacent organs such as the bowel, bladder, or major blood vessels due to limited tactile feedback.
Trocar site hernias and port-site infections, although rare, are recognized complications.
Complications from insufflation of the abdominal cavity with carbon dioxide (CO₂), which can cause hypercapnia, subcutaneous emphysema, and, in rare cases, gas embolism.
High Cost: The equipment used in laparoscopic surgery, such as high-definition cameras, energy devices like harmonic scalpels, and specialized instruments, can be costly. The cost of laparoscopic setups and maintenance is significantly higher than that for traditional open surgeries, making it less accessible in resource-limited settings.
Limited Sensory Feedback: Surgeons performing laparoscopic surgery lack the tactile feedback present in open surgery. They must rely heavily on visual cues from the camera, which may not provide adequate information about the texture or tension of tissues being manipulated. This can lead to inadvertent injuries during dissection or suturing.
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World Laparoscopy Hospital
Cyber City, Gurugram, NCR Delhi, INDIA
Phone/WhatsApp: +919811416838, +919999677788
World Laparoscopy Training Institute
Bld. No: 27, DHCC, Dubai, UAE
Phone: +971525857874
World Laparoscopy Training Institute
8320 Inv Dr, Tallahassee, Florida, USA
Phone: +1 321 250 765
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