Does traditional open surgery need to be inflated?

There will be some discomfort after laparoscopic surgery, but it is as mild as open surgery. Most of the minor defects after laparoscopic surgery are caused by the need to inflate the abdomen with carbon dioxide and a small wound in the abdomen.

Common postoperative discomfort and solutions are as follows:

First, the wound pain: Because the wound is two or three wounds less than one centimeter, the general pain is quite mild. According to research, the pain of wounds below 0.7 cm is very mild and rarely lasts for more than three days. The use of ordinary painkillers is very effective for this kind of pain.

Second, abdominal pain: usually extensive lower abdominal pain. This is because the peritoneum covering the surface of body organs and the interior of abdominal cavity is produced by tension stimulation after being pulled and inflated. In addition, carbon dioxide injected into abdominal cavity can easily interact with water to form carbonic acid, which aggravates the stimulation to abdominal cavity, so there will be extensive abdominal pain. In this case, mild painkillers can be used to relieve it.

3. Shoulder and neck pain: This is because the residual carbon dioxide gas stimulates the phrenic nerve and causes radiation pain. This kind of pain can be effectively relieved by using painkillers and muscle relaxants. However, for severe shoulder pain, using the principle of gas climbing upwards, patients can take a posture of low head and high feet, raise their hips above the chest, and let the residual carbon dioxide in the abdomen move to the lower body, which can effectively alleviate this phenomenon of shoulder and neck pain.

4. Pharyngalgia: At present, laparoscopic surgery mostly adopts general anesthesia. During general anesthesia, short-term sedation will be given first. After the patient loses consciousness, he will put an endotracheal tube into the trachea to control the patient's breathing and give gas anesthesia. Therefore, after the operation, the patient will feel a foreign body in the throat. This is because the endotracheal tube will appear edema or congestion after being compressed in the throat for one or two hours. This phenomenon usually lasts for 24 to 24 hours. If you have a sore throat or a bad cough, you can use some anti-inflammatory painkillers or cough medicine to relieve the wound discomfort caused by cough.

Muscle pain all over the body: this kind of situation is quite rare, usually occurring about 12 hours after the operation. Because muscle relaxants must be used to control the patient's breathing and anesthesia depth during general anesthesia, these muscle relaxants sometimes cause postoperative muscle disharmony, leading to improper exertion and muscle contraction, which will generally recover naturally after 48 hours, so special treatment is not needed.

6. Nausea and vomiting: In laparoscopic surgery, in order to maintain the "intersection space" of the lower abdomen, the posture of "head down and feet high" is adopted. Although the surgical field of vision is clear, the respiratory pressure increases, sometimes reaching 25 cm water column, so it is easy to have abdominal distension, vomiting and nausea after operation. Therefore, if the surgeon or anesthesiologist finds that there is something in the patient's stomach during the operation, and if severe vomiting is found during the postoperative recovery period, a nasogastric tube should be inserted to drain gastric juice and gas. Of course, if persistent vomiting still occurs after this treatment, we should consider whether it is caused by intestinal obstruction, central nervous system disorder or metabolic disorder, so we should explore the reasons in detail.

Seven, gastrointestinal colic: this phenomenon is quite rare, unless laparoscopic intestinal adhesion removal surgery is used, so that the intestine itself is greatly stimulated, this situation will occur. The main reason is the lack of coordination function of various segments of the intestine, and the original intestinal peristalsis can transport food and liquid from the upper part of the intestine to the lower part. If there is no coordination function between intestines, it will cause intestinal colic, and it will also cause gas-liquid accumulation and aggravate colic. At this time, you can use a nasogastric tube to put a small tube from the nasal cavity into the stomach to discharge the air and gastric juice in the stomach, or you can use an anal tube or anal suppository to discharge the gas and liquid in the large intestine and rectum. But in most cases, just take a dose of antispasmodic drugs and wait for the coordination of intestinal peristalsis to be established again.

Eight, chills, chills: This is a common phenomenon in modern operating rooms, because the temperature of most operating rooms is maintained between 20 degrees Celsius and 25 degrees Celsius. The longer the operation time, the longer the patient is exposed to hypothermia, resulting in hypothermia. At the same time, laparoscopic surgery emphasizes "complete hemostasis", and it is also necessary to use a large number of Lin format solutions to wash any possible bleeding points. At this time, if there is too much lavage fluid, hypothermia can cause peripheral blood vessels to contract, leading to increased blood pressure and acidosis; Furthermore, the tremor caused by low temperature increases the consumption of oxygen and the production of carbon dioxide, which leads to the increase of heart load and myocardial infarction in patients with coronary heart disease, so blood transfusion should be paid attention to during operation. The temperature is appropriate during infusion, and the water in the solution should be warmed up in advance when washing the abdomen. When there are still chills and chills after operation, they can be improved by giving warm electric blankets and oxygen supplement at a proper temperature, and usually recover within two to four hours after operation.

From this point of view, the discomfort after laparoscopic surgery is indeed much less than that after open surgery, and the degree is much lighter. Choosing an endoscopic expert before operation can effectively avoid various steps that may bring postoperative discomfort to patients and minimize postoperative defects. If the patients themselves can understand this most advanced operation, then laparoscopic surgery should be the safest, most perfect and most comfortable surgical treatment of all operations.

At present, modern women widely use modern full-course painless technology and related auxiliary treatment, which makes patients complete treatment easily and painlessly and is well received by patients.