assalamualaikum...
dr,
saya pernah menjalani laparoscopic appendectomy. saya ingin
bertanya, kenapa walaupun selepasa menjalani proses itu saya sering
mendapat sakit yang sama seperti sebelum menjalani laparoscopic?
aktiviti harian saya juga sedikit terganggu, saya tidak blh membuat
aktiviti lasak seperti sebelum pembedahan. adakah ini salah satu
dari kesan selepas pembedahan?
--- In AskDrHamid@yahoogroups.com, Dr Abd Hamid Mat Sain
<abdhamidmatsain@y...> wrote:
>
> LAPAROSCOPIC APPENDECTOMY
> ---------------------------------
>
>
> WHAT IS THE APPENDIX?
> The appendix produces a bacteria destroying protein called
immunoglobulins, which help fight infection in the body. Its
function, however, is not essential. People who have had
appendectomies do not have an increased risk toward infection. Other
organs in the body take over this function once the appendix has
been removed.
> WHAT IS A LAPAROSCOPIC APPENDECTOMY?
> Appendicitis is one of the most common surgical problems. One out
of every 2,000 people has an appendectomy sometime during their
lifetime. Treatment requires an operation to remove the infected
appendix. Traditionally, the appendix is removed through an incision
in the right lower abdominal wall.
> In most laparoscopic appendectomies, surgeons operate through 3
small incisions (each ¼ to ½ inch) while watching an enlarged image
of the patient's internal organs on a television monitor. In some
cases, one of the small openings may be lengthened to 2 or 3 inches
to complete the procedure.
>
> ADVANTAGES OF LAPAROSCOPIC APPENDECTOMY
>
> Results may vary depending upon the type of procedure and
patient's overall condition. Common advantages are:
>
> Less postoperative pain
> May shorten hospital stay
> May result in a quicker return to bowel function
> Quicker return to normal activity
> Better cosmetic results
>
> ARE YOU A CANDIDATE FOR LAPAROSCOPIC APPENDECTOMY?
>
> Although laparoscopic appendectomy has many benefits, it may not
be appropriate for some patients. Early, non-ruptured appendicitis
usually can be removed laparoscopically. Laparoscopic appendectomy
is more difficult to perform if there is advanced infection or the
appendix has ruptured. A traditional, open procedure using a larger
incision may be required to safely remove the infected appendix in
these patients.
>
> HOW IS LAPAROSCOPIC APPENDECTOMY PERFORMED?
>
> The words "laparoscopic" and "open" appendectomy describes the
techniques a surgeon uses to gain access to the internal surgery
site.
>
> Most laparoscopic appendectomies start the same way. Using a
cannula (a narrow tube-like instrument), the surgeon enters the
abdomen. A laparoscope (a tiny telescope connected to a video
camera) is inserted through a cannula, giving the surgeon a
magnified view of the patient's internal organs on a television
monitor. Several other cannulas are inserted to allow the surgeon to
work inside and remove the appendix. The entire procedure may be
completed through the cannulas or by lengthening one of the small
cannula incisions. A drain may be placed during the procedure. This
will be removed before you leave the hospital.
>
> WHAT HAPPENS IF THE OPERATION CANNOT BE PERFORMED OR COMPLETED BY
THE LAPAROSCOPIC METHOD?
>
> In a small number of patients the laparoscopic method is not
feasible because of the inability to visualize or handle the organs
effectively. When the surgeon feels that it is safest to convert the
laparoscopic procedure to an open one, this is not a complication,
but rather sound surgical judgment. Factors that may increase the
possibility of converting to the "open" procedure may include:
>
> Extensive infection and/or abscess
> A perforated appendix
> Obesity
> A history of prior abdominal surgery causing dense scar tissue
> Inability to visualize organs
> Bleeding problems during the operation
>
> The decision to perform the open procedure is a judgment decision
made by your surgeon either before or during the actual operation.
The decision to convert to an open procedure is strictly based on
patient safety.
>
> WHAT SHOULD I EXPECT AFTER SURGERY?
>
> After the operation, it is important to follow your doctor's
instructions. Although many people feel better in just a few days,
remember that your body needs time to heal.
>
> You are encouraged to be out of bed the day after surgery and to
walk. This will help diminish the risk of blood clots in your legs
and of soreness in your muscles.
>
> You will probably be able to get back to most of your normal
activities in one to two weeks time. These activities include
showering, driving, walking up stairs, working and engaging in
sexual intercourse.
>
> If you have prolonged soreness or are getting no relief from the
prescribed pain medication, you should notify your surgeon.
>
> You should call your surgeon and schedule a follow up appointment
for about 1-2 weeks following your operation.
>
> WHAT COMPLICATIONS CAN OCCUR?
>
> As with any operation, there are risks including the risk of
complications. However, the risk of one of these complications
occurring is no higher than if the operation was done with the open
technique.
>
> Bleeding
> Infection
> Removal of a normal appendix
> A leak at the edge of the colon where the appendix was removed
> Injury to adjacent organs such as the small intestine, ureter,
or bladder.
> Blood clot to the lungs
>
> It is important for you to recognize the early signs of possible
complications. Contact your surgeon if you have severe abdominal
pain, fever, chills or rectal bleeding.
>
> WHEN TO CALL YOUR DOCTOR
>
> Be sure to call your physician or surgeon if you develop any of
the following:
>
> Persistent fever over 101 degrees F (39 C)
> Bleeding
> Increasing abdominal swelling
> Pain that is not relieved by your medications
> Persistent nausea or vomiting
> Chills
> Persistent cough or shortness of breath
> Purulent drainage (pus) from any incision
> Redness surrounding any of your incisions that is worsening or
getting bigger
> You are unable to eat or drink liquids
>
> From;SAGES
>
>
> Dr. Abd Hamid Mat Sain
> AM(MAL), MBBS(Adelaide, Aust.), MS(UKM)
> FRCS(Edinburgh,UK), FICS (USA)
> Consultant Surgeon
> ColumbiaAsia Medical Centre
> 292 Jalan Haruan 2,Oakland Commercial Centre
> 70300 Seremban,Negeri Sembilan
> Malaysia
> Ph :+606-6011988
> Fax:+606-6011848
> Mobile:+6012-2071913
> Email :abdhamidmatsain@g...
> Yahoo Group : http://groups.yahoo.com/group/AskDrHamid
>
>
>
>
>
>
> ---------------------------------
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