Advice 1: What to do after laparoscopy

Laparoscopy is a relatively new method of endoscopic surgery, based on the introduction into the abdominal cavity through the puncture in the wall of the abdomen, special surgical tools. This reduces the volume of surgical intervention and the time needed for performing operations, reduce blood loss and reduce the trauma caused to the body.
What to do after laparoscopy
During laparoscopy it is possible to make interference almost all the abdominal organs – biliary ducts and gall bladder, the outer surface of the stomach, bowel loops, uterus , fallopian tubes, ovaries. If the surgery is done at least two punctures of the anterior abdominal wall (for the introduction of operating laparascope and more – to equipment), the location of which depends on the amount of intervention and the operated organ. Operation in any case is conducted under General anesthesia, so you will need a recovery period and keeping a certain regime in the first weeks after intervention.The first days after the operation the patient should stay in bed or polupostelny mode, and the possibility of its extension should always be agreed with a doctor. Recovery after laparoscopic surgery is usually faster than after classic surgery, but the first few days after intervention is usually recommended to stick to a diet of easily digestible foods, mechanically sparing the abdominal cavity.In the area of administration of laparoscope after extraction do stitches (usually one or two), and aseptic bandage. Seams daily treated with a solution of iodine or brilliant green and glue again, remove them in the normal course afterthe operating period of 5-7 days. After the intervention the patient can be discharged home under observation of the surgeon, but the list of disability (sick leave) is usually given for 10-14 days even in the normal course afterthe operating period.Follows immediately after discharge from the hospital to begin regular physical activity – laparoscopy is responsible enough interference, so you need to ask family members to be sensitive to the operated patient, and to remove his chores. It is strongly recommended not lifting weights more than 2 kg, and at the same time within one month after the operation, steam bath and sauna. You can take a shower, but before removal of stitches operating wound should be protected with waterproof dressing after hygienic procedures should be removed. Also the doctor after the operation may recommend sexual abstinence for women, especially after carrying out laparoscopic operations on the organs of small pelvis.

Advice 2: Why do sedimentary and expansion joints

Sedimentary and expansion joints contribute to the design of buildings to reduce the likelihood of destruction of the structure subsequently excessive stresses arising from temperature and sediment deformation. Frequency of sutures is regulated by the construction norms and rules.
Why do sedimentary and expansion joints
High-rise buildings of great length may be subject to damage, which are caused by deformation of the structure arising from ground subsidence and temperature changes in the environment. With the purpose of minimization of the stresses and to prevent structural deformations of the building are divided into several separate blocks, between which are placed the sedimentary and expansion seams. Along with anti-seismic and shrinkage, and temperature sedimentary seams belong to the group of joints.

The seam is a cavity between the sections of the building, which is filled with insulating material to reduce heat losses. To minimize the effects of moisture on the insulating layer, the seam at its perimeter, is covered with a sealant. One seam runs from the beginning of the Foundation to the roof of the building, can perform the functions of temperature and sediment.

Expansion joints

Expansion joint divides the building into separate parts. The seam starts at ground level and stretches over the entire height of the building. The Foundation structure is an expansion joint, located under the ground of the structure almost not subject to thermal deformations.

Step with which the building must be expansion joints are made on the basis of such factors as the materials of the walls and the average temperature in winter in the area of construction. Standardized values of distances between expansion joints are specified in the construction norms and rules. For unheated spaces the distance between the seams should be reduced by 20% compared to the normalized values.

Features of sedimentary seams

Sedimentary seam to compensate for differences in loads, which appears due to the different masses of the structure of parts of the building. So, if a multi-storey building has a five-storey apartment block and single-storey extension to accommodate a shop, each of these parts will have different pressure on the ground. The difference in loads leads to varying the magnitude of the subsidence (precipitation) parts of the building, with the result that without the presence of sedimentary seam may crack.

Sedimentary seams necessary in the construction of buildings, all of which have the same number of storeys. In this case, the difference in the loads may occur due to the different composition of the soil, which serves as the Foundation for the building. The main difference between sedimentary seams on the temperature lies in the fact that they share as the exterior of a home and its Foundation.

Advice 3: Rehabilitation after laparoscopy

Laparoscopy – surgery performed in the abdominal cavity and its organs with a laparoscope instrument. The recovery period after this procedure usually takes 3-4 weeks, during which it is necessary to follow certain guidelines.

Rehabilitation after laparoscopy
Often the General health of the patient and sutures in the skin is restored much earlier, but you need to remember about healing and internal organs. In order not to hurt and not to spoil the positive result of the operation, should strictly follow the recommendations of the attending physician.

The first day after surgery

In the very first hours after the procedure laparoscopy, the patient usually continues to slumber. At this time often may experience chills and feel cold, which are easily enough covered with a blanket.

Pain after surgery moderate and well-removed various painkillers. There are cases of occurrence of nausea and vomiting. To panic in this condition should not, because it is easily relieved by drugs.

During the first days after surgery in the throat may be felt a little discomfort as the result of being in it anesthetic tube.

A few hours after laparoscopy, the patient can get out of bed and use the toilet. There is no need to move - you need more rest, because in the first few days after the procedure, patients often experience a pronounced weakness. To eat in the first hours after surgery is not recommended, it is better to drink plain non-carbonated water.

A few days after surgery

The next day after laparoscopy may appear discomfort and pain in the neck and shoulder sections. This is due to the gas pressure exerted on the diaphragm during operation. The condition is easily eliminated by simple analgesics.

Nutrition in the postoperative period should not be abundant. It is recommended to eat boiled and steamed food. To eliminate fatty, smoked or spicy, and fried food is also a mandatory requirement. To get involved with foods that cause bloating (fresh fruits, sweets and flour products) is not recommended. You can drink juice, tea, dairy products and water without gas.

If the procedure laparoscopy was aimed at the removal of ovarian cysts within a few days after the conference a woman can start menstruation extraordinary. So do not be surprised when it detects bleeding.

Recommendations after discharge

It must be remembered that the rehabilitation process lasts about one month, so immediately after discharge from the hospital do not need to give the body the usual load. Seams after the operation every day should be treated with antiseptic solutions prior to complete healing.

In the first days remains weak and fatigue, so it is best if there will be someone from your family. Relying on own sensations, you must choose the optimal mode of motor activity and rest.

The first 2-3 weeks after surgery you must abstain from sexual activity. Sports, fitness or dance background is recommended to start no earlier than 3-4 weeks after laparoscopy. In this case you should start with small loads, gradually increasing them.

You should avoid sudden movements and heavy lifting. To make long trips and flights shouldn't either.

Advice 4: How to recover after a laparoscopy

Laparoscopic surgery, in contrast to laparotomy, characterized by a shorter post-operative recovery of the body. Due to the fact that due to procedure no post-operative stitches, compliance with bed rest in some cases is not required.
How to recover after a laparoscopy
If the procedure is a laparoscopy performed to diagnose a disease, recovery requires medical support the body. It is sufficient compliance with the regime of sleep and rest, Hiking in the fresh air and the body will recover naturally. Also in such a situation there any restrictions in food or special diet.
If surgery was performed to remove the gallbladder, after the treatment, the dietitian individually selects the diet of the patient, to the postoperative adaptation of the body had minimal pain. Also in the first days after laparoscopy this complexity, it is recommended bed rest. It is necessary for a person to be away from the action of General anesthesia, and restored health after the surgery.
At such moments, as a rule, doctors monitor the person's condition by periodic inspections or connect round-the-clock monitoring that monitor the electrocardiogram. The patient in the first postoperative days are allowed only to lie and sit on the bed, and have a 3-4 day, it has the ability to move independently. Before and after laparoscopy ultrasound examinations of internal organs (ultrasound) involved in the operation. This is a mandatory procedure, which is controlled by the process of healing and recovery.
If the operation was carried out serious interventions, with the use of carbon dioxide (used during the laparoscopy to fill the patient's abdominal cavity to increase review and ease of use of the equipment during the operation) may be a strong pain syndrome. In some people, the pain occurs immediately after anesthesia or from equipment that is introduced to the flow of anesthesia into the trachea (the tube applies to the mucous membrane of the trachea and other air pathways). For several postoperative days in patients prescribed painkillers, we select individually by specialists.
To accelerate the recovery of the body after the surgery is necessary to refuse from drinking alcoholic beverages and Smoking for one month. From making hot tubs, swimming and baths should also be avoided. Allowed wash with warm water in the shower or carrying out wiping of the body. If the attending on the second day after surgery allow you to walk, does not mean that a valid exercise, because excessive fatigue can be reflected by the increase in abdominal pressure. Sex life is allowed only after two-three weeks, but it is necessary to protect the body and also not overexert.

Advice 5: How to do laparoscopy

Laparoscopy is a modern method of surgery. During this operation the organs of the pelvic or abdominal cavity is through small incisions, allows a complete diagnosis of the diseases, to investigate the fallopian tubes, the region of the uterus and ovaries.
How to do laparoscopy
Laparoscopy is divided into therapeutic and diagnostic. When the diagnostic operation is made by visual inspection of the organs using additional arm. The doctor, conducting diagnostic laparoscopy may be transferred immediately to the treatment of a disease. While surgical intervention may remove adhesions, fibroids, endometrial changed.
Before operation it is necessary to prepare a complete examination. The doctor will prescribe the study of the General analysis of blood and urine. Also should undergo lung x-rays, cardiographic study of the heart, ultrasound of the heart muscle, internal organs of small pelvis and abdominal cavity. Required inspection at the therapist. Immediately before surgery you should refrain from eating.
Conducted preoperative preparation and patient are special medications that enhance the action of anesthesia. After some time, introduced the drug of the anesthesia. Sometimes you can use a local anesthesia, this question is solved individually. The woman treated the stomach with a special antiseptic solution, through a small puncture in the navel area is introduced a needle through which gas is introduced into the abdominal cavity. The belly inflates, the abdominal wall is lifted and the practitioner will have access to the internal organs.
Then, through the second puncture, the doctor inserts into the abdominal cavity a laparoscope which is a small microscope with a camera on the end. The image is reflected on a special monitor, where the doctor can observe the internal organs of the patient. The third incision is for insertion of the manipulator, it helps to push the internal organs and, if necessary, to remove abnormal growths.
The operation lasts on average for about 40 minutes. At the end of the abdomen and remove all trocars with instruments, suture punctures. It is possible to get up a few hours after the laparoscopy. The next day, the patient is recommended to eat fractionally and move more in order to recover faster. Some discomfort after surgery is associated with the presence of gas in the abdominal cavity, which is gradually disappearing. Rehabilitation usually proceeds without complications, is relatively easy. Sutures are removed on the 7-9 day after the laparoscopy.

Advice 6: What to choose: a laparoscopy or laparotomy

Surgical intervention in any disease is considered to be a huge stress to the body. However, now, along with abdominal operations, became possible and less traumatic intervention, called laparoscopy. However, this type of operation, despite all the advantages, it is not always welcomed by doctors. To select an intervention, you need to understand the specifics of each method.
What to choose: a laparoscopy or laparotomy
And laparoscopy, and laparotomy are the techniques of surgical operations on the internal organs. Rather is not different operations and two different types of access to the abdominal cavity.

Laparotomy involves opening the abdomen through the incision. This operation is considered to be abdominal. The intervention always takes place under General anesthesia and is considered to be quite traumatic. Therefore, most surgeons prefer a minimally invasive method of surgery — laparoscopy.

Laparoscopy — this surgical operation in which surgery is performed through small incisions in the abdomen (usually three or four, depending on that you need to access). The cuts are inserted in a special tube, through which the surgeon operates. The operation is performed under video control, input into the abdominal cavity through one of the incisions. As with laparotomy, laparoscopy is performed under General anesthesia.

Benefits of laparoscopy before laparotomy are:

1. Low-impact operation. When laparoscopy is not possible to cut the abdomen, hands and the surgeon's tool is not in contact with internal organs of the patient using the video camera it is possible to increase the image of the bodies, considered with the smallest damage in the structure of the body. All this is a huge advantages of the laparoscopic method.

2. Neat seam. After laparoscopy shevchiki applied to the incisions, minimal and almost not visible to the eye, whereas after laparotomy remains a large and unsightly scar.

3. A small recovery period after surgery and a brief stay in the hospital. Observation in hospital after laparotomy the patient will need at least two to three weeks, and even months. The pain of the postoperative period eliminates any physical activity, and the stitches hurt. During a laparoscopy, the total time spent in hospital is calculated in three-five days, and recovery after surgery takes place within weeks.

4. Small risk of adhesive processes after abdominal operations the risk of adhesions is extremely high.

The advantages of laparoscopy, of course, obvious. However, it is not always the surgeon can conduct the intervention with laparoscopy. In some cases minimally invasive surgery is impractical. For example, the presence of a large tumor in the pelvic organs or an existing adhesive process of the abdominal cavity made it impossible for a laparoscopy, and in this case, the surgeon is forced to resort to laparotomy. In addition, emergency patients, it is often easier and faster to carry out a laparotomy than laparoscopy jewelry.

Of course, the best source of advice in choosing the method of operation will be watching the patient's surgeon. However, in matters of their own health the patient should not rely "at random", and it is better to know in advance what to expect from a particular intervention.
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