Dr. Miguel Martínez Noack
Dr. Rodrigo Zepeda Herman
MULTIMEDICA VISTA HERMOSA
The use of laparoscopic surgery was introduced in Guatemala in the 90’s, and it came to revolutionize the treatment of many surgical diseases that previously required large incisions with a long recuperation period. The first procedures done were operations of the gallbladder and appendix; currently anti-reflux surgery, splenectomies (spleen resection), gynecological surgeries, obesity surgeries are being performed. In the field of trauma surgery, in June 1996 the first diaphragmatic hernia caused by a knife wound was repaired via thoracoscope, evacuation of blood from the thorax caused by internal lesions, and diagnostic laparoscopies to prevent unnecessary operations are also being performed.
Currently, we are still searching for new ways of offering patient new alternatives that represent a better and faster post-operatory recuperation. There is talk about gallbladder surgery through natural orifices, the surgery through an only orifice, through the navel, introducing various instruments to operate the gallbladder. Nevertheless, these methods require expensive instruments and the surgical technique is complex due to such a special approach. Several years ago a Brazilian surgeon designed a technique called MINI LAPAROSCOPIC SURGERY, which is very similar to conventional laparoscopic surgery or what we all know as “Laser Surgery” with the difference that the instruments are very small and allow surgeries to be performed with wounds of only 2 to 3 mm in diameter, different from the 5 to 10 mm diameter wounds of conventional laparoscopy.
At the present moment we perform in Guatemala gallbladder surgeries, appendix surgeries and explorations with this technique and the benefits that we have observed in patients compared to conventional laparoscopy are:
- SIGNIFICANTLY LESS POSTOPERATIVE PAIN
- LESS USE OF POSTOPERATIVE ANALGESICS
- EARLIER RESTART OF ACTIVITIES
EXCELLENT AESTHETIC RESULTS
It is important that each patient is evaluated by the surgeon that performs the Mini Laparoscopic Surgery to be able to decide if it is possible or not to perform surgery with this new technique.
To be able to undergo Mini Laparoscopic Surgery it is necessary that at the time patients do not have infections in the gallbladder or in the case of the appendix, that it may be manipulated with the delicate instruments of Mini Surgery. If not they will be operated with Conventional Laparoscopic Surgery or Laser.
After seeing the evolution of the cases we have operated it is proven that the benefits are significant, and that this new technique is better than conventional laparoscopic surgery from all points of view regarding the cases in which it is clearly indicated.