Laparoscopic Gastrojejunostomy
Steps Involved in IVF:
Procedure Description
Laparoscopic gastrojejunostomy is a minimally invasive surgical procedure designed to create a bypass from the stomach to the jejunum (a section of the small intestine), thus bypassing any obstruction in the stomach’s outlet. This procedure is frequently employed to treat gastric outlet obstructions caused by various conditions, including gastric cancer, peptic ulcer disease, or strictures. By creating a new pathway for food to pass from the stomach to the intestines, laparoscopic gastrojejunostomy helps alleviate symptoms such as nausea, vomiting, abdominal pain, and inability to eat.
The laparoscopic approach to gastrojejunostomy has become a preferred option due to its minimally invasive nature, reduced recovery time, and minimal scarring. During the procedure, the surgeon makes several small incisions in the abdomen. A laparoscope—a thin, flexible tube with a camera—is inserted through one of these incisions, providing a live view of the internal organs. Specialized surgical instruments are then inserted through the other incisions, allowing the surgeon to create the bypass with precision and control.
This technique requires advanced surgical skill and experience, as it involves intricate navigation around abdominal structures. The laparoscopic gastrojejunostomy is generally favored over open surgery due to the advantages it offers in terms of recovery and reduced complications, making it a viable option for patients seeking minimally invasive alternatives.
Procedure Duration
The laparoscopic gastrojejunostomy procedure typically lasts between 1.5 to 3 hours, depending on the complexity of the patient’s condition, anatomy, and the experience of the surgical team. The procedure can be divided into three phases: preparation, surgical execution, and post-operative care.
1. Preparation Phase:
Before the surgery begins, the patient undergoes thorough preoperative evaluations, including imaging studies like CT scans or endoscopy, to assess the location and severity of the obstruction. Patients may also be required to fast for a few hours and, in some cases, may receive intravenous antibiotics to prevent infection. This preparation stage is essential to ensure that the patient is in optimal condition for the operation.
2. Surgical Execution Phase:
Once the anesthesia takes effect, the surgeon makes 3-5 small incisions in the abdomen to insert the laparoscope and surgical instruments. The surgeon then carefully identifies the stomach and jejunum, choosing an optimal site for creating the bypass. The jejunum is connected to the stomach using sutures or staples, creating a new pathway for food. Throughout this phase, the surgeon closely monitors the structures to minimize trauma and ensure a secure connection.
3. Post-Operative Care and Recovery Phase:
After the surgery, the patient is taken to the recovery area, where vital signs and pain levels are monitored. Recovery from laparoscopic gastrojejunostomy is typically quicker than open surgery, with most patients resuming light activities within a week. However, full recovery and a return to normal eating may take several weeks. Follow-up appointments and dietary adjustments are often necessary to ensure a smooth transition and prevent complications.
Benefits
- Minimally Invasive: Laparoscopic gastrojejunostomy involves smaller incisions, leading to less pain and minimal scarring compared to traditional open surgery.
- Reduced Recovery Time: Patients generally experience faster recovery, allowing them to return to daily activities sooner.
- Lower Risk of Complications: The minimally invasive approach reduces the risk of infection and other complications associated with larger incisions.
- Enhanced Precision: The laparoscopic camera provides a magnified view, enabling the surgeon to perform precise and controlled maneuvers.
- Better Aesthetic Outcome: Smaller incisions result in less noticeable scars, offering an aesthetic advantage to patients concerned about visible scarring.
Potential Destinations
- India
India is known for its advanced medical facilities and highly skilled surgeons specializing in minimally invasive procedures. The country’s healthcare system offers affordable treatment costs, attracting medical tourists seeking high-quality care for laparoscopic gastrojejunostomy.
- Thailand
Thailand’s medical tourism industry is robust, with hospitals that provide state-of-the-art surgical facilities. Many surgeons in Thailand are experienced in laparoscopic procedures, and the country is known for its patient-centered approach, making it an attractive choice for international patients.
- Turkey
Turkey has emerged as a popular destination for medical tourists due to its high standards of healthcare, coupled with affordable pricing. Many hospitals in Turkey are accredited and known for advanced laparoscopic surgeries, making it a viable option for those seeking cost-effective treatment.
- South Korea
South Korea is renowned for its advancements in medical technology and minimally invasive surgical techniques. With a strong emphasis on medical innovation, South Korean hospitals are equipped with cutting-edge technology for procedures like laparoscopic gastrojejunostomy.
- United Arab Emirates (UAE)
The UAE, particularly Dubai, has made significant strides in medical tourism. Equipped with modern healthcare facilities and skilled surgical teams, the UAE offers high-quality care for patients seeking laparoscopic procedures, with a focus on convenience and luxury.
Risks & Considerations
- Infection Risk: Though reduced in laparoscopic procedures, there is still a risk of infection at the incision sites, which requires diligent post-operative care.
- Anesthetic Reactions: As with any surgery, there is a risk of adverse reactions to anesthesia, which should be discussed with the anesthesiologist beforehand.
- Bleeding or Hemorrhage: Although rare, there is a risk of bleeding during the surgery, which can sometimes require additional intervention.
- Anastomotic Leak: The connection between the stomach and jejunum may develop a leak, which can lead to infection and requires prompt medical attention.
- Nutritional Challenges: After surgery, patients may face challenges in adjusting to their new digestive pathway, requiring dietary modifications and monitoring to prevent nutritional deficiencies.
How to Choose the Right Doctor and Hospital
Selecting a qualified doctor and reputable hospital for laparoscopic gastrojejunostomy is essential for a successful outcome. Patients should prioritize surgeons who have extensive experience in laparoscopic procedures and are well-trained in managing gastric and intestinal surgeries. Verifying the surgeon’s credentials, including board certification and specialization in gastroenterology or surgical oncology, can provide added assurance of their expertise.
Additionally, the hospital should be equipped with modern laparoscopic technology and have a solid reputation for patient safety. Patients can look for facilities with international accreditations or those known for their high standards of post-operative care. Researching patient reviews and consulting with previous patients, if possible, can also provide valuable insights when choosing the right healthcare provider.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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