Laparoscopic Gastrojejunostomy
Steps Involved in IVF:
Procedure Description:
Laparoscopic gastrojejunostomy is a minimally invasive surgical procedure that creates a direct connection between the stomach and the jejunum (a part of the small intestine). This surgical intervention is typically performed to bypass obstructions in the upper gastrointestinal tract, such as those caused by gastric outlet obstruction, certain cancers, or benign strictures.
The laparoscopic approach involves making small incisions in the abdomen through which specialized surgical tools and a camera are inserted. The camera provides a high-definition view of the internal organs, enabling the surgeon to perform precise movements. This method is preferred over traditional open surgery due to reduced postoperative pain, minimized scarring, and quicker recovery times.
During the procedure, the surgeon first inflates the abdominal cavity with carbon dioxide gas to create space for maneuvering. Once the surgical tools are in place, the surgeon carefully dissects the tissue and creates an opening between the stomach and jejunum. The newly formed connection ensures that food can bypass the obstructed area, allowing for proper digestion and relief of symptoms.
Procedure Duration:
The duration of a laparoscopic gastrojejunostomy can vary depending on the patient’s condition and the complexity of the case. Generally, the procedure takes between 2 to 3 hours. This timeframe includes the initial preparation, anesthesia administration, and the surgical operation itself.
The surgery is performed under general anesthesia, ensuring the patient remains unconscious and pain-free throughout the process. The surgeon's expertise and the specific condition being treated can influence the length of the procedure. More complicated cases, such as those involving adhesions or additional corrective steps, may extend the surgical duration.
Postoperatively, patients are typically monitored in the recovery area for a few hours before being moved to a regular hospital room. The immediate recovery period involves close observation to ensure there are no complications such as bleeding or infection. Most patients can expect to stay in the hospital for 2 to 5 days before discharge, depending on their recovery speed.
Benefits:
- Minimally Invasive Approach: Reduced pain and smaller incisions compared to open surgery.
- Faster Recovery Time: Patients can typically resume normal activities sooner.
- Lower Risk of Infection: Smaller incisions mean a reduced risk of postoperative infections.
- Improved Digestive Function: Effective in bypassing obstructions and allowing normal food passage.
- Shorter Hospital Stay: Patients usually require fewer days of hospitalization, leading to quicker returns to daily life.
Potential Destinations:
- Thailand: Renowned for its advanced medical facilities and highly skilled surgeons. Medical tourists often choose Thailand for its affordability and excellent patient care.
- Turkey: A popular destination due to its state-of-the-art hospitals and experienced medical professionals specializing in gastrointestinal surgeries.
- India: Known for its cost-effective healthcare and experienced surgeons. Many hospitals are internationally accredited, making it a trusted option for medical tourists.
- Mexico: Offers high-quality care with the advantage of proximity for North American patients. Many medical centers in Mexico provide world-class laparoscopic procedures.
- South Korea: Famous for its advanced medical technology and well-trained surgeons, South Korea is an excellent choice for patients seeking high-quality care and efficiency.
Risks & Considerations:
- Infection: Although the laparoscopic approach minimizes the risk, infection at the incision sites can still occur and requires attention.
- Anastomotic Leakage: There is a risk of leakage at the surgical connection between the stomach and jejunum, which may require further intervention.
- Bleeding: Any surgical procedure carries a risk of bleeding. It is essential for patients to be monitored for signs of excessive blood loss postoperatively.
- Bowel Obstruction: Scar tissue formation or complications from the procedure could lead to future obstructions.
- Adverse Reactions to Anesthesia: Some patients may experience negative reactions to anesthesia, ranging from mild nausea to more severe complications.
How to Choose the Right Doctor and Hospital:
When choosing a doctor and hospital for a laparoscopic gastrojejunostomy, it is crucial to consider factors such as the surgeon’s expertise, certifications, and experience in performing minimally invasive gastrointestinal surgeries. Look for specialists who are board-certified and have a strong track record in performing similar procedures.
Ensure the hospital or surgical center is accredited by reputable international bodies and equipped with advanced laparoscopic technology. Patient reviews, testimonials, and success rates of the hospital can also provide valuable insights. Prioritize facilities that offer comprehensive preoperative and postoperative care to ensure a seamless experience.
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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