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New laser technique for diseased gallbladder.

An innovative laser technique for removing a diseased gallbladder without major abdominal surgery, postoperative risks and a lengthy recovery is making traditional surgical procedures obsolete according to the American Journal of Nursing (12/90).

"Cholecystectomy Made Easier," reports how, in uncomplicated cases, the dramatic technique called videolaserocopy lets surgeons remove a gallbladder through tiny punctures, in a procedure, called a laparoscopic laser cholecystectomy (formerly known as endoscopic laser cholecystectomy) that can be done on an outpatient basis.

The authors of the report -- Julie B. Jurf, R.N., a clinical nurse specialist in acute-care nursing; Linda Clements, R.N., a surgical senior staff nurse; and Jorge Llorente, M.D., chief of surgery and medical director of the postsurgical recovery unit at Sharp Memorial Hospital in San Diego, also reveal that the laser technique leaves no scarring and reduces the risks of such wound complications as infection, hematoma and separation, and hernia development.

Moreover, the authors contend, far less analgesia is required, and most patients can return to work or resume usual activities within three to seven days following the procedure.

Gallstone disease, the article declares, is a fairly common ailment, with an annual rate of 536,000 Americans having their gallbladders surgically removed. Although several new methods of dissolving gallstones have been developed and others are being explored, surgery had been the only way of removing a diseased gallbladder.

The authors caution, however, that as with traditional surgery, the patient who has the laser procedure is at risk for hemorrhage and leakage of bile into the abdominal cavity, but has lower risks of developing pneumonia, thrombophlebitis, urinary retention and ileus, a painful condition caused by temporary shutdown of the intestines.
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Title Annotation:videolaserocopy
Publication:Nutrition Health Review
Date:Jan 1, 1991
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