Laproscopy
Laproscopy
- Laparoscopy is an operation performed in the abdomen or pelvis through small incisions with the aid of a camera. The laparoscope aids diagnosis or therapeutic interventions with a few small cuts in the abdomen.
Exam Question
- Best gas used for creating pneumoperitonium at laparoscopy is CO2.
- Laparoscopy is best avoided in patients with COPD.
- Best tubal function test is Laproscopy.
- The intra – abdominal pressure laparoscopy should be set between 10-15 mm of Hg.
- A female presents with primary amenorrhea and absent vagina, the next investigation to be done is Laproscopy.
- Salpingitis / Endosalpingitis is best confirmed by Hysteroscopy with Laproscopy.
- During laparoscopy the preferred site for obtaining cultures in a patient with acute pelvic inflammatory disease is cul-de-sac or fallopian tube.
- Gold standard for diagnosis for PID is diagnostic Laproscopy.
- Shoulder pain post laparoscopy is due to CO2 retention.
- Best investigation to diagnose ectopic pregnancy is Laproscopy.
- A lady presented in the emergency department with a stab injury to the left side of the abdomen. She was hemodynamically stable and a contrast enhanced CT scan revealed a laceration in spleen. Laparoscopy was planned however the patient’s p02 suddenly dropped as soon as the pneumoperitoneum was created. Gaseous Embolism through Splenic Vessels is the most likely cause.
- A 45 year old female presents with symptoms of acute Cholecystitis. On USG there is a solitary gallstone of size 1.5cm. Symptoms are controlled with medical management. Immediate Laproscopic Cholcystectomy is the next most appropriate step in the management of this patient.
- Laparoscopic and dye test are done doing secretory phase of the cycle for finding out the tubal factors of infertility.
- Laparoscopy is the primary method used for diagnosing endometriosis..
Advantage of carbon dioxide in laproscopy are : Non-irritant , Non-inflammable , No tissue reaction
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