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Reparación laparoscópica de hernia inguinal - Medical Animation
 
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Reparación laparoscópica de hernia inguinal - Medical Animation
MEDICAL ANIMATION TRANSCRIPT:
Una hernia inguinal es una afección donde el contenido abdominal, como el intestino sobresale a través de punto de debilidad en una zona de la ingle llamado el canal inguinal. A medida que el intestino empuja a través de este punto débil, se forma un saco de hernia con el tejido que reviste el interior del abdomen llamado peritoneo que lo rodea. El intestino puede quedar atrapado o encarcelado dentro del saco de la hernia. Con el tiempo, el suministro de sangre puede cortarse esto lleva a la estrangulación donde el tejido en el interior del saco herniario muere. Una reparación laparoscópica de la hernia inguinal totalmente extraperitoneal requiere sólo pequeñas incisiones en el abdomen conocidas como puertos. Para llegar a la hernia, el cirujano inserta un tubo llamado trocar a través de un puerto situado justo debajo del ombligo. Este instrumento se utiliza para separar la pared abdominal interior del peritoneo. Luego se infla un globo que rodea el instrumento para crear espacio para que el cirujano trabaje. A continuación, el cirujano inserta el laparoscopio a través del puerto umbilical. Las imágenes de la cámara se transmiten a un monitor de vídeo de la sala de operaciones. Una vez creado el espacio de trabajo, se inserta dos trocares adicionales. El cirujano pasará los instrumentos quirúrgicos a través de ellos. Estos instrumentos se utilizan para separar los elementos adheridos a la bolsa de la hernia y para sacar el intestino suavemente fuera del canal inguinal y volver a introducirlo en el abdomen. Para evitar que algo vuelva a interesar por la apertura, el cirujano coloca una pieza de malla sobre ella y la fija en su lugar con grapas. Las incisiones se cierran con suturas seguido de adhesivo para piel o cinta de cierre para piel. Si se presentan complicaciones con el procedimiento laparoscópico el cirujano cambiará a un procedimiento abierto con una incisión más grande.

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Levy, Angstreich, Finney, Baldante & Coren
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Marcari Russotto & Spencer, P.C.
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