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Lisis laparoscópica de adhesiones abdominales - Medical Animation
 
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Lisis laparoscópica de adhesiones abdominales - Medical Animation
MEDICAL ANIMATION TRANSCRIPT:
El cirujano puede realizar lisis laparoscópica de adherencias o adhesiolisis laparoscópica para eliminar el tejido cicatricial de los órganos de su abdomen. Normalmente, las superficies de los órganos abdominales son resbaladizas y se mueven fácilmente una sobre otra mientras uno realiza sus actividades diarias. Si tiene bandas de tejido cicatricial en el abdomen, denominadas adherencias, sus órganos abdominales se pegan entre ellos o la pared abdominal. Estas adherencias pueden causar obstrucciones intestinales al apretar, torcer o sacar los intestinos de su lugar de manera parcial o completa. Lo que impide que los alimentos o las heces puedan moverse a través de ellos. Si es mujer, las adherencias también pueden causar infertilidad, ya que tuercen o tirar de las trompas de Falopio hasta sacarlas de su lugar de manera parcial o completa. Lo que impide que los óvulos fertilizados lleguen al útero, donde un bebé puede crecer y desarrollarse. La causa más común de las adherencias abdominales es la cirugía abdominal. Otras causas pueden ser infección abdominal como peritonitis, afecciones inflamatorias como apendicitis, traumatismo abdominal o radiación. Para comenzar, el cirujano inyecta gas en el abdomen para ampliar la cavidad abdominal, lo que permite ver el interior con mayor facilidad. A continuación, el cirujano hará una pequeña incisión para acceder al interior de su abdomen. Insertará un laparoscopio, que tiene una luz, una cámara y un dispositivo de aumento. El laparoscopio proyecta imágenes sobre una pantalla de televisión para guiar el trabajo del cirujano. Después de examinar la cavidad abdominal, el cirujano hará tres o cuatro pequeñas incisiones en el abdomen a través de las cuales pasan los instrumentos quirúrgicos. Con estos instrumentos el cirujano separará las adherencias para separar los órganos entre sí. Una vez que se separan todas las adherencias, el cirujano retira los instrumentos laparoscópicos, la incisión se cierra con sutura, seguido de pegamento para piel o cinta quirúrgica. En caso de haber complicaciones con el procedimiento laparoscópico, el cirujano debe cambiar a un procedimiento abierto con una incisión más grande.

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