Surgical Procedures

Laparoscopic Fenestration of Liver Cysts

Laparoscopic fenestration of liver cysts is a minimally invasive surgical procedure aimed at treating cysts developed in the liver. These fluid-filled cavities often do not cause symptoms but can lead to pain, discomfort, or other health problems if they grow large or numerous.

Procedure Steps:

• Preparation: The patient undergoes general anesthesia, and carbon dioxide is introduced into the abdominal cavity for better visibility.
• Surgical Procedure: The surgeon makes small incisions to insert the laparoscope and surgical tools into the abdominal cavity. Using the live image on the screen, the surgeon removes or opens part of the cyst wall (fenestration), thus reducing the cyst's volume and pressure.
• Observation and Closure: The surgeon carefully checks for bleeding or other complications. The incisions are closed with sutures or patches.

Benefits:

• Less pain and inflammation after surgery
• Faster recovery and shorter hospital stay
• Smaller scars
• Lower risk of complications

Parathyroid Adenoma Removal

The removal of parathyroid adenoma aims to eliminate the abnormal gland producing excessive amounts of parathyroid hormone, thereby disrupting calcium metabolism. Surgery for primary hyperparathyroidism is crucial for maintaining bone health and overall well-being.

Procedure Steps:

• Preparation: Under general anesthesia, the surgeon locates the enlarged gland using ultrasound or another imaging technique.
• Surgical Procedure: The surgeon makes a small incision in the neck and removes the enlarged parathyroid gland(s). Intraoperative parathyroid hormone monitoring is often used to ensure all affected glands have been removed.
• Observation and Closure: After surgery, the wound is closed in a sterile manner to minimize the risk of infection.

Benefits:

• Reduced surgical trauma
• Quick recovery and less pain during the postoperative period
• High cure rate, with calcium levels normalizing in most patients
• Preservation of the vocal cords and surrounding tissues

These interventions represent significant advancements in patient care, particularly due to their minimally invasive nature and faster recovery times.