JIGAWA STATE COLLEGE OF NURSING SCIENCE
College of Nursing Hadejia Campus
Second year second semester,Set 05 Students Nurses
Course: Nursing practice
Topic: laparoscopy.Group 03
Group Members:
1. Muhammad Umar Muhammad
2. Ibrahim Yusuf Maina
3. Abubakar Adamu
4. Aisha Yetunde Lawal
5. Maryam Ubale
6. Khadija labaran
7. Fatima Abdulhadi
8. Usman Isah Muhammad
9. Aisha Ahmad Garba
INTRODUCTION
Laparoscopy is a type of surgical procedure that allows a surgeon to access the inside of the abdomen
(tummy) and pelvis without having to make large incisions in the skin.This procedure is also known as
keyhole surgery or minimally invasive surgery.Large incisions can be avoided during laparoscopy
because the surgeon uses an instrument called a laparoscope.This is a small tube that has a light source
and a camera,which relays images of the inside of the abdomen or pelvis to a television monitor.
A laparoscopy is often performed using general anesthesia, which can make a patient drowsy and
unable to drive for several hours after surgery. A laparoscopy is usually done as an outpatient
procedure. This means that patient can go home the same day as the surgery in many cases. It may be
performed in a hospital or an outpatient surgical centerPatient will likely be given general anesthesia for
this type of surgery. This means that patient will sleep through the procedure and typically won’t feel
any pain. To achieve general anesthesia, an intravenous (IV) line is inserted. Through the
IV,anesthesiologist can give special medications and as well as provide hydration with fluids.During a
laparoscopy, the surgeon makes an incision below belly button(site of attachment of the umbilical
cord ), and then inserts a small tube called a cannula. The cannula is used to inflate abdomen with
carbon dioxide gas. This gas allows doctor to see abdominal organs clearly.Once the abdomen is
inflated, the surgeon inserts the laparoscope through the incision. The camera attached to the
laparoscope displays the images on a screen, allowing organs to be viewed in real time.The number and
size of incisions depends upon what specific diseases is attempting to confirm or rule out.After the
procedure is done, the instruments are removed. incisions are then closed with stitches or surgical tape
may be placed over the incisions.
Indications for Laparoscopy
Here are some of the things that are indications for laparoscopy to be used:
1.Checking the fallopian tubes to be sure they are open and in normal condition
2.Tubal or reproductive surgery
3.Endometriosis
4.Egg retrieval for assisted reproduction
5.Lysis, or cutting of adhesions that might be preventing pregnancy
Adventage of laparoscopy
1.Very small scars.
2.Stay for fewer days in the hospital (in
traditional methods, the recovery time of a
patient was 4 to 8 weeks and hospital stay
was of 1 or more than a week, but in
laparoscopic surgery, recovery time is 2 to 3
weeks and hospital stay is of only 2 nights).
3.Less tissue cutting.
4.Less pain while scar heals – lesser use of pain
medications.
5.Get back to normal life sooner.
6.Quick healing as the scar is small.
Disadvantage of laparoscopy
These include :
1.infection
2.Allergic reactions
3.Damage to organs
4.blood clots
5 internal bleeding
6.Damage to internal structures .
Nursing Interventions
1.Instruct the patient to resume his usual diet.
2.Instruct the patient to restrict activity for 2 to 7 days.
3.Explain that abdominal and shoulder pain should disappear within 24 to 36 hours.
4.Provide analgesics.
5.Monitor vital signs.
6.Monitor the patient for adverse reactions to anesthetic.
