What is Minimally Invasive Surgery (MIS)?
Minimally invasive surgery is a surgery minimizing surgical incisions to reduce trauma to the body. This type of surgery is usually performed using thin-needles and an endoscope to visually guide the surgery. This surgery is smaller and reduces soreness. The duration of rehabilitation is less than open wound surgery. This results in the patient returning to normal life faster. The doctor will open a small hole of 5-10 mm through the skin near the organs required surgery, 1-4 holes to insert a tube with a flashlight and a small camera that can record the internal organs of the patient clearly and sent to the monitor. And the surgery will be guided by a camera.
Advantages of Endoscopic Surgery or MIS:
- Smaller wounds than the broad open wound surgery method.
- Less pain after surgery, the patient will feel less sore wound than wide open surgery.
- Quick recovery due to the less injured tissue. Small surgical wound causes less fibrosis and reduce the chance of infection so the body can recover quickly.
- The duration of the surgery will be lesser.
- Blood loss and wound pain are less than open wound surgery.
- From the sharpness and high definition of the camera, the doctor can see the details of the position within the body that needs surgery.
- By-product of small wound dressings. Is beautiful.
Surgeries that use MIS:
- Surgery, treating of appendicitis.
- Surgery, gallbladder cancer treatment.
- Hernia surgery
- Uterine and / or ovary tumor surgery
- Osteoarthritis treatment Torn knee ligaments
Preparation for surgery:
- Patients should know how the endoscopy works, and cooperate with the doctor.
- The patient should informed his/her history or medicine allergies before the surgery.
- Drinking alcohol or smoke are prohibited before surgery for at least 2-4 weeks.
- Prepare the body before surgery. Eat healthy foods, exercise and rest.
Post-Operation practice after surgery:
- Follow the doctor’s instructions.
- Walk frequently to prevent fibrosis in the abdomen.
- Do not work hard or lift heavy.
- If any symptoms occur, seek medical attention.
- Follow the date of follow up consultation.
Surgical Procedure:
After the anesthesia was given, the surgeon performs 5-10 mm perforation through the abdominal cavity or on the skin near the peritoneal cavity, 1-4 holes, depending on the procedure or surgery, To put the device into surgery.
Limitations of surgery
- Patient – A patient that is difficult to manage disease such as lung disease, heart disease, BMI > 30
- The disease – cancerous tumors or severe inflammation in the abdomen before surgery, is at the discretion of the surgeon, decide whether to switch from a surgical procedure to an open abdominal procedure.
Comparison between MIS and Open Surgery
| Factors | 1.Minimally Invasive Surgery | 2.Abdominal Surgery |
|---|---|---|
| Blood loss during surgery | 5-10 millilitre | 500-2000 millilitre |
| Duration of surgery | About 30 minutes | By difficult – easy |
| Size of wound | Size 5-10 millimetre 1-4 holes | 10-20 centimetre |
| Postoperative pain (by wound size) | Little | Much |
| Rehab in the hospital | 1-2 days | 7-14 days |
| Time to recover at home until normal work | 1-2 weeks | 4-6 weeks |
| Surgeon’s skills | Specialized surgeons specialized surgery | Specialized surgeons |
| Limitation of patients | Never undergo abdominal surgery | – |
| Cost of treatment | Price is high because of the high cost of equipment. | Inexpensive |
| Surgical wound |  |  |