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History of Laparoscopy

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History of Laparoscopy

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    1. History of Laparoscopy Minimally Invasive Surgery

    2. The Pioneers 1 The great physician, Hippocrates of Ancient Greece( circa 460-377 BC) made the original reference to a speculum to examine the rectum.

    3. The Pioneers 2 In the early 1800s, Philip Bozzini of Austria examined the urethra of a patient using a simple tube and candlelight. (Basic design of Lichtleiter was a instrument for future development of endoscopes) Segalas in Paris, John Fisher in USA, Desormeaux in Paris developed their improved cystoscopes.

    4. The Pioneers 3 Bruck, a dentist, developed a platinum wire cooled by water to illuminate the inside of the mouth. Based on Bruck design, Nitze finally developed his first improved cystoscope in 1855 in which the light rays were gathered into his instrument via mirrors. Thomas Edison invented the incandescnt light bulb.(1879) Newman of Glasgow miniaturzed Edison`s invention and incorporated it into the Nitze`s cystoscope(first Laparoscop).

    5. The Pioneers 4 Georg Kelling of Dresden performed the first cholecystectomy in living dog(COELIOSCOPIE -1902) / the first human laparoscopy with pneumoperitoneum using room air insufflation with Nitze cystoscope.

    6. The Pioneers 5 Jacobaeus of Sweden presented his series of patients who had laparoscopy in 1910 (published a series of over 100 laparoscopy and thoracoscopy(LAPAROSCOPY).

    7. The Pioneers 6 Dimitri von Ott from St.Petersburg examined the intraabdominal contents and the pelvis via an inscision in the vaginal vault to insert a speculum to examine the pelvis./Gynecologic laparoscopy/ (1901)

    8. Laparoscopic Surgery Diagnostic Lap.Surgery Advanced Lap.Surgery

    9. Diagnostic tool

    10. Theraputic Tool In the field of : General Surgery Gynaecological Surgery Colorectal Surgery Digestive Surgery Morbid Obesity Surgery Urological Surgery Endocrine Surgery Aortoiliac Surgery Pediateric Surgery Plastic Surgery

    11. General Surgery Laparoscopic Billiary Surgery Cholecystectomy Common bile duct surgery Inguinal Hernia Repair TAPP TEP Emergency Surgery Appendectomy Peritonitis(Perforated Ulcer,Diverticulitis) Small bowel obstruction

    12. Pediatric Surgery Appendectomy-Pyloromyotomy-Nissen Non Palpable testis-Varicocele Nephrectomy-Splenectomy Hypertrophic pyloric stenosis

    13. Thoracoscopic Surgery Pleural diseases Mediastinal & Parietal Pathologies Lung diseases Malignancies

    14. Gastric Surgery Antireflux Procedures( Nissen-Toupet-Hill ) Giant hiatus hernia Achalasia

    15. Morbid Obesity Surgery Gastric Banding Gastric Bypass Vertical Band Gastroplasty Biliopancreatic Diversion Sleeve Gastrectomy

    16. Colorectal Surgery Right Colectomy Left Colectomy Rectal resection for cancer(TME) Sigmoidectomy Rectal Prolapsus Procedures(Rectopexia) Transanal endoscopic Microsurgery(TEM)

    17. Endocrine Surgery Thyroidectomy Parathyroidectomy Transabdominal Adrenalectomy

    18. Urological Surgery Pyeloplasty Pyelotomy Uretrotomy-Uretrolyse- Uretroplasty Burch Cystotomy Radical & Partial Nephrectomy Aortic & Cava Lymphadenectomy Illio-obturator Lymphadenectomy Laparoscopic Radical Prostatectomy Laparoscopic Prostatocystectomy RPLND

    19. Hepatic Surgery Hydatid cysts(Drainage/Resection) Biopsies Intraoperative Sonography

    20. Pancreatic Surgery Lap. Distal Pancreatectomy

    21. Splenic Surgery Lap. Splenectomy

    22. Cardiac Surgery Transthoracoscopic Ligation of patent ductus arteriosus(PDA). Transthoracoscopic CABG.

    23. Vascular Surgery Aortoiliac Surgery Laparoscopic Transperitoneal abdominal aortic replacement with L. renal artery direct reimplantation in pigs. Laparoscopic Retroperitoneal replacement of abdominal Aorta in pigs.

    24. Gynaecologic Surgery Diagnostic Laparoscopies Ovarian Laparoscopies Laparoscopic Hysterectomy( LAVH / TALH ) Endometriosis Hysteroscopic Surgeries( Uterin Malformations / Mayomas & Polips / Tubal sterilisation/ Endometrial ablations)

    25. Robotic Surgery

    26. Complications 1 Access related: 1-Veress needle 2-Trocar 3-Vascular injuries( grate vessels, Port site) 4-Gastrointestinal injuries 5-Urinary tract injuries

    27. Complications 2 Surgery related Instrument related

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