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Then, when you are asleep, the surgical team will make an incision just above the navel.
A tube-shaped collar called a trocar will be placed inside the incision to hold it open.
Harmless carbon dioxide gas will be used to inflate the abdomen, serving to enlarge the work area and to separate the organs. Medical Malpractice
The team then inserts the laparoscope.
Once in place, the laparoscope will provide video images that allow the surgeon to see the inside of your abdomen.
Next, the team makes four more incisions – taking special care to keep the openings as small as possible. These openings will provide access for other surgical instruments.
Once the team has a clear view of the stomach, your doctor will insert a special tube into your mouth and throat. The surgical team guides the tube into your abdomen until the tip reaches the top of the stomach. Medical Malpractice
At the tip of the tube there is a balloon. Your doctor will inflate the balloon when it is in position. Using the position of the balloon as a guide, your doctor will create a space around the stomach.
Next, the team will insert an adjustable band into the abdomen.
After deflating the balloon, your doctor will guide the band until it circles the top of the stomach.
Once the band is in place, the team will check the position by re-inflating the balloon.
After making any final adjustments to the position of the band, your doctor will tighten and lock it into place. Next, the team will fill the band with saline solution causing it to further tighten around the stomach. Medical Malpractice
To keep the band in place, a portion of the stomach will be pulled over the band and secured with 4 or 5 stitches. The remaining portion of the tube used to pass saline into the band will be trimmed and a special valve will be attached.
The valve will be sutured into place just below the skin in the upper left area of the abdomen. This valve will allow your doctor to adjust the tightness of the band and control the size of the opening into your stomach.

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After allowing a few minutes for the anesthetic to take effect, the surgeon will make a shallow incision 3-5 inches in length, directly over the hernia.
The next incision dissects through the inguinal canal itself and reveals the hernia sack, which is simply the peritoneum that lines the inside of the abdomen.
The surgeon gently pushes the contents of the sack back into the abdomen.
Next, the opening at the neck of the peritoneum is tied and the hernia sac is removed.
The inguinal canal itself is closed with sutures. These dissolve over time and do not need to be removed. Any defect or weakness in the muscle tissue needs to be repaired in order to reduce the risk of reoccurrence.Malpractice Medical
Occasionally, the surgeon will use a mesh patch to help reinforce this area
Then the muscle layers and other tissues are sewn together and the skin is closed with sutures or staples.
Finally, a sterile dressing is applied.
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Your doctor has recommended that you undergo surgery to treat reflux disease. But what does that actually mean?

Your diaphragm is a muscle that separates your chest from your abdomen and helps you to breathe. Normally, the diaphragm has an opening for the esophagus to pass through where it connects with the stomach.
Medical Malpractice
At this point, the ring-like layer of muscle which acts as a one-way valve sometimes becomes lax.

When you have reflux disease, the weakened muscle allows the contents of your stomach to back up into your esophagus.

This can cause considerable discomfort, often worse at night, with symptoms like heartburn, difficulty swallowing, chest pain and belching.
Medical Malpractice
Reflux disease is often caused by a hiatal hernia, pregnancy, an ulcer or tumor of the esophagus.

About half of the patients with severe Reflux Disease often have a hiatal hernia, which is a tear in the diaphragm.

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Then, when you are asleep, the surgical team will make an incision over the hip and along the thigh.
The team will pull the skin aside to reveal the muscle tissue below.
They’ll then make another incision to reveal the hip joint.
Next, the team pulls the top of the thighbone…
… out of the hip socket.
Using a precision surgical saw,
your doctor will carefully remove the ball-shaped end of the thighbone. Medical Malpractice
Then, the surgical team will use a high-speed drill to hollow out the top of the thighbone.
A specially fitted artificial ball joint slides into the top of the thighbone.
Next, your doctor will smooth the inner surface of the hip socket.
Once the socket has been thoroughly cleaned, the artificial lining will be secured in place with special screws. Medical Malpractice
The artificial ball joint is turned inward and fit into the socket.
The team carefully checks to make sure that it fits and allows the full range of normal motion.
Muscle and other tissues are closed over the joint using dissolvable stitches. A temporary draining tube may be added. Medical Malpractice
Finally, the skin is closed with sutures…
… and protected with sterilized strips.

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Your doctor will then lift your penis upward.
A well-lubricated cystoscope is gently inserted into the urethra,
the opening at the head of the penis, and slowly guided inward.
When the cystoscope reaches the back of the penis, your doctor will pull the penis downward in order to create a straight path into the bladder.
Once the cystoscope is inside the bladder, your doctor will inject a small amount of water through the cystoscope and into the bladder. Medical Malpractice
The water serves to expand the bladder, helping your doctor to better examine the interior. It also helps by washing away any blood or remaining urine.
You may feel a sense of fullness as though you need to urinate. You’ll be encouraged to relax and not to try to retain the water in your bladder.
As the team completes it’s inspection, they’ll be looking for suspicious tissues. If they find bladder stones, your doctor may try to crush these so that they can pass out of the bladder during normal urination. medical malpractice
If the team finds a suspicious growth they will use a special grasping tool to take a sample of tissue in order to send to a laboratory for analysis.
When the inspection is complete, your doctor will remove the cystoscope and you’ll be asked to empty your bladder.
Your doctor will probably ask you to wear a temporary Foley catheter. Malpractice Medical
A Foley catheter is a narrow tube inserted through your urethra and into your bladder. The catheter is connected to a bag that is attached to your leg by a strap. While the Foley catheter is in place, urine will pass from your bladder into the bag. You will not need to urinate into a toilet.
The nurse will show you how to change the bag when it is full. An appointment will be made for you to return to the doctor’s office in a couple of days to have the catheter removed.
As soon as the anesthesia wears off and you feel comfortable, you’ll be allowed to leave.

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Then, after you’re asleep, your doctor will make a small, vertical incision in your navel.
Using a pair of small retractors, the surgeon will gently open the incision and divide the exposed tissues.
Sutures resembling a purse string are placed in the skin around the navel.
Next, a special instrument called a Hassan Trocar is inserted through the opening in the navel.
The purse string sutures are pulled, causing the skin to tighten around the instrument. This creates an airtight seal. medical malpractice
The team then connects the Trocar to a small hose …
… in order to inflate the abdomen with carbon dioxide. This serves to enlarge the internal work area and to separate the organs.
They will make three or more incisions into the abdomen, with care taken to keep the openings as small as possible.
Next, the laparoscope is carefully inserted into the Hassan Trocar. Once the laparoscope is in place, it will provide video images to allow the placement of additional instruments.
The surgeon will then locate and retract the liver to identify the gallbladder.
Next, the surgeon removes the connecting tissue in order to expose the cystic duct and the cystic artery… Medical Malpractice
Using clips, the surgical teams clamps off both the duct and artery
which are later cut to prepare the gallbladder for removal. …
Finally, any remaining tissue connecting the gallbladder to the liver is cut…
The gallbladders is moved into the laparoscopic working port
where it is taken out of the body.
Then the instruments are withdrawn…
the carbon dioxide is allowed to escape…
the muscle layers and other tissues are sewn together…
and the skin is closed with sutures or staples.
Finally, a sterile dressing is applied.

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Now it’s time to talk about the actual procedure your doctor has recommended for you.
On the day of your operation, you will be asked to put on a surgical gown.
You may receive a sedative by mouth …
… and an intravenous line may be put in. Medical Malpractice
You will then be transferred to the operating table.
In the operating room, a nurse will prepare by clipping or shaving skin around your hip and thigh.
The anesthesiologist will begin to administer anesthesia – probably general anesthesia by injection and inhalation mask.
The surgeon will then apply antiseptic solution to the skin …
… and place a sterile drape around the operative site.

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Your doctor has recommended that you undergo a Cystoscopy. But what exactly does that mean?
The lower urinary tract allows your body to store and release urine.
It’s made up of two parts, the bladder and the urethra.
Your bladder is a hollow organ that expands as it fills with urine. Because it is made of muscular tissue, it can also contract and force urine to pass out of the body, through the urethra. Your urethra carries urine from the bladder to the outside of your body.
Your doctor feels that it is necessary to examine the interior of the urethra and bladder, to try to determine the cause of a problem that you may be having.
Medical Malpractice
Symptoms that may call for a routine Cystoscopy include:

* Persistent infection of the urinary tract
* Bladder stones
* Bleeding while urinating
* Irritation due to polyps, or
* Changes to the bladder caused by cancer.
Medical Malpractice
Cystoscopy is a simple procedure during which your doctor will insert a well-lubricated, instrument called a cystoscope through your urethra and into your bladder.
The cystoscope allows your doctor to visually inspect the interior of your bladder. It also allows your doctor to remove small pieces of tissue for later examination and even to crush small bladder stones, should any be present.
Any tissue that your doctor removes from your bladder will be sent immediately to a laboratory for analysis. Your doctor will ask the laboratory to check for any sign of cancer or other abnormality.

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Your doctor has recommended that you undergo surgery to repair a hiatal hernia. But what does that actually mean?

Your diaphragm is a muscle that separates your chest from you abdomen and helps you to breathe. Normally, the diaphragm has an opening for the esophagus to pass through where it connects with the stomach.
Medical Malpractice
A hiatal hernia occurs when part of the stomach

pushes upward through this small opening.

Your hiatal hernia may be causing considerable discomfort, with symptoms like heartburn, difficulty swallowing, chest pain and belching.
medical malpractice
The reasons why hiatal hernias form are not known, but they are quite common. A Hernia is dangerous only if it becomes strangulated. That means that the portion of the stomach that has pushed up into the chest may become pinched – preventing blood from reaching it.

If this happens, you may require emergency surgery to restore blood flow and to repair hernia.

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Gallbladder Laparoscopic Hassan Trocar Surgery bile Sutures liver

The gallbladder is a small organ located below the liver. It’s function is to store bile used by the instestines to digest food.

Gallstones – small calcified deposits – sometimes form and block the bile ducts which lead from the gallbladder to the intestines.
Medical Malpractice
In many cases, the problem becomes so severe, that the only effective treatment is to remove the entire gallbladder.

This is the most common reason for gallbladder surgery.

Then, after you’re asleep, your doctor will make a small, vertical incision in your navel.

Using a pair of small retractors, the surgeon will gently open the incision and divide the exposed tissues.
Medical Malpractice
Sutures resembling a purse string are placed in the skin around the navel.

Next, a special instrument called a Hassan Trocar is inserted through the opening in the navel.

The purse string sutures are pulled, causing the skin to tighten around the instrument. This creates an airtight seal.

The team then connects the Trocar to a small hose …

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