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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Related Experiment Video

Updated: Oct 4, 2025

Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate HoLEP.
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[LASER TECHNOLOGIES IN LAPAROSCOPIC HERNIOLOGY].

D Khristyuk1, A Usenko1, P Ogorodnyk1

  • 1Kyiv City Hospital №1; Shalimov's National Institute Of Surgery And Transplantation National Academy Of Medical Sciences Of Ukraine, Kiev, Ukraine; Republican Clinical Hospital, Batumi, Georgia.

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|February 8, 2022
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Summary
This summary is machine-generated.

A 1470 nm laser coagulator offers a superior alternative to electrocoagulation for Transabdominal Preperitoneal (TAPP) inguinal hernia repair. This laser technology reduces operating time, hospital stay, and postoperative pain while minimizing tissue damage.

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Area of Science:

  • Laparoscopic surgery
  • Surgical technology
  • Minimally invasive procedures

Background:

  • Transabdominal Preperitoneal (TAPP) repair is a common procedure for inguinal hernias.
  • Traditional electrocoagulation methods present challenges such as tissue wrinkling and smoke, potentially obscuring the surgical field.
  • Evaluating alternative energy devices is crucial for improving surgical outcomes and patient recovery.

Purpose of the Study:

  • To assess the efficacy and safety of a 1470 nm universal laser coagulator ("Lika-surgeon") as a substitute for electrocoagulation during TAPP procedures.
  • To compare operative time, hospital stay, pain severity, and tissue damage between laser and electrocoagulation techniques.

Main Methods:

  • A comparative study involving 88 patients undergoing TAPP with a 1470 nm laser coagulator and 102 patients with standard electrocoagulation.
  • Data collection included operative duration, length of hospital stay, pain assessment, and morphological analysis of tissue effects.
  • Surgical interventions were conducted across multiple surgical departments in 2020.

Main Results:

  • The laser group demonstrated significantly shorter operating times and hospital stays compared to the electrocoagulation group.
  • Postoperative pain was comparable in the early period, but significantly less severe in the late period for the laser group (6.1% vs. 15.2%).
  • Morphological analysis revealed substantially less tissue trauma in the laser group, with a coagulation zone of 372.91 µm versus 835.88 µm.

Conclusions:

  • The 1470 nm laser coagulator provides enhanced cutting and coagulation, maintains optical clarity, and causes minimal thermal damage.
  • It significantly reduces operative time, hospital stay, and postoperative pain, offering advantages over electrosurgical devices.
  • This laser technology presents promising new applications for laparoscopic inguinal hernia surgery.