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>There were two small scars after the surgery. This >indicates that the surgery got performed >laparoscopically. > >By this techique two small holes through the >abdominaal wall got made. > >Through these holes got inserted tubes, called >"trocars". During insertion the trocars were filled >with an inner plug with a sharp tip sticking out in >the end. These easened the insertion and widened the >holes. The plugs were then pulled out. > >Through one of the trocar a rod with camera and >lighting got inserted. > >Through the other rods wwith small instruments at the >end got inserted. > >One instrument is for cutting. Usually this is formed >like scissors. The instrument also carry high >frequency electric current that aids cutting and >coagulaation of blood. > >One also pulled the apendix out with an instrument, >possibly the same as for cutting. > >Another instrument was for sewing that got inserted >after the cutting. > >By more complicated aurgeries a third trocar for more >instruments is used. > >By difficult surgeries, the instruments are handled by >a robotic device, and the surgion sits at a control >desk. This was not the case with this surgery. > >During work the abdominal cavity got inflated with gas >to get room for working. This was possibly done >through the thin catheter stuck through his navel. > >It is customary to perform such surgeries under >general anesthesia with gas and artificial ventilation >through a breathing tube. > >A catheter going in through the urethra, IVs for >medication and electrode for surveillance of heart >activity and oxygen saturation is standard. > >There is also an electrode to complete the electric >circuit for the current in the cutting instrument. > >It is possible that they performed a cystoscopy on the >boy with instruments put in through his penis. > >Possibly they also inspected him through his anus, >with a scope and an ultrasound probe which is also >frequently done. > >If the catheter was inside a long time or if he had >unexpected pain in urathra and anus, this may be the >case. > >It is my impression that most boys have these >procedures around this age, but it is often done when >they are under for som other easy surgery, and not >told about. > >But if the surgery took so short time as told it was >impossible to do lenghty and complicated extra >procedures, so these ispections probably took around >20 minutes and were of a simple kind

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