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New
techniques continue to advance the field of surgery. High
frequency sound waves, called ultrasound, are directed at
kidney and gallbladder stones to break them apart so that
they can be eliminated through the excretory system. Cryosurgery
freezes and destroys abnormal tissue and is used to treat
hemorrhoids and some cervical disorders, and to remove certain
skin growths. Laser surgery, on the other hand, uses a beam
of light to vaporize or destroy tissue, a procedure commonly
employed in ophthalmology, neurosurgery, and thoracic surgery.
A variety of surgical procedures are performed using an endoscope,
an instrument that permits doctors to view the inside of the
body without making a large incision and through which special
tools such as lasers or knives can be inserted to operate
on a particular area of the body. Surgery using an endoscope,
also called laparoscopy, is used to perform tubal sterilization,
gall bladder removal, or lung removal. This technique is commonly
used for biopsies, in which tissue is removed from an organ
for evaluation under a microscope, or for removing patches
of diseased tissue.
Transplantation surgery, in which organs or tissues are removed
from one person and surgically implanted into another person,
is now performed for the eye lens and cornea, blood, bones
and bone marrow, heart, lung, liver, and pancreas. In severe
burn cases, healthy skin from an uninjured site is transferred
to an area that has been damaged. Patients typically receive
transplants when their own organs fail. Donor organs come
from recently deceased individuals who have indicated on organ
donor cards a desire to donate organs or whose family members
have authorized donation of the deceased's organs. Donated
organs must be transplanted within 24 to 48 hours after a
donor's death.
Ambulatory, or same-day surgery, is performed in a physician's
office or clinic. It involves operations that use minimally
invasive techniques, require less extensive cutting, and use
anesthesia that clears rapidly from the body. Some types of
plastic surgery, implantation of permanent pacemakers, breast
surgery, and biopsies are typically performed in ambulatory
surgical clinics.
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