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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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