What is Laparoscopy?
Laparoscopy - Dr. Abhay Sukhatme
Laparoscopy is a type of surgical procedure which allows surgeon to access the inside of abdomen (tummy) and pelvis without having to make long incisions in the skin. This procedure is also known for keyhole surgery or minimally invasive surgery. In past, this technique was commonly used for gynecologic surgery and for gall bladder surgery.
Laparoscope transmits images from abdominal cavity to high-resolution video monitors in the operating room. During operation surgeon watches detailed images of the abdomen on the monitor. This system allows the surgeon to performs same operations as traditional surgery but with smaller incisions.
Why is it required?
Laparoscopy in gynecology is used for checking the abnormalities in theuterus, ovaries, fallopian tubes, and other organs which are not evident by other diagnostic procedures such as X-rays and other scans. Laparoscopy is used for diagnose and treat the conditions of pelvic pain, infertility, fibroids, cysts, tumours, endometriosis, ectopic (tubal) pregnancies, pelvic inflammatory disease, and other gynecological problems.
Types of Laparoscope
1. A telescopic rod lens system, usually connected to a video camera (single chip or three chip)
2. digital laparoscope where a miniature digital video camera is placed at the end of the laparoscope, eliminating the rod lens system
Risks Of Laparoscopy
The most common risks associated with laparoscopy are bleeding, infection, and damage to organs in your abdomen. However, these are rare occurrences.
After your procedure, it’s important to watch for any signs of infection. Contact your doctor if you experience:
* Fevers or chills
* Abdominal pain that becomes more intense over time
* Redness, swelling, bleeding, or drainage at the incision sites
* Continuous nausea or vomiting
* Persistent cough
* Shortness of breath
* Inability to urinate
There is a small risk of damage to the organs being examined during laparoscopy. Blood and other fluids may leak out into your body if an organ is punctured. In this case, you’ll need other surgery to repair the damage.
Less common risks include:
* Complications from general anesthesia
* Inflammation of the abdominal wall
* A blood clot, which could travel to your pelvis, legs, or lungs.
In some circumstances, your surgeon may believe the risk of diagnostic laparoscopy is too high to warrant the benefits of using a minimally invasive technique. This situation often occurs for those who’ve had prior abdominal surgeries, which increases the risk of forming adhesions between structures in the abdomen. Performing laparoscopy in the presence of adhesions will take much longer and increases the risk of injuring organs.
Precautions to be taken before the procedure?
You can just continue taking your regular medications, unless your doctors advise you .You may need to have bowel preparation which will empty your bowel before surgery. For this, you should be on liquid diet (soups, jellies, juices or similar drinks) for 24 hours before the surgery. Avoid smoking and if you develop signs of illness prior to your surgery, please contact our office immediately.