Laparoscopy is a type of surgical procedure that allows a surgeon to access the inside of the abdomen (tummy) and pelvis without having to make large incision in the skin. It can be diagnostic or operative procedure also known as keyhole surgery or minimally invasive surgery.
PROCEDURE
- Surgeon inserts this instrument; a thin device with an attached light and camera to help them more clearly visualize organ damage and disease through a small incision in the abdomen.
- The abdomen is first inflated with carbondioxide to provide adequate working space
- The laparoscope is sometimes supported with additional surgical instruments which can be inserted through the incision sites. Normally four small incision sites.
- The small incisions are only approximately 0.5inches long; as a result laparoscopy avoids the need for an open surgical procedure.
- It’s done while the patient is under general anesthetic (patient completely asleep)
- Regional anesthetic can be used when appropriate to give pain blocks
- Other additional surgical instruments used during laparoscopy depending on the procedure being done
Purpose
Laparoscopy can take place due to many reasons, health conditions and diagnoses including tubal ligation, diagnostic procedures and the treatment of certain conditions.
Reasons for undergoing a Laparoscopy
- Diagnosis and treatment of endometriosis, chronic pelvic pain, pelvic inflammatory disease, abdominal hernia repairs, removing the appendix and causes of infertility.
- Removal of fibroids, uterus, ovarian cysts, lymph nodes or an ectopic pregnancy
- The treatment of a range of disorders, including urinary incontinence, pelvic organ prolapse, and certain forms of cancer.
- Evaluating certain cancers, including those of the ovary, uterus and cervix.
Benefits of Laparoscopy
- Less pain than an open procedure
- Faster recovery
- Smaller incisions
- Less risk of infection
Effects to the Patient
– Tiredness
– Nausea as a result of the anesthesia.
AFTER LAPAROSCOPY
Surgeon;
- Removes most of the carbon dioxide from the abdomen
- Removes all instruments
- Closes the incision with stitches
- Covers the area with small bandage