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Laparoscopy

  • A Laparoscopy is a keyhole procedure to look inside the woman's pelvic area and examine the ovaries and womb. The procedure is performed under general anaesthetic and involves passing a telescope into the abdomen (tummy) through a small cut.

    It helps us to visualize the uterus, fallopian tubes, check the patency but most importantly an FTC (Fallopian tube catheterization) can be attempted to open the tubes if they are blocked.

    Laparoscopy, also called as diagnostic laparoscopy, is a surgical procedure done to investigate the internal organs present in the abdominal region. It’s a small procedure which involves minimal risk and requires small openings.

    Laparoscopy is done with the help of an instrument called a laparoscope to visualize the abdominal organs. A laparoscope is a thin and long, thin instrument which has effectively high resolutions camera fitted at the front with high intensity for better clarity to investigate the abdominal organs.

    The instrument is injected into the body through a small incision in the abdominal wall region, the camera moves internally to capture the images and transmits them to a video monitor. In a laparoscopy surgical procedure the doctor can clearly see the internal parts without the need of a surgery, it’s also possible to collect samples for testing such as biopsy.

    Purpose of Laparoscopy

    Laparoscopy is done to investigate and treat and analyse the cause of the pain in the abdominal region or the pelvic area. It’s done when the doctor could not diagnose using the noninvasive method.

    Typically the abdominal issues can be examined using imaging techniques like:

    1. Ultrasound which is a process where high-frequency sound waves are used to capture the image parts of the body.
    2. CT scan, which is an extension of special X-rays that capture the cross-sectional images of the body.
    3. MRI scan, is a process which makes use of magnets and radio waves to capture the images of the body.

    Laparoscopy is done when other tests could not diagnose the root cause of the problem. Also tissue samples might be collected for biopsy from the abdominal region. Laparoscopy is also done to examine the organs such as stomach, liver, small intestine, gallbladder etc.

    Through Laparoscopy surgical procedure the doctor can diagnose the presence of any malignant tumor in the abdominal region, any disease affecting the liver, and the stage of the advancement of cancer if any.

    Risks associated with laparoscopy?

    The most frequent threat associated with laparoscopy are presence of infection, and damage to the abdominal region organs, while these are not common symptoms.

    After completion of laparoscopy, observe if any signs of infections arise and consult with the doctor if you experience any fever, prolonged pain in the abdominal region, swelling or signs of infection, bleeding at the incision area, continuous cough etc.

    How is laparoscopy performed?

    Laparoscopy is performed as a daytime surgical procedure under the supervision of a doctor. Usually general anesthesia is given for laparoscopy, an intravenous (IV) line is embedded into the veins, and via the IV, the anesthesiologist provides medications and fluids for hydration.

    For some cases, local anesthesia is given which makes the area numb or senseless to pain. During the laparoscopy procedure, the surgeon creates a cut or makes a small incision beneath the belly button, and implants a small tube which is called a cannula, which is used to expand the abdominal region using carbon dioxide gas, doing so the doctor can clearly visualize the internal organs for effective diagnosing.

    After the abdomen is enlarged, the surgeon then injects a laparoscope via the cut or incision. A camera is fitted to the laparoscope device to capture and present the images for the doctor to see the organs in real time.

    The count and size of the incisions depends on the doctor’s decision to rule out the possible diseases or infections within. Usually the surgeon creates anywhere from one to four incisions which are 1 to 2 cm in length. The incisions creates room for other instruments to be implanted, for instance to conduct biopsy another surgical tool has to be used. During biopsy a small sample of tissue is collected in the area that has to be diagnosed. Once the surgery is completed all the instruments are pulled out and the incisions are stitched or closed using a tape.