Laparoscopy, a surgery done with the help of the instrument called a Laparoscope. It is a diagnostic procedure to examine the abdominal and pelvic region of the patient. It involves sending high resolution camera through a small tube so that the doctor can have a clear view of the abnormality inside.
This real time viewing of the pelvic region helps the doctor in easily determining the issue and perform operative procedure.
In general an uncomplicated Laparoscopic surgery takes no more than 30 – 60 minutes and the patient can normally be discharged in few hours after the surgery.
Why Is Laproscopy Recommended?
- Pelvic pain or mass formation.
- Abnormal accumulation of fluid in the pelvic region.
- Inability to conceive.
Conditions leading to Problem:
- Tubal Pregnancy.
- Ovarian cyst or tumor.
- Scarring from pelvic infection.
The doctor will ask the patient to take some tests like Ultrasound, CT-Scan, Blood routine analysis, Urinalysis and possible chest X-ray or electrocardiogram. These will help the doctor to analyse the problem in depth. The Ultrasound or CT-Scan is used to determine the severity and can also be used to place needle in the abdomen. This is known as CT guided needle biopsy.
The patient is then given sedatives or anaesthetics before the surgery. Normally the patient is given general anaesthetics so that he/she can remain un-conscious for the complete duration of the surgery.
Just before the surgery and after the sedation process, a breathing tube is passed down the throat for the patient to breathe in case of wind pipe collapse due to the effects of anaesthetics. Also a catheter is placed in the urinary bladder. A catheter is a soft hollow tube passed down to a drainage bag. The catheter helps to drain out the bladder for the duration of the surgery.
- In Laparoscopic surgery, the surgeon makes a small cut (size 1 – 1.5 cm) is made in the under belly region.
- A needle or hollow tube called a trocar is inserted into the incision. Then Carbon Dioxide gas is passed in through the trocar to bloat the pelvic region, so that it bloats the region and makes it easier for the surgeon to work on and view inside.
- Finally a tiny camera (Laparoscope) is passed down the trocar to see inside the pelvic region. If necessary, the surgeon also makes few more incisions for other instruments or to get a better view of the internal organs.
- In case of Gynaecologic Laparoscopy, dye may be injected in the cervix so the surgeon may be able to view the fallopian tubes clearly.