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Overview

Laparoscopic Surgery - Treatment, Procedure And Side Effects

What is the treatment?

Laparoscopic surgery, often referred to as the diagnostic laparoscopy is a surgical process used for examining the organs within the abdomen. It is a low-risk and minimally invasive process where only small incisions are made below the naval areas of the women who cannot conceive. In this process, a small instrument called laparoscope is used with high-intensity light and camera at the front. Many doctors recommend the process for having a view inside the abdomen in real time without having an open surgery. Your doctor can also take biopsy samples at the time of the process. The camera transmits the image of the organs present in the uterus onto the television monitor. The video camera becomes the eye of the surgeon in the process of laparoscopic surgery, and thus it helps the surgeon to determine whether there are any abnormalities with the patient. The laparoscopic surgery is often chosen over traditional treatment methods since it involves minimum post-operative discomfort, fast recovery, less duration of hospital stay, early return to daily chores and considerably smaller scars.

How is the treatment done?

Laparoscopy can be described as a method of performing the surgery where tiny incisions are made in place of large cuts. There are two types of laparoscopic surgery- advanced surgery with a hand-held device and robot-assisted surgery. The human hand performs different functions during the surgery which are hard to reproduce with the aid of laparoscopic instruments. It is not possible for the hand to access microscopic regions within the stomach. This has led to the development of hand-access tools which can easily reach the liver, pancreas, and bile duct. It is very easy to access the areas which could only be reached through large cuts. In the case of robot-assisted surgeries, the doctor operates two devices which resemble the joysticks. It makes three incisions in the abdomen through which two robotic arms and one camera is inserted. The camera reflects high resolution and depth perceptive images which help the doctor to assess the condition of the patient. In most of the modern countries, the robot-assisted laparoscopic surgery is performed to reduce complications and time of recovery.

Who is eligible for the treatment? (When is the treatment done?)

Your doctor may recommend you to undergo the laparoscopic surgery for reconstruction of the bile duct, altering the way of the bile duct which has been blocked by a tumour, reconstruction of the gastrointestinal tract and suturing the jejunum to the pancreatic duct. It is often helpful if you are suffering from distal pancreatectomy, laparoscopic cholecystectomy, and adrenalectomy. The laparoscopic surgery helps in the evaluation of the gallbladder, pancreas, liver, appendix, stomach, spleen, small and large intestine along with the organs of reproduction. It helps the doctor to find if there are any abdominal mass or tumour or unwanted fluid in the abdominal cavity and liver diseases.

Who is not eligible for the treatment?

There are no restrictions as such regarding who cannot undergo the laparoscopic surgery. But similar to all other surgical procedures, individuals with very high blood sugar and blood pressure may not be able to undergo the treatment. High cholesterol levels and smoking are also red flags for laparoscopic treatment.

Are there any side effects?

The most common side effects of the laparoscopic surgery include infection and bleeding. Thus, it is crucial to watch for the signs of infection and report any abnormalities to the doctor. If your stomach pain becomes intense with the passage of time accompanied by fever and chills, then it must be reported to the doctor without any delay. Plus, you may also experience swelling, redness, bleeding at the site of the incision. Other side effects include lightheadedness, coughing persistently, difficulty in urinating, and a constant feeling of nausea. You must not ignore them and report to the doctor. Although very rare, some people experience complications arising from the general anaesthesia, inflammation of the abdominal wall and a blood clot which may also travel to your pelvis and lungs.

What are the post-treatment guidelines?

The symptoms after undergoing the laparoscopic surgery start alleviating from the second day of the surgery. There are no restrictions on the amount of work you can do after the surgery but make sure that you listen to your body. You can use the stairs if you feel that you will be able to take the physical exertion. You must avoid sex for at least two weeks if your surgery has involved incisions in the vagina or the cervix.

How long does it take to recover?

Once the laparoscopic surgery is over, your doctor would keep you under observation to find out whether there are any complications. They will also see to the fact whether there are any adverse reactions to the anaesthesia being used. The timing of your release would depend on factors such as your overall physical condition, kind of anaesthesia and how your body reacted to the surgery. At times, you may have to remain in the hospital at night. You can start with your daily chores within a week but make sure that you attend the doctor for follow-up treatments.

What is the price of the treatment in India?

This is yet another surgical procedure which is affordable for every commoner. The price lies somewhere around Rs. 20,000, but it can be a bit more on the basis of the quality of the healthcare and your health complications. But many people undergo the treatment every year, and some insurances also cover it.

Are the results of the treatment permanent?

If the doctor takes a biopsy, he will look for instances of adhesions and scars, hernias, appendicitis, tumours and cysts, cancer and pelvic inflammatory disease. Since the laparoscopic surgery is an invasive procedure, it will mitigate the risk factors and ensure that your organs are healthy. But for this, you must abide by the instructions given by the doctor.

What are the alternatives to the treatment?

There is only one alternative to laparoscopic surgery which is HSG although many gynaecologists believe that it is a complimentary process rather than an alternative. The other process is laparotomy which is a major surgery where the abdomen is cut open, and the patient is required to stay at the hospital for about 4 to 6 days.

Safety: High Effectiveness: High Timeliness: High Relative Risk: Medium Side Effects: Medium Recovery Time: Medium Price Range: RS. 20,000 and above

Popular Health Tips

Laparoscopic Hernia Repair - What Should You Know

F.I.A.G.E.S , MNAMS (Membership of The National Academy) (General Surgery), DNB (General Surgery), MBBS
General Surgeon, Delhi
Laparoscopic Hernia Repair - What Should You Know

Hernia refers to the condition when an organ or fatty tissue inside the body begins to protrude from its location. Hernias are mostly detected in the groin, belly, or the stomach region. They occur because of muscle weakness in the said region where it is detected but they can be treated with surgery. In most cases, a surgery is prescribed and laparoscopic hernia repair is a very popular surgical procedure that has proven to be successful in most of the cases. This is why a growing number of patients decide to go for it.

Laparoscopic hernia repair: procedure: In this surgical procedure, a laparoscope (an instrument with a high-resolution camera and high-intensity light) is passed inside the abdomen through small incisions that varies between 0.5 and 1.5 inches in length. When the laparoscope moves inside the abdomen, it sheds light on the hernia and sends the images to the monitor connected to it. The surgeon views the hernia on the monitor and then the abdominal cavity is made to swell with carbon dioxide so that the surgeon can find enough space to operate the hernia. Once this is done, the surgeons operate the hernia with tiny surgical instruments. Once the hernia is removed, space or the hole is covered with a mesh from inside the abdomen.

Advantages of laparoscopic hernia repair: The laparoscopic procedure is popular because it is comfortable for the patient in many ways. They have to endure lesser post-operative pain as compared to open surgery, which means the recovery is quicker. They require lesser drugs for healing and the patient can get back to work in fewer days. It is an advanced form of surgery and thus, gives better results.

Disadvantages of laparoscopic hernia repair: While the non-invasive laparoscopic surgery has several advantages, it also comes with some drawbacks. It is lengthier in comparison to open surgery and also costs more. It cannot be performed by all the surgeons and only those who are skilled in this type of surgery can do justice to the different cases of a hernia. 

Recovery after laparoscopic hernia repair: The patient takes one to two weeks after the surgery to return to light activity and daily routine. Nevertheless, heavy exercise and strenuous activity should be avoided until four weeks after the surgery. The full recovery time differs from patient to patient depending on their age, gender, and health condition but one month is the average time for full recovery.

555 Manish Technique for inguinal hernia repair:

Totally extra-peritoneal (TEP) repair of inguinal hernia is now a standard surgical technique. A 12 mm incision in infra-umbilical region for Hasson trocar is must for TEP repair of inguinal hernia. This is the only technique known to laparoscopic surgeons. We have innovated a "555 Technique" for completing Mini TEP repair of inguinal hernia by using all three 5 mm ports.

555 Technique" is a feasible option without compromising the principles of TEP repair for inguinal hernia. Innovation of simple "Manish Retractor" is the key in completing Mini TEP repair. This technique is simple, less invasive, less morbid, and cost effective as it avoids dependence over costly Hasson trocar with better cosmetic results. In case you have a concern or query you can always consult an expert & get answers to your questions! 

2164 people found this helpful

Laparoscopic Versus Robotic Surgery!

MCh - Urology, MBBS
Urologist, Chennai
Laparoscopic Versus Robotic Surgery!

No one likes to have large incisions on their body for any kind of surgery, as they would leave scars. Apart from scars, there is a lot of pain involved in open surgeries and you need to stay for a really long time in the hospital when you opt for open surgeries. So, nowadays, both patients and doctors are opting for the minimally invasive surgeries over the open surgeries.

You have two options when you are opting for minimally invasive surgeries and they are:

  1. Laparoscopic
  2. Robotic

It sometimes gets really tough for patients to make a decision on which is the right surgery from these two options. Not all surgeries can be done using these technologies. So, in that case, the only option will be chosen and in other cases, your doctor will help you choose the best based on other factors such as time, cost and post-surgery care.

What is Laparoscopic Surgery?
When compared to the normal open surgery, your doctor makes only small incisions in the area of surgery such as your belly button. Usually, three incisions are made to insert the tubes that hold the equipment and the camera. The camera will show images on the screen and with the help of these images, the doctor can perform the surgery. The scars are less noticeable and the pain is also very less.

What is Robotic Surgery?
Robotic surgery is very similar to laparoscopic surgery. Small incisions are made to insert the camera and equipment inside the abdominal area and it is inflated using carbon dioxide gas. But the main difference is that the doctor does not sit close to the patient to operate the equipment manually with their hands. The doctor does not hold any equipment. Only a nurse stands close to the patient, while the doctor sits in front of his computer and operates the equipment with the help of hand controls available on the computer. That means, it instructs the robot on what to do. The images in robotic surgery are much more magnified than the laparoscopic images and they are of high clarity. The image is three-dimensional ensuring image clarity for the doctor.

Advantages of Robotic Surgery over Laparoscopic surgery:

  1. Complete three-dimensional view of images, allows the doctor to perform the surgery with great precision.
  2. A very short period of recovery.
  3. In robotic surgery, the doctor has a better control over the than laparoscopic surgery.
  4. The movement required to perform the surgery can also be controlled very well. Smaller movements are possible with robotic control than using the manual controls.

How Laparoscopic Surgery Is Beneficial For Colon Cancer?

MCh - Pediatric Surgery, MRCS, MS - General Surgery, Fellowship in Minimal Access Surgery(FMAS) & Reproductive Medicine, MBBS
General Surgeon, Hyderabad
How Laparoscopic Surgery Is Beneficial For Colon Cancer?

Colon cancer is the cancer of the colon or rectum, situated at the lower end of the digestive tract. Bowel cancer or colon cancer is the third most common type of cancer and primarily affects people aged 50 and over. It generally arises as non-cancerous polyps without one's knowledge and symptoms begin to surface slowly. Changes in bowel habits, constipation, diarrhea, blood in the stool or rectal bleeding, abdominal cramps and discomfort are some of the common symptoms of colon cancer. This type of cancer often has no symptoms but can be detected by screening. So doctors recommend screenings for those at high risk or over the age of 50.

Risk factors that make a person more likely to develop colon cancer are

  • Other family members who have suffered from colon cancer
  • Polyps in the colon
  • Ulcerative colitis or in simpler words
  • Chronic inflammatory bowel diseases
  • Excess body weight

Treatment of colorectal cancer depends on the

  • Size
  • Location and how far the cancer has spread.

The most common treatments can be removal of the cancerous polyp through surgery, chemotherapy and radiation therapy. A test known as a colonoscopy is performed to detect the disease. Samples of tissues are collected from areas which are suspected to contain cancer cells and this makes it possible to detect the cancer. Smaller colorectal polyps can be removed during the colonoscopy. Chemotherapy or radiation therapy is used to treat cancer only in advanced stages.

Laparoscopy is a procedure which enables the doctor to have a look inside the abdominal cavity with a special camera. To conduct a laparoscopic treatment, incisions are made in the abdomen. Generally, 3-6 incisions are made varying between 5-10mm. These small incisions are used to insert the laparoscope and special laparoscope instruments. The laparoscope guides the surgeon by transmitting a picture of the internal organs on a monitor.

There are several advantages of undergoing a laparoscopic surgery for cancerous colon removal compared to a large open incision. Patients undergoing a laparoscopic approach experience less pain, faster return of intestinal function, a shorter period of rest, and quicker walking ability all of which aids in recovery and leading a normal life faster. Instead of making long incisions that are common in traditional open surgery, laparoscopic surgery requires only small incisions to perform the same operation. Also, treatment of colon cancer has been the most effective using laparoscopic surgeries.

Doctors must be consulted before undergoing any such surgery. Through tests and screenings, they can determine the intensity of the cancer, how far it has spread, where it is located and on the basis of it, the method of treatment needs to be decided. One must strictly follow the doctor’s advice especially diet rules before and after the operation is conducted to ease bowel movements and aid in healing.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1788 people found this helpful

Most Common Types Of Laparoscopic Bariatric Surgery!

Fellowship in Minimal Access Surgery, Fellowship in Bariatric Surgery, M.S.
Bariatrician, Lucknow
Most Common Types Of Laparoscopic Bariatric Surgery!

Laproscopic Bariatric Surgery allows Surgeons to perform minimally-invasive treatments to obese patients who have had repeated failure in losing weight through diet change and exercise. Bariatric Surgery is a procedure that does not require any incisions. Patients can return home within 2-3days without much discomfort. In this procedure, inserting operative instruments through multiple holes along with a camera which displays video images on monitor without making a single incision. The camera allows the Surgeons to witness the internal condition and perform the procedure safely. The three most well-known Laproscopic bariatric surgery procedures include gastric bypass, gastric sleeve, and mini-gastric bypass. 

Most common types of Laparoscopic bariatric surgery: 

  1. Gastric sleeve: This is a more drastic mode of surgery and is a new addition to the bariatric endoscopic surgery procedures. Through this procedure, 90 percent of a patient’s stomach is removed to facilitate the loss of hunger. This also helps in portion control of food. 
  2. Gastric bypass: This is the most widely used bariatric procedure to cut down fats and control hunger across the globe. The digestive system is re-routed to suppress the hunger of the patient in this procedure. It also contains minimal risk to a healthy individual. 
  3. Mini-Gastric bypass: Similar to Gastric bypass but shorter procedure with approximately equal results in comparison to gastric bypass. 
  4. Other procedures for weight loss are: EndoBarrier therapy and Intra-gastric balloon The procedure is decided by the Surgeons and depending on which types of the procedure will suit you the most. 

Bariatric Surgery allows doctors to perform minimally-invasive treatments to obese patients who have had repeated failure in losing weight through diet change and exercise. Bariatric Surgery is a procedure that does not require any incisions. Patients can return home within the few day without much discomfort. A keyhole procedure involves inserting camera and instructions within abdominal cavity and operations performed by viewing over the monitor. The camera allows the doctor to witness the internal condition and perform the procedure safely. 

Benefits of Laparoscopic Bariatric Surgery: 

Being a minimally-invasive procedure, laparoscopic bariatric surgery has its own advantages. Since minimal incisions are made, the risk of operative complications is easily mitigated. Bariatric surgery is also a long-term solution.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2044 people found this helpful

Laparoscopic Surgeries Are Better Compared To Conventional Open Surgeries In Appendectomy!

MS - General Surgery, FMAS, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
General Surgeon, Bangalore
Laparoscopic Surgeries Are Better Compared To Conventional Open Surgeries In Appendectomy!

Generally performed as an emergency surgery, an appendicectomy is performed to remove an infected or inflamed appendix. The most common question asked before such a procedure is whether removal of the appendix will cause problems in future. However, this tiny tube-like structure which is attached to the large intestine and is said to help you recover from diarrhoea or inflammations of the small or large intestines; its removal will not change how you recover from such infections either.

  1. Conventional surgery: A conventional surgery generally requires the surgeon to make a small incision in the lower right side of your abdomen and remove the infected appendix. Such a procedure also allows the surgeon to clean abdominal cavity in case the appendix has ruptured. This method of surgery is also chosen when the patient has had abdominal surgery in the past.
  2. Laparoscopic surgery: This is a much more modern method to surgically remove an infected appendix. The surgeon makes a small incision just enough to fit a small tube called a cannula. The abdominal cavity is filled with carbon-dioxide and a laparoscope is guided through to see the area clearly. The surgeon then proceeds to tie up the appendix and remove it completely. The incisions on the body are closed, cleaned and dressed.

Reasons why a laparoscopic procedure is better for you:

  1. The biggest advantage is cosmetic as there is a far smaller incision in laparoscopic procedures as compared to the conventional surgery where the incision is sealed with stitches and the scar may be permanent.
  2. In fact, some very good and experienced laparoscopic surgeons are able to hide even these small incisions behind the pubic hairline make it almost invisible to the naked eye.
  3. Thanks to technology, the size of the instruments and the cameras used are getting better with time. It is the use of such small instruments that allows you to have an almost painless and scarless recovery.
  4. Another major advantage in undertaking such a procedure is fewer post-operative complications that are seen in such surgeries. Generally, in the traditional surgery, patients are kept under observation due to redness around the incision, a high-grade fever, stomach cramps, vomiting, chills or any other symptoms. These complications or symptoms can be greatly avoided with the laparoscopic procedure.
  5. Most people would always prefer a shorter hospitalization and it is possible with the laparoscopic procedure as the recovery is quicker and you can get back to work within a few days.

Considering the fact that such a surgery is typically performed in an emergency and a laparoscopic surgery offers a much better chance of quick and easy recovery, this is the best option for an appendicectomy.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1928 people found this helpful

Popular Questions & Answers

I had undergone laparoscopic surgery on 8-3-17 and doctor had removed my left Fallopian tube as it is filled with water and send it for medical tests. The doctor told me that my right Fallopian tube is perfectly alright and I can get normal pregnancy with one Fallopian tube. Is the chances of conceiving decreases with one Fallopian tube.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate-user, chances to conceive naturally will be reduced to 10-15% after removal of the Fallopian tube.
5 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Laparoscopic Surgery
What is laparoscopic surgery?

Laparoscopic surgery is basically a keyhole surgery whereby instead of opening up the entire hand inside the abdomen to operate what we are preferring to do it is to put a fiber optic cable inside through a small puncture. The fiber optic cable allows us to look at the internal organs on a huge screen of 14 inches screen or 32 inches screen inside the operation theatre. We are using parallel smaller punctures with very small instruments to be able to operate without having to open up the tummy. And when we are looking at the magnified image of the screen there is a comfort level in the surgery. The surgery goes much more delicately, much more finely and thereby we are able to achieve the end result without much of tissue trauma without much of bleeding. And if there is no bleeding, if there is no tissue trauma then definitely the recovery for the patient is fantastic. As a latest advancement the technology has improved significantly and we are now able to operate in 3D. So 3D laparoscopy provide us the perfect depth perception that required to understand the tissues. So if any repair is done like in case of the myomectomy I removed the fibroids and I repaired the uterus the 3D depth perception allows me to have a proper visualization of the tissues so have the repair to be done very finely. The end result allows the patient to heal quickly, fast and without any further complications or problems arising. In fact advantages of 3D is so significant that we are able to do the procedure as day care procedure whereby the patient s get admitted in the morning get the surgery done which is usually a 45minutes to one hour procedure and send the patients home in the evening. Size of the fibroids size of the uterus for a myomectomy where this fibroid removal has become irrelevant because we have small cutters moderators whereby the entire tissue can be removed from a one centimetre puncture same is for the hysterectomy. If I am doing a laparoscopic hysterectomy or a 3D laparoscopic hysterectomy the number of surgeries which have been done previously multiple Sicilians which have done previously or whether the fibroid size is too large have stopped becoming relevant there is no problem in any of these situations and the end result remain the same for the patients.

Thank you!
Play video
Laparoscopy Surgery: A Boon for Patients
Good Afternoon

I am Dr. Chetna. Today we are doing to talk about the benefits of Minimal Access Surgery. So Minimal Access Surgery is more commonly known as Keyhole Surgery or a Laparoscopic Surgery. Now this is a revolution in the medical science which is now we are practicing for the last fifteen twenty years and it has given excellent result. A lot of people still in theato cities or otherwise metro cities also still have fear about laparoscopic surgeries. When they come to OBT, they start talking that you know the surgery remains and complications and stuff. Now here I would like to bust this myth and explain to you that why a Minimal Access Surgery is far superior to an open conventional surgery. Now a Minimal Access Surgery or a Laparoscopic Surgery is done through making punctures in abdomen void. Now this can be used for a various Diseases like to remove the uterus, to remove the ovarian cyst, to correct the polycystic, to remove endometriosis, to correct ectopic pregnancy and other further related surgeries. So we can remove large fibroids ad large as seven months pregnancy sized to large ovarian cysts. Yes, there are certain pre-requisites which we need to see before we decide whether this patient is fit for Laparoscopic Surgery or not. Majority of the women who are otherwise fit that means they have a normal exercise and urines and stuff are able to withstand Minimal Access Surgeries. So I was coming to advantages. Advantages no. 1, there are no major cuts on the tummy so there are some punctures. They may vary in numbers between two to four or sometimes even five and the size of these punctures would be largest to be about ten or twelve centimeters so you can believe these are very small punctures. The second advantage is that the surgeon is operating under the magnification of 6X or more. So that gives a lot of access to the pelvis so we can see it very properly. If required we can rotate the camera and go in the upper abdomen and see that as well. So there is a lot of benefits when it comes to the visual appearance of the organs and the operation skill. Then the instrument that we use in the Laparoscopy are very fine. To explain, my scissor blade is no longer than the nib of the pen that we use, not the ink pen we are talking, the regular gel pen. So that is the size of the blade that we use so that gives a very fine precision. Then the blood loss is quite less since the abdomen is not open to the air outside so the recovery is quite fast. That means the less number of hospital stay, less chances of blood transfusion or almost no chances of blood transfusion. You can go home fast. You can . I have had patients who did the surgery, second day we went to work, fifth day you see them coming from the office to remove their stitches. So this is brilliance you can t expect.so very next day the patient sits and starts eating and starts eating and talking, everything feels normal. So this is a blessing, it is a boon and since majority of the surgeries can be done by Laparoscopy. I would say before going in for an open surgery. They should be considered for laparoscopy. Yes, there are certain candidates are not fit for laparoscopy and these can have an open surgery but majority of who had fibroids, endometriosis, ovarian cysts, polycystic ovaries, pelvic infections, ovarian mass, some of the cancer patients also, uterus removal for heavy bleeding. So all these things can be done through a laparoscopy. So I believe this is a blessing by the modern science and we should all avail of this benefit.

So if any questions we can always meet me up at Medicals Medi-clinic Sector-14 and also part of Apollo cradle hospital. So you are welcome.
Play video
Laparoscopic Surgeries
Laparoscopic Surgery - Has it proven to be a boon today?
Play video
Recovery Tips After Uterus Removal
Laparoscopic Surgery for Uterus Removal
Play video
Total Laparoscopic Hysterectomy
Hello everybody, I'm dr. Pulkit Nandwani. I'm a consultant gynaecologist & laparoscopic surgeon at Saroj Medical Institute, Rohini. So if you are about to undergo any operation especially total laparoscopy hysterectomy for whatever the indication might be, this video would be very useful for you. Once an operation has been decided, the patient gets really scared because of the unknown factor. What will happen once you admitted in the hospital? What will happen after the operation? How will you go through it? Just knowing the basic details of the hospital and treatment will put you a lot at ease. So on the day when you're supposed to undergo total laparoscopy hysterectomy, you would be asked to come to the hospital for admission usually early morning with empty stomach. We might even ask you to have just a light diet the previous day or even liquid diet the previous day and then not take anything after that from twelve o'clock in the night and come stomach to the hospital in the morning with all your records, all the blood tests, the ultrasound reports, that would have been done previously when the operation would have been decided. Once you admitted in the hospital, a sister will be an incharge of you. You will be given a bed, you will be asked to change your dress, the area where we have to operate would be prepared by doing shaving of hair of that area and then and IV saline IV cannula will be inserted.

Following all the medications, all the glucose, all the IV fluids would be given through this cannula and you will not have any other pain except the cannula pain. After that, an anesthetist will come and have a word with you and have a pre-Anesthesia checkup will be done. Then at the scheduled time you will be shifted in the operation theatre. Once you're in the operation theatre, again through that IV cannula line itself medicines in the form of injections would be given. A mask would be put on your nose and you will be put to sleep. The whole operation which would be undertaken by a team of doctors along with a multitude of workers along with us technician, nurses and anesthetist. The whole procedure will take around one and a half hours to two hours and then post operations once we find that you're stable you would be shifted to the postoperative room where you would be kept there for another three to four hours just for extra monitoring.

Later you'll be shipped out to the room. After the operation, once you wake up you will just have little grogginess, heaviness of the head which would be for the after-effects of the anesthesia. You would not be allowed to eat at that time. All the nutrients for the body will be given By the IV fluids in the form of glucose. All the medicines in the form of injections would be given. There would be a catheter inside the urinary bladder to allow drainage of urine. This catheter we will remove most probably the next day morning itself. So we will start giving you food either in the evening or the next day morning. Liquids will also be started first and gradually the food will be started. You might be asked to get off the bed on that evening.

This is the advantage of a total laparoscopy hysterectomy. The next day you will be kept inside the hospital, but you would be eating properly you would be walking around the hospital just for observation and the amount of injectable antibiotics. You would be kept inside the hospital. The next to next day you will be discharged. We put the dissolvable sutures over that, we put waterproof dressing. So the very next day of the operation and throughout after that you are allowed to take bath, just the vaginal hygiene has to be maintained at home. Heavy weightlifting or bending a lot would be just advisable not to do but other than that routine procedures and home routine activity at home is allowed. For a checkup you will have to come after a week. I hope the video was informative for you and would put you at ease.

I'm Dr. Pulkit Dhanwani and gynecologist and laparoscopic surgeon here at Saroj Medical Institute and if you want to contact me you can contact me by Lybrate or take an appointment at the hospital at Saroj Medical Institute. Thank you.
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