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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

Gall Stone Surgery - Know Everything About It!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Hyderabad
Gall Stone Surgery - Know Everything About It!

What is gallstone surgery?

It is a surgical removal of the gallstone from the gallbladder. It is also known as cholelithotomy.

What are the Statistics of the surgery?
Approximately 90% of patients who seek treatment undergo a surgery to remove the stones and the gallbladder.

What is the role of gallstone surgery?
Gallstones which are asymptomatic generally don’t need surgical removal. Treatment depends on the size and location of the gallstones. Surgery to remove the entire gallbladder with all its stones is usually the best treatment, and it is done in patients who can tolerate the procedure.

What are the indications for gallstone surgery?
Indications for gallstone surgery are as follows:

  • Stone lodged in the pancreatic duct
  • If the stone is causing severe pain, vomiting
  • Chronically obliterated cystic duct due to gallstone
  • Nonfunctioning gallbladder due to obstruction
  • Calculi greater than 3 cm in diameter
  • Acute infection of gallbladder (acute cholecystitis) due to gallbladder obstruction
  • Chronic infection of gallbladder due to gallbladder obstruction

How is the surgery performed?
The following surgeries are done in patients who are found to have cholelithiasis and choledocholithiasis:

  1. Extracorporeal shock wave lithotripsy: A special machine which generates sound waves is used to break the stone. It is only done in the people who are having a small, and soft stone. This procedure doesn’t require any anesthesia, and repeated shock wave therapy is required for complete removal.
  2. Laparoscopic cholecystectomy: It is a procedure where a laparoscope (a small, thin tube) is put inside the body through a tiny incision made just below the umbilicus, and another probe is inserted to remove the stone.
  3. Open gallbladder surgery: It is done to remove the gallbladder when it is infected, or inflamed, or has large gallstones, or when complications are found during laparoscopic surgery.
  4. Percutaneous cholecystostomy guided by computed tomography (CT), or ultrasonography (USG) to remove the gallbladder.
    • Contact dissolution of gallstone can be done where direct catheter of a chemical solvent is introduced by the percutaneous way. It is best for cholesterol stone and, is best at removing any size of the stone.
    • Endoscopic retrograde cholangiopancreatoscopy (ERCP) is used to remove the stones which are in bile duct through the mouth, throat, esophagus, stomach, duodenum, and biliary system without any surgical incisions.

What are the complications of surgery?
Following are the most common complications of surgery:

  • Bile leakage leading to biliary peritonitis
  • Infection of gallbladder due to improper aseptic precautions
  • Abscess formation around the gallbladder, or over adjacent structures
  • Death due to rapidly spreading peritonitis causing septicemia
  • Raised liver enzymes, jaundice, and severe pain

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

2849 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

Advantages And Disadvantages of Laparoscopic Surgeries!

Gynaecologist, Delhi
Advantages And Disadvantages of Laparoscopic Surgeries!

Laparoscopic surgeries are minimally invasive surgeries where a very small incision is made on the patient’s belly button. After making this incision, a camera called the laparoscope is inserted from the hole and then the condition of the organ is evaluated upon a television screen in order to perform the operation. An air pocket via carbon dioxide is then made for the surgeon to carry out the operation. This procedure, although used widely has a couple of advantages and disadvantages which should be kept in mind before undergoing the surgery.

Advantages of Laparoscopic Surgeries
In comparison to a traditional, large surgery, laparoscopy is much more comfortable and is less painful as well. The small incision takes less amount of time to heal, therefore the patient is allowed to get back to his/her regular activities much sooner. Patients who go through laparoscopic surgeries spend less time in the hospital and get discharged on the same or the next day as well.

Laparoscopic surgeries help in reducing the risk of bleeding during the surgery as the incision is relatively very small than the ones made during a traditional surgery. The amount of blood loss is minimal in such a case and therefore the need of blood transfusion is also decreased, significantly.

Another important factor which can be counted in is that, with the help of laparoscopic surgeries the risk of exposing the internal organs to contamination is also reduced. This allows the chance of post-operative infection risks to diminish as well.

Disadvantages of Laparoscopic Surgeries
Just like a coin which has two sides, laparoscopic surgeries also have its advantages and disadvantages which you need to consider before going through it. One of the most important factors is that laparoscopic surgeries are extremely expensive as the instruments required to carry out the operation is very costly. A number of less affluent hospitals can therefore not afford to have the intrument; this makes laparoscopic surgeries less accessible to a vast number of people.

Laparoscopic surgeries may not be suitable for complicated surgeries. The tools required to carry out a laparoscopic surgery may not be sufficient for an operation which needs a 3-dimensional field of vision. For surgeries where large chunks of tissues are to be removed, these minimally invasive surgeries are not preferred.

Laparoscopic surgeries may also need a second open surgery in case of any complication during the procedure. Thus, the risk of having two surgeries increases for patients who opt for laparoscopic surgeries. These surgeries also need a special skill set and every hospital is not equipped specialized personnel who know how to operate the unit. Therefore, you should consider every aspect before going through the procedure. In case you have a concern or query you can always consult an expert & get answers to your questions!

3662 people found this helpful

Laparoscopic Surgery - A Complete Guide On What To Expect!

F.I.A.G.E.S , MNAMS (Membership of The National Academy) (General Surgery), DNB (General Surgery), MBBS
General Surgeon, Delhi
Laparoscopic Surgery - A Complete Guide On What To Expect!

Laparoscopic Surgery, also known as Keyhole Surgery, is a minimally invasive technique in which operations are performed through small incisions made far from the location. Laparoscopic Surgery has many advantages over the traditional open surgery procedures. It is reliable, risk-free and reduces the chances of huge pain and hemorrhaging. Smaller incisions are made while performing this operation which enables a faster recovery.

How is it performed?
Laparoscopic Surgery is performed with the help of an instrument called Lparoscope. It has a thin tube-like structure and is extensively long. The camera at the front of a laparoscope is inserted into the body through a hole that allows doctors to perform surgery by watching real time video on the TV screen and it is much more convenient than open surgery.

Reasons Behind Performing Laparoscopic Surgery
Abdominal Problems are usually solved by using techniques such as MRI, CT scan, and Ultrasound technology. If these fail to provide enough information, then laparoscopic surgery is performed for a better diagnosis of the condition. It can also be performed in a case when the doctors need a sample of tissue from a part of the abdomen. Laparoscopic surgery is famous and most preferred in Bariatric Surgery and Gallbladder Removal.
This minimally invasive technique is widely common for weight loss.

Laparoscopic Surgery is safe and trusted by many surgeons worldwide, and it can be performed on patients who have undergone laparoscopy surgery beforehand as well. The only thing that is needed to be kept in mind is that the keyhole is to be made should be from a different site. Laparoscopic Surgery allows the patient to start having food normally after a couple of days of the surgery. It reduces hospital costs as minimal days are spent in the hospital, and it helps the patient to continue with their normal life early.

Types of Laparoscopic Surgeries

  1. Hand-assist laparoscopy: Hand Access Devices are new Laparoscopic devices which help the doctor perform various functions having their hand inside the surgical location. Such hand-assist surgeries are called the hand-assist laparoscopy and are used in surgeries like colon removal and kidney removal.
  2. Robot Assisted Surgery: This is the most commonly used laparoscopic technique which surgeons perform in a less invasive way. This computer based system is known as the Da Vinci system. The surgeon performs this type of surgery with the help of two masters which are similar to joy sticks. These masters control the two arm-like instruments which they insert into the body.

Preparing for Laparoscopic Surgery: There are no such preparations that are required to be taken before laparoscopic surgery as your doctor might help you out with everything. If you are taking any prescribed medicine, your doctor must know about it. Before laparoscopic surgery, blood test, urinalysis, ECG, and other required tests might be advised by your doctor. It is best not to eat or drink anything 8 hours before laparoscopy.

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

2101 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.
3 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 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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