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Laparoscopy Tips

Before & After Care Tips For Abdominal Laparoscopy!

Dr. Anjanjyoti Sarma 87% (225 ratings)
MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
Before & After Care Tips For Abdominal Laparoscopy!

Abdominal Laparoscopy is a surgical diagnostic procedure, which is used to examine the organs inside the abdomen. It is an invasive procedure, but only small incisions are made.
The procedure is usually done in the hospital and the patient is given general anaesthesia to make the procedure pain free. The laparoscope is inserted through an incision in the abdominal wall. As it moves along, the image of the inside of your abdomen is then seen on the monitor. After the exam, laparoscope and instruments are removed and the cuts are closed. Laparoscopy is usually done as an outpatient procedure. This means that you will be able to go home the same day.

Why Is laparoscopy performed?
Laparoscopy is often used to identify the source of abdominal pain. It is usually performed when x-rays or ultrasound are unable to determine the root cause of the problem. Laparoscopy allows your doctor to see inside your body in real time and helps to diagnose or help discover what the abdominal problem is.

Tips to deal with laparoscopic surgery

Before Surgery

  • Make sure someone accompanies you on the day of the surgery
  • Fix your Pre Op appointment to ask any questions or address any concerns regarding the surgery, anaesthesia, etc
  • Shave the area where the surgery will be performed. This will substantially reduce itchiness
  • Lastly, prepare your hospital bag and discuss it with the person who is going to accompany you so that he/she knows what all you packed

After Surgery

  1. Don’t lie down in bed all the time. Keep yourself active by moving every two hours as it promotes healing and helps eliminate gas pain
  2. Wear comfortable clothing
  3. Do not take bath for a week. However, you can take a shower 24 hours post surgery
  4. Drink at least 1.5 to 2 litres of water per day to prevent constipation. If constipated, take a stool softener.
  5. While sneezing or coughing, hold a pillow against your stomach to lessen the pain
  6. Roll onto your side and sit up using your arms for support and then stand up
  7. Don’t drive for two weeks
  8. Refrain yourself from intercourse, douching, and swimming
  9. Make sure to visit your doctor 2 to 3 weeks post surgery to make sure your wounds are healing

It might take some time for the wounds to heal, but in case of any prolonged pain do remember to consult your doctor immediately.
 

Infertility - Role Of Laparoscopy In It!

Dr. Smita Vats 90% (203 ratings)
FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Infertility - Role Of Laparoscopy In It!

Almost every woman wants to lead a healthy life with their loved ones and experience the joy of motherhood when the right time comes. However, as much as you detest it, the last decade or two has seen a steady rise in gynecological problems. While some of the gynecological conditions are minor and can be easily treated and taken care of, others may give you a hard time. From PCOS to Endometriosis, left untreated, some of these problems may trigger infertility, complicating things further.

Open surgeries have long been the only surgical option to deal with such critical problems. However, the advent of Laparoscopy has brought about a much-needed relief benefitting millions of women with gynecological problems worldwide. Based on latest technology and being minimally invasive, laparoscopy comes with a lot of benefits. In addition to surgically treating a condition, laparoscopy also ensures an accurate and better diagnosis. In this article, we will discuss the laparoscopic surgeries to deal with infertility and other related gynecological issues.

Infertility and Laparoscopic surgery

Identifying the underlying factor(s) responsible for infertility can go a long way to treat the condition successfully. Some of the factors that contribute towards infertility include

  1. PCOS: Polycystic Ovarian Syndrome is a medical condition whereby formation of a cyst(s) take place in one or both the ovaries. These cysts affect the ovulation process as the eggs either do not mature or the ovary fails to release the mature eggs. To deal with this situation, a surgeon often performs the Laparoscopic Ovarian Drilling or Ovarian Diathermy.
    • Here, the surgeon makes small cuts in the abdomen (belly button).
    • To inflate the abdomen, the surgeon inserts carbon dioxide gas inside the stomach.
    • The Laparoscope along with the surgical instruments are next inserted inside through the incisions.
    • Parts of the ovary that are being affected are destroyed using Electrocautery.
  2. Ovarian Diathermy plays a significant role in normalizing the ovulation process, which was affected by PCOS.
  3. A blocked fallopian tube can also trigger infertility. In this case, Laparoscopic Fimbrioplasty (performed when there is a scar or a blockage in the part of the fallopian tube that is adjacent to the ovary) comes in handy. It is a laparoscopic reconstructive procedure that helps to open the tubal blockage, thereby restoring the fimbriae (finger-like projections located at the tube ends that aids in the transportation of the matured eggs from the ovary into the uterus).
  4. Endometriosis: This is a medical term used to define a condition whereby the endometrial cells grow outside the uterus, often in the ovary or the fallopian tube resulting in pain and infertility. Here also, laparoscopy comes as a savior, getting rid of any scarred tissues, endometrial implants or endometrioma (endometriosis cyst that forms in the ovary), thereby improving the condition.
  5. Laparoscopy can also be used to treat ovarian cancer, removal of fibroids (uterine myomas or uterine tumors), hysterectomy (uterus removal).
  6. Laparoscopy plays a significant role in reversing the tubal ligation (closure of the fallopian tube to prevent pregnancy).

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

Gallbladder Removal Surgery - Why Laparoscopy Is A Better Option?

Dr. Bhagyesh Patel 96% (8331 ratings)
MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Gallbladder Removal Surgery - Why Laparoscopy Is A Better Option?

What is Laparoscopic Gallbladder Removal Surgery (Laparoscopic Cholecystectomy)?

Gallbladder removal is one of the most commonly performed surgical procedures. Gallbladder removal surgery is usually performed with minimally invasive techniques and the medical name for this procedure is Laparoscopic Cholecystectomy or Laparoscopic Gallbladder Removal.

The gallbladder is a pear-shaped organ that rests beneath the right side of the liver. Its main purpose is to collect and concentrate a digestive liquid (bile) produced by the liver. Bile is released from the gallbladder after eating, aiding digestion. Bile travels through narrow tubular channels (bile ducts) into the small intestine. Removal of the gallbladder is not associated with any impairment of digestion in most people.

What Causes Gallbladder Problems?

Gallbladder problems are usually caused by the presence of gallstones which are usually small and hard, consisting primarily of cholesterol and bile salts that form in the gallbladder or in the bile duct.

It is uncertain why some people form gallstones but risk factors include being female, prior pregnancy, age over 40 years and being overweight. Gallstones are also more common as you get older and some people may have a family history of gallstones. There is no known means to prevent gallstones.

These stones may block the flow of bile out of the gallbladder, causing it to swell and resulting in sharp abdominal pain, vomiting, indigestion and, occasionally, fever. If the gallstone blocks the common bile duct, jaundice (a yellowing of the skin) can occur.

Diagnosing 

  1. Ultrasound is most commonly used to find gallstones.
  2. In a few more complex cases, other X-ray test such as a CT scan or a gallbladder nuclear medicine scan may be used to evaluate gallbladder disease.

Gallstones do not go away on their own. Some can be temporarily managed by making dietary adjustments, such as reducing fat intake. This treatment has a low, short-term success rate. Symptoms will eventually continue unless the gallbladder is removed. Treatments to break up or dissolve gallstones are largely unsuccessful.

Surgical removal of the gallbladder is the time-honored and safest treatment of gallbladder disease.

What are the Advantages of Performing Laparoscopic Gallbladder Removal?

  1. Rather than a five to seven inch incision, the operation requires only four small openings in the abdomen.
  2. Patients usually have minimal post-operative pain.
  3. Patients usually experience faster recovery than open gallbladder surgery patients.
  4. Most patients go home the same day of the surgery and enjoy a quicker return to normal activities.

Are you a Candidate?

Although there are many advantages to laparoscopic gallbladder removal (cholecystectomy), the procedure may not be appropriate for some patients who have severe complicated gallbladder disease or previous upper abdominal surgery. A thorough medical evaluation by your personal physician, in consultation with a surgeon trained in laparoscopy, can determine if laparoscopic gallbladder removal (cholecystectomy) is an appropriate procedure for you.

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

1550 people found this helpful

How Laparoscopy Can Help Manage Hernia?

MBBS, DNB ( General Surgery )
General Surgeon, Delhi
How Laparoscopy Can Help Manage Hernia?

Laparoscopy surgery is a very vital component of the hernia repair. Studies have shown that many patients have a better outcome when they opt for laparoscopic surgery. Candidates eligible for this mode of surgery include those with bilateral inguinal hernias, ventral hernias, and recurrent hernia. People associated with athletics and other outdoor sports prefer to go for a laparoscopic hernia surgery as it ensures a speedy recovery and minimal tissue invasion (due to small incisions).

Laparoscopic hernia repair- inguinal
A laparoscopic surgery requires an incision of 1-2 cm at the belly (at the lower end). Two small punctures are done near the umbilicus. The punctures are done to make room for the cameras so that the surgeon is able to view the abdomen clearly. The smaller incisions allows the operating instrument to enter into the stomach.

The Procedure:
A balloon is placed in between the abdomen and the overlying muscle so that the peritoneum can be separated. When space is successfully made, the camera comes into the action to view the condition of a hernia. A hernia is pulled from its hole into the abdomen. Once the hole is detected, the defect of a hernia is fixed.

Laparoscopic hernia repair- incisional/ventral: Laparoscopic hernia repair is suitable for all types of a hernia such as an umbilical hernia, ventral hernia, recurrent umbilical hernia, epigastric hernia etc. Just like an inguinal hernia, A camera is placed into the abdomen through the muscles. Two small incisions are made for the operating instruments to get through. This is followed by the cutting of the tissue that is placed between a hernia and the intestine. The hole thus gets exposed. Through one of the laparoscopic ports, the hernia mesh gets rolled and is placed into the abdomen. A hernia is then pulled up and the mesh gets secured with 4 sutures. A special device is used to fix the healthy muscle.

Tension free repair: “Tension free” repair is often used to symbolize hernia surgery. A hernia is often triggered by the weakened muscles. Few surgeons endeavors to sew the muscle around the area of a hernia. Since the muscles surrounding the hernia are weak in the first place, they pull apart causing a recurrence of a hernia. To avoid this, most surgeons use a mesh to strengthen the cells around the hernia region. This procedure ensures that the muscles aren’t sewn but the mesh placed over the hole can prevent the muscle to push through the walls of the abdomen.

The use of mesh: There are some reservations about using the mesh in a hernia surgery. However, this is the safest and most appropriate way to perform a hernia laparoscopic surgery. The use of a mesh also negates the risk of open incisions and recurrence of a hernia.

1 person found this helpful

Types of Hernia - How Laparoscopy Can Help Treat It?

Dr. Swapnil 87% (10 ratings)
MS - General Surgery
General Surgeon, Nashik
Types of Hernia - How Laparoscopy Can Help Treat It?

Laparoscopy surgery is a very vital component of the hernia repair. Studies have shown that many patients have a better outcome when they opt for laparoscopic surgery. Candidates eligible for this mode of surgery include those with bilateral inguinal hernias, ventral hernias, and recurrent hernia. People associated with athletics and other outdoor sports prefer to go for a laparoscopic hernia surgery as it ensures a speedy recovery and minimal tissue invasion (due to small incisions).

Laparoscopic hernia repair- inguinal
A laparoscopic surgery requires an incision of 1-2 cm at the belly (at the lower end). Two small punctures are done near the umbilicus. The punctures are done to make room for the cameras so that the surgeon is able to view the abdomen clearly. The smaller incisions allows the operating instrument to enter into the stomach.

The Procedure:
A balloon is placed in between the abdomen and the overlying muscle so that the peritoneum can be separated. When space is successfully made, the camera comes into the action to view the condition of a hernia. A hernia is pulled from its hole into the abdomen. Once the hole is detected, the defect of a hernia is fixed.

Laparoscopic hernia repair- incisional/ventral: Laparoscopic hernia repair is suitable for all types of a hernia such as an umbilical hernia, ventral hernia, recurrent umbilical hernia, epigastric hernia etc. Just like an inguinal hernia, A camera is placed into the abdomen through the muscles. Two small incisions are made for the operating instruments to get through. This is followed by the cutting of the tissue that is placed between a hernia and the intestine. The hole thus gets exposed. Through one of the laparoscopic ports, the hernia mesh gets rolled and is placed into the abdomen. A hernia is then pulled up and the mesh gets secured with 4 sutures. A special device is used to fix the healthy muscle.

Tension free repair: “Tension free” repair is often used to symbolize hernia surgery. A hernia is often triggered by the weakened muscles. Few surgeons endeavors to sew the muscle around the area of a hernia. Since the muscles surrounding the hernia are weak in the first place, they pull apart causing a recurrence of a hernia. To avoid this, most surgeons use a mesh to strengthen the cells around the hernia region. This procedure ensures that the muscles aren’t sewn but the mesh placed over the hole can prevent the muscle to push through the walls of the abdomen.

The use of mesh: There are some reservations about using the mesh in a hernia surgery. However, this is the safest and most appropriate way to perform a hernia laparoscopic surgery. The use of a mesh also negates the risk of open incisions and recurrence of a hernia.

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

1870 people found this helpful

Laparoscopic Hiatal Hernia & Paraesophageal Repair

Dr. G M Irfan 87% (10 ratings)
MCh - Pediatric Surgery, MRCS, MS - General Surgery, Fellowship in Minimal Access Surgery(FMAS) & Reproductive Medicine, MBBS
General Surgeon, Hyderabad
Laparoscopic Hiatal Hernia & Paraesophageal Repair

When a tissue or an organ gets displaced abnormally through the wall of the cavity in which it usually resides, then this condition is termed as a hernia. A hernia including stomach or intestine has become a common occurrence.

Hernias are caused by a combination of muscle weakness and strain. The actual cause of Hernia is not known however, some people are either born with an unusually large hiatus or it might occur when too much pressure is exerted on the muscles around your stomach. Obesity, aging, and smoking are the other contributing factors.

A Hiatal Hernia is a condition in which a part of the stomach protrudes through the diaphragm (muscular wall separating the chest cavity and the abdomen) into the chest. There are two types of Hiatal Hernia – Paraesophageal Hernia and Sliding Hernia. Sliding Hernia occurs when your stomach and esophagus slide in and out of your chest through the hiatus. Paraesophageal Hernia is the one where a part of the stomach passes or bulges into the chest beside the esophagus. Particularly if a Paraesophageal Hernia is large, it might slow down the food passage and cause the food to stick in the esophagus once it is swallowed. Fortunately, these types of cases are uncommon.

The treatment of every hernia depends on its size and symptoms. A surgery is recommended for the below-listed cases:

  • Incarcerated Hernia - Where the intestinal tissue gets trapped in the abdominal wall, resulting in pain and discomfort.
  • Strangulated Hernia -  If the Incarcerated Hernia is left untreated it may become Strangulated Hernia wherein the blood supply to the trapped tissue is cut off which can cause permanent damage or death.

Medical Emergency is considered when you experience nausea or vomiting, sudden pain which turns worse, or when Hernia turns red, purple or dark.

Laparoscopy:
The common surgical procedure used for repair of a hiatal hernia is a Laparoscopic method. A laparoscope is a telescope-like instrument connected to a video camera, that is inserted into the abdominal cavity and the surgical video is visualized on high-resolution video monitors in the operating room. Long thin surgical instruments are inserted in the other incision and the surgeon performs the surgery by watching the monitor. This method causes less pain and speedy recovery compared to the conventional techniques. This is proved as a minimally invasive procedure where both pain and healing time is greatly reduced. Since incisions are very small during the surgery you experience less discomfort resulting in the use of lesser painkiller, which is one of the primary advantages of this procedure.

Another significant benefit of a laparoscopic procedure is that there is less risk of post-op infection owing to lesser exposure of the internal organs to any external contaminants. Since healing is so much faster the length of hospital stay required is also significantly shorter with laparoscopic surgery. This implies that you can return to your normal routine quicker as you will get discharged from the hospital on the same-day or the next-day of the surgery.

PCOD Drilling With Laparoscopy!

Dr. Pragnesh Shah 91% (101 ratings)
MD, MBBS
Gynaecologist, Ahmedabad
PCOD Drilling With Laparoscopy!

Patient present to us with Obesity, hirsuitism, irregular/delayed cycles, anovulation & Infertility. TVUSG shows peripherally placed multiple follicles with hyperthicosis of stroma & large ovaries. PCOD drilling is indicated in Clomiphen resistant PCOD, where weight reduction & metformin had been tried sufficiently (for six months) in the past. In the past, wedge resection by Laparotomy was routine practice for fertility enhancement. Today laparoscopic PCOD drilling has become very popular fertility enhancing surgery. As compared to Gonadotrophin (pure FSH) injections i.e. ART with super ovulation, PCOD drilling had following advantages: 60-70% Ovulation rate, 40-50% Pregnancy rate, reduced abortion & OHSS following drilling, reduced requirement of CC.HMG/FSH/hCG following drilling. Effect of drilling lasts for nine months. According to the size of ovary 4 to 8 punctures should be made on both ovaries. 

Benefits of Laparoscopy Surgery:

  1. Shorter Hospital stay.
  2. Earlier return to your routine work.
  3. Cosmetically vary small scar.
  4. Less pain after operation.
  5. Best fertility enhancement & Fertility results following Laparoscopy.
  6. Video-live operative file available in CD/DVD for future reference (Transparency about surgical procedure).
  7. The possibility of post-operative adhesion formation will be less, and the possibility of pain because of post-operative adhesions will also be less.  

Pre-operative Check Lists:

  1. Lab. Investigation for Surgery (Urine complete & Blood complete, HbsAg, HIV, R.B.S.etc.); Pelvic Trance vaginal USG report. S.FSH, S.L.H. & S.TSH.
  2. Specific Investigations for Infertility (Endocrine, Blood, Genetic, Husband’s Semen report etc. If the couple is infertile.)
  3. Operation planned from 4th to 10th day of Menstrual Cycle
  4. Enema & preparation/shaving of local parts.

No. Of Cuts on Abdomen:
Three cuts: One of 5 mm and second & third of 3 mm size.

Average Stay in Hospital:
4 to 6 hours. (DAY CARE SURGERY)

Average Duration of Surgery:
10 to 20 minutes

Average Blood loss during Surgery:
10-30 cc.

Average time after operation to resume normal activities/work:
Within 24 hours.

Anesthesia:
General Anesthesia (Patient will not feel any pain in Operation Theatre during surgery) 

Operative Procedure:

Inside the Umbilicus small needle is introduced and Co2 gas is insufflated inside abdomen. Rather than creating a large incision and opening up the body, tiny incisions are made and a laparoscope is inserted. This slim scope has a lighted end. It takes pictures – actually fiber optic images - and sends them to a monitor so the surgeon can see what is going on inside. 

Performing Laparoscopy usually only requires three tiny incisions less than one half inch, (about 5-10 millimeters) in length. One incision is made inside sthe navel, and another two are usually made near the bikini line. The first incision allows a needle to be injected into the abdomen so carbon dioxide gas can be pumped inside the cavity of the abdomen, which helps to keep intestines & omentum up and away from organs. This allows the surgeon a better view and more working space to maneuver the laparoscope and surgical tools as needed. 

Cystic Ovary is lifted with suction irrigation cannula from one port and High frequency needle is used to puncture the ovarian surface perpendicularly from opposite side port. No. Of punctures are decided on the base of the size of enlarged ovaries. Haemostasis is checked & Ringer lactate poured over ovaries after Drilling.

Post-operative Course:

Patient remains drowsy/sedated for 2-3 hours after laparoscopy but conscious & pain free. Patient can take fluids 3-4 hors after laparoscopy & light food after 4-6 hours. She may feel little abdominal & shoulder pain after laparoscopy for 24 hours but it cam be relived with pain killer tabs.

Most of the patients can walk normally without support and can take normal diet 6-8 hours after the laparoscopy. She can be discharged on the same day of the operation. Few patients may feel nausea & vomiting after laparoscopy, which can be very well controlled with injection in post-operative room. Patient can do her normal activity within 24 hours after laparoscopy.

Patient is advised to take antibiotics & analgesic tabs. for 5 days following laparoscopy. Patient is advised to report to doctor for severe pain or bleeding or fever in postoperative period (Day-1 to Day-5) immediately. Patient is advised to come for follow up 7 days after the Laparoscopy for dressing.

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

3728 people found this helpful

Infertility - Laparoscopic Surgeries That Can Be Of Help!

Dr. Anand Bhatt 91% (43 ratings)
MBBS, MS - Obstetrics and Gynaecology, Ultrasonography Basic Traning Course, Diploma in Minimal Access Surgery, Advanced Infertility & ART training, Advanced training in ultrasonography, PG Diploma in IVF & Reproductive Medicine
Gynaecologist, Ahmedabad
Infertility - Laparoscopic Surgeries That Can Be Of Help!

Almost every woman wants to lead a healthy life with their loved ones and experience the joy of motherhood when the right time comes. However, as much as you detest it, the last decade or two has seen a steady rise in gynecological problems. While some of the gynecological conditions are minor and can be easily treated and taken care of, others may give you a hard time. From PCOS to Endometriosis, left untreated, some of these problems may trigger infertility, complicating things further.

Open surgeries have long been the only surgical option to deal with such critical problems. However, the advent of Laparoscopy has brought about a much-needed relief benefitting millions of women with gynecological problems worldwide. Based on latest technology and being minimally invasive, laparoscopy comes with a lot of benefits. In addition to surgically treating a condition, laparoscopy also ensures an accurate and better diagnosis. In this article, we will discuss the laparoscopic surgeries to deal with infertility and other related gynecological issues.

Infertility and Laparoscopic surgery

Identifying the underlying factor(s) responsible for infertility can go a long way to treat the condition successfully. Some of the factors that contribute towards infertility include

  1. PCOS: Polycystic Ovarian Syndrome is a medical condition whereby formation of a cyst(s) take place in one or both the ovaries. These cysts affect the ovulation process as the eggs either do not mature or the ovary fails to release the mature eggs. To deal with this situation, a surgeon often performs the Laparoscopic Ovarian Drilling or Ovarian Diathermy.
    • Here, the surgeon makes small cuts in the abdomen (belly button).
    • To inflate the stomach, the surgeon inserts carbon dioxide gas inside the stomach.
    • The Laparoscope along with the surgical instruments are next inserted inside through the incisions.
    • Parts of the ovary that are being affected are destroyed using Electrocautery.
  2. Ovarian Diathermy plays a significant role in normalizing the ovulation process, which was affected by PCOS.
  3. A blocked fallopian tube can also trigger infertility. In this case, Laparoscopic Fimbrioplasty (performed when there is a scar or a blockage in the part of the fallopian tube that is adjacent to the ovary) comes in handy. It is a laparoscopic reconstructive procedure that helps to open the tubal blockage, thereby restoring the fimbriae (finger-like projections located at the tube ends that aids in the transportation of the matured eggs from the ovary into the uterus).
  4. Endometriosis: This is a medical term used to define a condition whereby the endometrial cells grow outside the uterus, often in the ovary or the fallopian tube resulting in pain and infertility. Here also, laparoscopy comes as a savior, getting rid of any scarred tissues, endometrial implants or endometrioma (endometriosis cyst that forms in the ovary), thereby improving the condition.
  5. Laparoscopy can also be used to treat ovarian cancer, removal of fibroids (uterine myomas or uterine tumors), hysterectomy (uterus removal).
  6. Laparoscopy plays a significant role in reversing the tubal ligation (closure of the fallopian tube to prevent pregnancy).

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

2608 people found this helpful

Laparoscopic Surgery - How Does It Help You?

Dr. Manju Aggarwal 92% (331 ratings)
MBBS , DGO , FIMAS
Gynaecologist, Delhi
Laparoscopic Surgery - How Does It Help You?

Laparoscopy is one of the most common procedures for diagnosing and removing endometriosis. Instead of giving a big incision, this procedure of surgery uses lightweight instrument through a small hole or incision. There could be one or more incisions based on the number of instruments that require access inside the body. This procedure involves the use of a camera to ascertain endometriosis as well as treat it in the same sitting. This brings drastic improvement in infertility as well as pain associated with the endometriosis. If a cyst is found in the ovary, laparoscopic surgeon removes it very delicately without causing any harm to the normal ovary, as a part of the Laparoscopic Surgery for Endometriosis. 

How does the procedure go? 

Eating and drinking should be suspended before 8 hours of the laparoscopic surgery. The doctor takes a call on whether to give a general or local anesthesia. Mostly, General anaesthesia is given during such procedures. A person specialised in Gynecological Endoscopy ( Gynaec Laparoscopic Surgeon) is the best to perform such a procedure. 

How is the procedure performed? 

The abdomen is first inflated with gas with the help of a needle. It pushes the abdominal wall from the organs to give a clear visibility to a surgeon. The laparoscopic Camera is then pushed through an incision or a set of incisions to examine the internal organ. If the scar tissue or endometriosis needs to be removed, a doctor can use one of the several laparoscopic techniques such as electrocautery, excision etc. Post the surgery, the incision is closed with stitches. The whole procedure usually takes 30-60 minutes depending upon the severity of endometriosis. 

Why is laparoscopy done? 

  1. If the endometriosis pain has returned after a hormone therapy 
  2. If there is a growing endometriotic cyst 
  3. If the scar tissue found on the pelvic wall poses a threat on fertility 
  4. If the endometriosis interferes with other organs such as the bladder etc. 
  5. If the pain during menses ( dysmenorrhoea) refuses to subside 

Duration of hospital stay: 
Operations such as these are usually conducted at the outpatient facility owing to their less risky nature. A patient need not spent more than a day in the hospital. Rarely in severe cases of endometriosis overnight hospitalisation may also be required. One can successfully return to normal work within 1 week of the surgery. 

Post-surgical recovery: Once the laparoscopy is done, the next steps of treatment are decided based on the patient's age and severity of endometriosis. Few hormonal medicines are advised according to the desire for fertility etc. If a patient is over and above 35 years of age, the risk of miscarriages double. Since the quality of egg declines by the year, it makes sense to undergo infertility treatment such as the in vitro fertilization, intake of fertility drugs, insemination etc. If, however, the patient is below 35 years of age, makes sense to conceive naturally first and consult a doctor simultaneously. A routine check-up post-laparoscopic surgery on alternate six months for a year will keep any risks at bay.

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

3858 people found this helpful

Laparoscopic Surgery - 5 Facts You Must Know!

MBBS, DNB ( General Surgery )
General Surgeon, Delhi
Laparoscopic Surgery - 5 Facts You Must Know!

Laparoscopy, also known as keyhole surgery, is a type of surgery, which involves the usage of small tubes, surgical instruments and video cameras for operations through small incisions or cuts in your body. Though different people experience the surgery differently due to difference in health conditions, there are some points everyone should know about a laparoscopic surgery.

1. The problems that laparoscopy addresses
Conditions like ectopic pregnancy, endometriosis and pelvic inflammatory disorders are generally treated using laparoscopic surgery. Moreover, laparoscopy is also used to remove the gallbladder, appendix, patches of endometriosis or detect adhesions, fibroids and cysts. Also a biopsy of the organs inside the abdomen can be done through laparoscopy.

2. The duration of your stay in hospital
Usually performed on an outpatient basis (release on the same day as the surgery), a laparoscopic surgery may require you to stay overnight at the hospital if your condition requires a complex or lengthy surgery. Moreover, if the doctor feels that a bowel resection or partial bowel resection needs to be performed, you may have to stay at the hospital for a few days.

3. The preparation required pre-surgery
If you are going to have a laparoscopic surgery soon, ensure that you inform your doctor if you are taking any blood-thinners like aspirin or if you are allergic to any medications like anaesthesia. Moreover, let the doctor know if you are pregnant or planning to conceive. After giving all this information to the doctor, strictly follow all the instructions he/she gives you. Also, make sure that someone is available to drop you home after the surgery as you might be too weak or in too much pain to go back home by yourself.

4. Pain management post surgery
Laparoscopy is generally followed by a sore feeling around the cuts as well as shoulder pain. If the pain is unbearable you can ask for medication from your doctor or consider common analgesics. Recovery time for a laparoscopic surgery is only a few days, and to get through this period easily seek the help of a friend or family member to manage your medications and lift your spirits.

5. Restrictions you need to follow during the first couple of weeks
For the first couple of weeks after the surgery, your doctor might ask you to abstain from driving, tub bathing, swimming and having sexual intercourse. Make sure that you follow these rules and get adequate amount of sleep to ensure speedy recovery.

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

1916 people found this helpful
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