Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Laparoscopy Tips

Laparoscopy - Know Its Truth!

Dr. Prakash Bhimrao Shendge 85% (10 ratings)
MS - General Surgery, DNB - General Surgery, AFIH
General Surgeon, Navi Mumbai
Laparoscopy - Know Its Truth!

A widely used surgical procedure, laparoscopy involves the insertion of certain surgical instruments, small tubes and video cameras in your abdomen through small incisions and cuts. This procedure is used to diagnose a number of ailments such as ovarian cysts, endometriosis, and pelvic inflammatory diseases to name a few. Even though laparoscopy is a very popular form of surgery, there are quite a few myths associated with it, which are:

1. Myth: The images taken through a laparoscope are of poor quality

This is not true. In fact, the visuals obtained through a laparoscope are clearer and much more accurate when compared to those obtained via an open surgery. The visuals of a video laparoscopy provide a detailed magnification of even those parts of the area that are inaccessible by the human eye.

2. Myth: If you've undergone multiple abdominal surgeries in the past, you can't opt for a laparoscopy

The truth is that you can go for a laparoscopy even if you've gone through multiple surgeries previously, irrespective of the location or size of the previous incisions. This is done through the use of a special instrument, called a microlaparscope that enables safe entry into the abdomen of the patient.

3. Myth: If you have large fibroids and ovarian cysts, you can't have them removed through a laparoscopy

False. Even though the incisions made by a laparoscopy are really small, they still allow the safe removal of large abdominal structures by the use of certain devices. For example, a cylindrical tool known as morcellator can be inserted through a laparoscopic incision and be used to remove large fibroids and ovarian cysts.

4. Myth: If you're overweight or underweight, you can't undergo a laparoscopy

No matter if you're obese or too thin, you can still undergo a laparoscopy as the tools used for this surgical procedure are available in different lengths and sizes, and can be adjusted as per the body type of the patient before the incision is made.

Laparoscopic Surgery And Biliary Cancer - Know About It!

Dr. Praveen Sharma 87% (18 ratings)
MBBS, MD - General Medicine, DM - Gastroenterology
Gastroenterologist, Delhi
Laparoscopic Surgery And Biliary Cancer - Know About It!

The bile duct connects the liver, gall bladder and small intestine and plays an important role in the digestion process. Though it is rare, the bile duct may also be affected by cancer, this type of cancer is known as biliary cancer. Biliary cancer can be categorized as intrahepatic cholangiocarcinoma, extrahepatic cholangiocarcinoma, and cancer of the gall bladder. Of these, gall bladder cancer is the most common. Biliary cancer is typically treated with surgery and followed by chemotherapy and radiation. In many cases, this surgery may be performed laparoscopically.

Laparoscopic surgery is also known as keyhole surgery or minimally invasive surgery. This differs from other surgical procedures as it allows a surgeon to operate on an internal organ without making a large incision. There are many advantages to laparoscopic surgery which include minimal bleeding, smaller internal and external scars, reduced chances of infections, lowered pain and discomfort and faster healing. It also reduces the amount of hospitalization required after a surgery and allows the patient to return to his normal lifestyle faster. However, laparoscopic surgery cannot be applied to all procedures.

When it comes to biliary cancer, laparoscopy can be used to treat cancer of the gall bladder. This is known as Laparoscopic cholecystectomy and involves the removal of part of the gall bladder or the whole gall bladder. The lymph nodes around the gall bladder and parts of the liver tissue may also be removed. For this procedure, 3 to 4 incisions may be made in the abdomen. A long flexible tube with a light and camera at one end is passed through one of these incisions. This allows the surgeons to look inside the abdominal cavity. Instruments are used through the other incisions to cut the tumor away and remove it.

Laparoscopy is rarely used to treattumours in the bile ducts. This is because the bile ducts are relatively small and placed deep within the abdomen. However, if a tumor is blocking the flow of bile into the intestines, laparoscopy may be used to create a bypass. It may also be used to remove small stones from the bile duct.

Biliary cancer has very few significant symptoms. Hence, in many cases, it is diagnosed only at an advanced stage. Almost all cases of Biliary cancer are accompanied by the development of gall stones. Laparoscopy is very effective in treating gall stones and increases the chances of detecting biliary cancer in its early stage

Laparoscopic Surgeries - Advantages And Disadvantages You Must Know!

Dr. Shailee Agrawal 95% (241 ratings)
MBBS, DGO
Gynaecologist, Sirohi
Laparoscopic Surgeries - Advantages And Disadvantages You Must Know!

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.

Top 10 Gynecologist in Gurgaon

Dr. Sanjeev Kumar Singh 89% (192 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Top 10 Gynecologist in Gurgaon

Gynecologist are saviours but with so many of them are around it can be really confusing whom to consult. Here is list of top 10 gynaecologist in your city to ensure best treatment.

1. Dr. Reena Kawatra

MBBS, MD - Obstetrtics & Gynaecology

Dr. Reena Kawatra is one of the most admired doctor amongst peers and patients because of her ethical practice. She has 30+ years of experience and is known for expertise in surrogacy treatment, MTP (Abortions), infertility, C- sec deliveries, contraceptive advice, Pre And Post delivery care, laparoscopy, Hpv Vaccination. She is also a member of the DMC. You can visit her at Aditi Family Clinic or Dr.Reena's MTP Centre.

Consultation fees: ₹500

2. Dr. Beena Upadhyay

MBBS, MD - Obstetrics & Gynaecology, Fellowship In Minimal Access Surgery

Dr. Beena Upadhyay, a qualified MD (Obstetrician & Gynecologist), with over two decades of experience is a well known name in Delhi- NCR. She has previously worked with hospitals like Lok Nayak hospital, Batra Hospital in Delhi but now is associated with Vatsala Clinic & Vedanta Child Clinic, Gurgaon. Her areas of special interest are high-risk pregnancies. She has delivered successfully on many complicated labors & gynaecological cases. Academically also she has written many papers and contributed in books. 

Consultation fees: ₹700

3. Dr. Nupur Gupta

MICOG, MS - Obstetrics and Gynaecology, MBBS

Dr. Nupur Gupta is amongst the top gynecologist in Gurgaon with 19 years of experience. She is currently associated with Well Woman Clinic in Golf Course Extension, and  Paras Hospital, Gurgaon. Infertility related problems, pediatric & adolescent Gynecology and gynecologic oncology are some of the areas which are her specialization. Other than this Dr. Gupta is also known for her special skills on conducting antenatal classes and in particularly about Child Birth. Recipient of honorary award and a gold medal, she is also member of ICMA & AOGD

Consultation fees: ₹700 - 750

4. Dr. Pallavi Vasal

MBBS, D.G.O, MRCOG, Fellowship in Minimal Access Surgery

Dr. Vasal is amongst the top gynaecologist in Gurgaon because of her academic credentials and her experience of more than 12 years. She is MBBS, DGO, an alumni of Royal College of Obstetrics and Gynaecology, London where she earned her fellowship in 2014, MRCOG along with another fellowship in Minimal Access (keyhole) Surgery. Currently, she is working with W Pratiksha Hospital, Gurgaon. Her areas of special interest are- Surrogacy Management, C- sec and normal deliveries, Contraceptive advice, treatment of female sexual problems and menopause related issues.

Consultation fees: ₹1000

5. Dr. Smita Vats

MBBS, DNB - Obstetrics & Gynecology, FICMCH, Diploma in advanced endoscopic gynae surgery, Training in advance laparoscopy and hysteroscopy

Dr. Smita Vats is known for holistic approach and has an experience of close to 20 years. She specialises in gynae endoscopic surgeries & management of all types of high risk pregnancies, she is also interested in adolescent and menopausal issues and treatments of infertility.
She has worked in best hospitals in Delhi/NCR previously and is currently practicing at her own clinic- The Gynae Point. 

Consultation fees: ₹600

6. Dr. Megha Tuli Gupta

MD - Obstetrtics & Gynaecology, MBBS

Dr. Megha Tuli Gupta has become a reputed name in the circle of gynecologists in Gurgaon, in a very less time because of her compassionate  approach towards her patients.You can visit her at Megha’s Gynaecare, Gurgaon. She has a solution to all problems like surrogacy, gynae problems, menstrual problems and PCOS/D. 

Consultation fees: ₹300 - 500

7. Dr. Hitu Madan

FIMS, DGO, MBBS

Dr. Madan is known for her personal touch in her treatment. She has close to 15 years of experience and is a well established name amongst gynecologist in old Gurgaon. She is known for her surrogacy treatment, prenatal classes, handling complicated deliveries and other gynae related problems and infertility cases. She also has a special interest in laparoscopy and has conducted number of surgeries successfully.

Consultation fees: ₹300

8. Dr. Ramandeep Kaur

MBBS, MD - Obstetrtics & Gynaecology, MRCOG(UK - London )

Dr. Ramandeep Kaur is a successful Gynaecologist and Obstetrician with 19 years of experience. She is currently working with Gyane Clinic, Gurgaon. She is trained and has also done a diploma in advanced Laparoscopic and hysteroscopic surgeries. Vaginal and Gynaecological cancer surgeries, urogynaecology, surgical management of infertility, endometriosis, adolescent and menopausal problems and high risk pregnancy are some areas of her special interest.

Consultation fees: ₹700

9. Dr. Shalini Yadav

MD - Physician, DGO, Certified Course on Advanced Infertility

Dr. Shalini Yadav is practicing in old Gurgaon and has 16 years of experience. Amongst the many services provided at her center, she is known for her treatment of infertility, IVF & gynaecological endoscopy. She is a member of FOGSI & MCI. 

Consultation fees: ₹400- 500

10. Dr. Suman Rao

MBBS, MS - Obstetrics & Gynaecology, DNB, Fellowship in Minimally Invasive Gynaecology and Endoscopy

With 14 years of experience Dr. Suman Rao is a reputed name in Gurgaon when it comes to gynecologist. Her areas of interest are- Laparoscopic Surgery, Ovariectomy, menstrual Disorders in Adolescent Girls, PCOS and infertility. She currently practices at Anahat Clinic and is also associated as a visiting faculty with  some of the best hospitals like- Artemis Hospital, Paras Hospital, Fortis Hospital & Cloud Nine. She is also member of some of the most reputed organisations like AOGD, IMA, FOGSI.

Consultation fees: ₹600

3 people found this helpful

Laparoscopic Vaginoplasty - With Absent Vagina, Can She Have Her Own Genetic Baby With MRKH Syndrome?

Dr. Pragnesh Shah 82% (114 ratings)
MD, MBBS
Gynaecologist, Ahmedabad
Laparoscopic Vaginoplasty - With Absent Vagina, Can She Have Her Own Genetic Baby With MRKH Syndrome?

Patient’s parent’s visits to us when their daughter does not menstruate after the age of 15-17 years of age for her fertility concern & for planning surgery before her marriage. This operation is advised for Phenotype female i.e. normal secondary sexual characters & Genotype XX.

Objective:

In-patient with absent uterus is evaluated for associated renal malformations by USG & SOS IVP. As compared to commonly practiced method (skin graft from thigh & putting on neo vagina) patient’s on peritoneum is utilized for covering neo-vagina for Vaginoplasty. Vaginal space is dissected in usual way from below and laparoscopic access helps in avoiding injury to bladder & rectal injury.  This technique gives two cms wide vagina & 8-10 cms long vagina and good quality of sexual function and patient discharged on the next day with minimum postoperative care. This surgery requires lot of experience & expertise.

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.  

The special advantages with our technique are:

    • Next day discharge,
    • No plastic surgery for skin graft so no post-operative dressings,
    • User friendly post-operative care by patient by using vaginal stent every night following operation till she starts actual sexual relation with her husband 6 weeks after laparoscopic Vaginoplasty.

Pre-operative Check Lists:

  • Lab. Investigation for Surgery (Urine complete & Blood complete, HbsAg, HIV, R.B.S.); Pelvic Trance vaginal USG report for renal malformation.
  • Operation planned at about 1.5 to 2 months prior to her proposed Marriage.
  • Enema & preparation/shaving of local parts.

No. Of Cuts on Abdomen:
Three cuts: all of 5 mm size.

Average Stay in Hospital:
24 hours. 

Average Duration of Surgery:
40-60 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 the navel, and another is 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. Using small incisions rather than opening the abdomen lessens recovery time as well as discomfort and makes surgical scars less noticeable.

Vaginal space is dissected in usual way after putting Folly’s catheter in urethra and rectal probe in rectum by 3 cms long incision at labia minora.  Laparoscopic light & pnumo helps during vaginal dissection. Peritoneum is cathched with two artery forceps, opened from below under laparoscopic guidance and edges of the catched peritoneum is circumferentially mobilized down till we can take tension free stitch with dissected & pulled peritoneum & labia minora by few No1/0 Vicryl figure of ‘8” stiches. Then vagina is closed with mop to prevent leakage of pneumoperitoneum from below and laparoscopically neo fornices are created at the level of pelvic brim by purse string stitches taken to close vaginal upper end with No-1 Vicryl stitch & approximating with extra corporeal knot. This technique gives two cms wide vagina & 8-10 cms long vagina and good quality of sexual function and patient discharged on the next day & with minimum requirement of postoperative care.

Post-operative Course:

 

  • Patient remains drowsy/sedated for 2-3 hours after laparoscopy but conscious & pain free.
  • Patient can take fluids 3-4 hours 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.
  • Folly’s catheter is removed on next day.
  • Patient is advised to prepare vaginal stent from 10/20 cc syringe with gauze pieces applied around it and then condom is applied on it and then xylocaine jelly with soframycin applied on stent –which is advised to put the same in vagina gently every night, till she starts actual sexual relation 45 days after operation.
  • 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!

2905 people found this helpful

Laparoscopic Surgery - 5 Facts You Must Know!

Dr. C.S. Ramachandran 89% (572 ratings)
FICS, FCCP (USA), DNB (General Surgery), MS - General Surgery, MBBS
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!

3209 people found this helpful

Laparoscopic Surgery For Endometriosis!

Dr. Megha Gupta 86% (10 ratings)
MBBS, DNB - Obstetrics and Gynecology
Gynaecologist, Bhopal
Laparoscopic Surgery For Endometriosis!

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!

5639 people found this helpful

Laparoscopic Surgery - 5 Facts About It!

Dr. Shriniwas Deshpande 89% (941 ratings)
MS - General Surgery
General Surgeon, Pune
Laparoscopic Surgery - 5 Facts About It!

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!

2598 people found this helpful

Laparoscopy - Understanding Its Role In Gynaecology!

Dr. Sangeeta Raodeo 94% (152 ratings)
Diploma In Obstetrics & Gynaecology, FCPS - Mid. & Gynae
Gynaecologist, Mumbai
Laparoscopy - Understanding Its Role In Gynaecology!

Laparoscopy, also known as minimally invasive surgery, is a type of surgery that is used to operate the organs inside the abdomen without making big incisions. The surgery is done with the help of a laparoscope, which is a long and thin tube carrying a high-resolution camera at the front and high-intensity light. A laparoscope is connected to a video monitor and then inserted inside the abdomen through the small incision (0.5 cm to 1.5 cm). As the instrument moves inside the abdomen, it sends images to the video monitor, which the surgeons uses as a reference to operate the affected parts.

Laparoscopy is also used as a diagnostic technique to examine the organs of the abdomen or pelvis and this makes it very useful for gynecologists. This surgical and diagnostic technique plays a significant role in gynecology as it can help diagnose and treat multiple gynecological problems with minimum pain and discomfort to the patient. In fact, there is a special instrument called fertiloscope, a type of laparoscope that is modified and made fit for the trans-vaginal application.

Uses of laparoscopy

  • It helps in diagnosing and curing a host of female infertility problems.
  • It has proven to be helpful in treating a number of disorders related to the female reproductive organs.
  • It is a reliable, precise, and cost-effective instrument or technique used by a number of gynecologists at the first stage of infertility treatment.
  • It is a sound technique to treat female infertility as it helps to determine whether a patient needs conventional treatment, IVF (in vitro fertilization), or a corrective surgery.

Use of laparoscopy in gynecological problems

  • Treatment of fibroids of uterus
  • Treatment of ectopic pregnancy (pregnancy in which the fertilized egg attaches itself outside the uterus)
  • Treatment of endometriosis (a painful condition in which the tissue lining the inside of the uterus called endometrium begins to grow outside)
  • Removal of adhesions
  • Removal of the womb or ovaries
  • Removal of the lymph nodes during cancer treatment
  • Removal of ovarian cysts
  • Diagnosis of cancer of the reproductive organs
  • Female sterilization (surgery of fallopian tubes to prevent pregnancy)
  • Detection of tumors or abnormal mass of tissues
  • Assessment of the effectiveness of the infertility treatment that has been carried out

Advantages of laparoscopy:
Laparoscopy offers many advantages over conventional surgery and diagnosis, including the following:

  • It is more precise and accurate
  • It is painless (during surgery as well as diagnosis)
  • It minimizes hemorrhage
  • It allows for shorter recovery time
  • It ensures reduced risk of infection to the organs
  • It is cost-effective
  • It is more helpful for the gynecologists as they can see the inside of the organs in real-time

Therefore, it is evident that laparoscopy is no less than a boon in gynecology. Its multiple advantages and high success rate in treating infertility problems in women and other problems related to their reproductive organs make it a great surgical and diagnostic technique. Nevertheless, it is necessary to take advice of the doctor before undergoing laparoscopic surgery or diagnosis. In case you have a concern or query you can always consult an expert & get answers to your questions!

2689 people found this helpful

How Laparoscopic Surgery Helps To Cure Endometriosis?

Dr. Vidya Patil 84% (35 ratings)
MBBS, MD - Obstetrics & Gynaecology, DNB - Obstetrics and Gynecology
Gynaecologist, Mumbai
How Laparoscopic Surgery Helps To Cure Endometriosis?

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!

3813 people found this helpful
Icon

Book appointment with top doctors for Laparoscopy treatment

View fees, clinic timings and reviews