Laparoscopy

Gynaecology Department / Laparoscopy

Laparoscopy

Gynaecologic laparoscopy uses a laparoscope to look inside your pelvic area which reduces the size of incision significantly. The range of surgical procedures performed with the use of laparoscope or hysteroscope is designated as endoscopic surgery. Laparoscopy can be diagnostic, therapeutic or both.


ADVANTAGES OF LAPAROSCOPIC SURGERY:

  •     Rapid post-op recovery.
  •     Less post-op pain.
  •     Decreased need of post-op analgesia.
  •     Shorter hospital stay, reducing concomitant cost.
  •     Quicker resumption of day to day activity.
  •     Less adhesion formation.
  •     Less blood loss.
  •     Minimal abdominal scar.
  •     Lesser risk of incisional hernia.
  •     Higher patient satisfaction.

LAPAROSCOPIC PROCEDURES ARE THERAPEUTIC FOR FOLLOWING CONDITIONS


Minor

  •     Tubal sterilisation
  •     Adhesiolysis ( without bowel involvement)
  •     Aspiration of simple ovarian cyst
  •     Ovarian biopsy

Moderate

  •     Ectopic pregnancy
    1.     Salpingostomy
    2.     Segmental resection
    3.     Salpingectomy
    4.     Salpingo-oopherectomy
    5.     Endometriosis: Ablation by diathermy or laser
  •     Ovary:
    1.     Diathermy for PCOS
    2.     Drainage of endometriomas
    3.     Ovarian cystectomy
    4.     Salpingo-ovariolysis
  •     Uterus
    1.     Myomectomy
    2.     Laparoscopy assisted vaginal hysterectomy (LAVH)
    3.     Adhesiolysis (including bowel involvement)

Extensive procedures

  •     Major endometriosis
  •     Myomectomy
  •     Retroperitoneal lymphadenectomy
  •     Hysterectomy
  •     Urinary incontinence
  •     Sacrocolpopexy

  • PREPARING FOR GYNAECOLOGIC LAPAROSCOPY

    •     Preparation depends on the type of surgery. You may need various tests including imaging tests, doctor might order fasting or an enema.
    •     Tell your doctor about any medication you take. This includes over-the-counter drugs and supplements. You may need to stop them before the procedure.
    •     Ask a friend to come pick you up after the surgery or schedule a car service. You will not be allowed to drive yourself.

    RISKS OF LAPAROSCOPY

    Skin irritation and bladder infection are common side effects of this procedure.


    More serious complications are rare. However, they include:

    •     damage to an abdominal blood vessel, bladder, bowel, uterus and other pelvic structures.
    •     nerve damage
    •     allergic reactions
    •     adhesions
    •     blood clots
    •     problems with urinating

    There are few conditions which increase the risk of complications include:

    •     previous abdominal surgery
    •     obesity
    •     being very thin
    •     extreme endometriosis
    •     pelvic infection
    •     chronic bowel disease

    Pay close attention to your body during the recovery period. Write down any side effects you’re experiencing and discuss them with your doctor.