Laparoscopic surgery: Purpose, Procedure & Recovery
Laparoscopy is often used to identify and diagnose the source of abdominal or pelvic pain. We usually use this technique when other non-invasive methods are unable to help with diagnosis. Laparoscopic surgery is a specialized technique is used for performing gynaecological surgeries and most of the intestinal surgeries like Crohn’s disease, ulcerative colitis, diverticulitis, cancer, rectal prolapse and severe constipation.
During the past two decades, minimally invasive surgeries have become a part of almost every field of surgery. Advanced operative laparoscopy, when performed by trained laparoscopic surgeons in technically well-equipped centers with the help of sufficient laparoscopic support staff, has proved out to be safe and effective in many cases.
Laparoscopic surgery is useful in the diagnosis of a wide range of abdominal and pelvic conditions. Doctors from all across the world prefer using this diagnosis to support surgical procedures such as the removal of diseased or damaged tissue, fibroids or cysts as well as for biopsies. With an increase in the incidence of infertility related to majority of uterus related problems, scientists and researchers also use this procedure in the study and treatment of the female reproductive system (gynaecology) in order to examine the outside of the uterus, the fallopian tubes, and the ovaries—particularly in pelvic pain cases. Laparoscopy is also helpful in diagnosing conditions affecting the digestive system (gastroenterology) and the urinary system (urology).
It involves laparoscopic instruments and techniques for a variety of procedures, including knee and shoulder surgery. Operations now often performed laparoscopically include the following, among many others:
- Removal or repair of:
- Diseased organs such as the gallbladder or appendix
- Diseased parts of the colon or stomach (digestive system)
- Bladder, ureters, or kidneys (urinary system)
- Women’s reproductive organs, such as the uterus or fallopian tubes
- Tubal ligation
- Removal of a kidney in a living donor
- Weight-reduction procedures, such as gastric bypass
- Repair of a hernia
- To view:
- The liver and pancreas for the presence of cancer tumours
- The abdomen for signs of disease that has been difficult to diagnose (exploratory surgery)
- Tumour in the abdomen
- Any injury following trauma or an accident
- For checking the source of abdominal pain or remove scar tissue
- To look for the source of internal bleeding or fluid build-up if the patient has a normal blood pressure
Gynaecologic conditions diagnosed using laparoscopic surgeries include:
- Ectopic pregnancy
- Ovarian cysts
- Pelvic inflammatory disease [PID]
- Ovarian cancer
During the laparoscopic surgical procedure, doctors are now able to treat certain conditions using instruments and devices specifically designed for laparoscopy. Medical devices that are usually used in conjunction with laparoscopy include surgical lasers and electrosurgical units. Nowadays, most of the doctors or surgeons prefer laparoscopic surgery over open surgery for several types of treatments because of its minimally invasive nature and its association with fewer complications.
The main procedure involves the following steps:
- The first and foremost step is providing the patient with a general anaesthetic to lessen the pain throughout the procedure.
- The surgeon makes one or more small incisions in the abdomen, usually around the belly button area.
- At the incision site, the surgeon inserts a tube and inflates the abdomen with carbon dioxide gas. This allows the surgeon a better view of the internal organs, as well as more room to work.
- To visualize the organs while operating, the surgeon inserts the laparoscope through the tube, which enables the display of images of the internal structures on the TV monitor.
The surgeon then inserts required surgical instruments via further small incisions, depending on what the surgeon finds and the procedures involved.
Once the operation is finished, the gas is expelled from the abdomen and the incision is closed using stitches.
For patients, laparoscopy can often mean a faster recovery from surgery, less time in the hospital or outpatient surgery center, and less trauma to the body. Again, the recovery period after laparoscopy to treat a condition depends on the type of treatment. After minor surgeries, you may be able to resume normal activities within two weeks.
Recovery time is much shorter with laparoscopy than with regular (open) surgery. The procedure may even be performed on an outpatient basis, meaning the patient can return home the same day of the procedure.
After the Laparoscopic Surgery:
Some pain or throbbing is possible where the small cuts were made. The doctor may recommend a prescription or over-the-counter pain reliever.
If the surgeon has made any stitches, you may have to book a follow-up appointment for removal of stitches in a week or two as directed.
Sometimes the carbon dioxide gas can trigger shoulder pain after the procedure. Some of the same nerves that reach the shoulder are present in the diaphragm, and the gas may irritate the diaphragm. The pain goes away over time.
Pressure from the gas may cause a sensation of needing to urinate more often and more urgently. This sensation goes away over time.
After examining and ensuring that everything is normal, the doctor will determine when the patient can resume a normal and routine diet.
Once sufficiently recovered, the patient can to go home, provided, the patient doesn’t drive or ride back home.
Many fertility centers are now using laparoscopy for endometriosis treatment, removal of fibroids, cysts, etc., in order to enhance the probabilities of a couple to conceive pregnancy.
For more information, you can consult our specialists at our Milann centers and resolve your infertility issues with minimal invasive surgery.
To book your appointment call: 1800-4706-45266 or visit www.milann.co.in