What actually laparoscopy is ?

Laparoscopy is an innovative way of performing a surgical procedure to reach parts of the body without the use of large cuts.Rightly called KEY HOLE SURGERY because instead of a large cut laparoscopy usually requires small cuts about 0.5-1cm. thin telescope is inserted and a small digital camera that is attached to the end of the scope shows the inside of the abdomen in a big screen or TV monitor. Abdomen is distended with gas to provide working space.Operation is performed through slender instruments

How is laparoscopy performed?

  • General anaesthetic is administered.
  • Your bladder is emptied with a catheter.
  • An instrument is introduced through your cervix into your womb so that it can be moved as required to help visualise the pelvic organs.
  • A small cut (0.5- 1cm) is made inside the umbilicus.
  • A needle is introduced via the cut into the abdominal cavity, which fills the abdomen with gas.
  • The telescope is inserted.
  • Up to 1-3 other small(0.5 cm) cuts may be made to introduce other necessary instruments into the abdominal cavity depending on the operation
  • Gas is removed at the end & the cuts may or maynot be closed with stitches.

Why should I prefer laparoscopy over conventional surgery ?

In conventional surgery a long incision is made to gain entry into the abdominal cavity and operate. This result in increased post- operative pain, longer stay in hospital, delayed recovery, long and ugly scars, respiratory problems, higher chance of wound infection, higher chance of incisional hernia, delayed feeding after surgery. The incidence of all these is dramatically reduced by laparoscopic surgery.

What are the advantages of laparoscopic surgery ?

  • Small incisions –better cosmesis
  • Lesser pain - need less postoperative pain medication
  • Faster mobilization
  • Shorter hospital stay
  • Significantly faster recovery
  • Can get back to the work earlier
  • Less chances of wound infection
  • Less formation scar tissue inside the abdomen that may cause pain, or bowel obstruction
  • Less occurrence of hernias

How will I feel following a laparoscopy ?

Following any laparoscopic procedure, some discomfort is normal and to be expected. Patients commonly report pain in the shoulders, neck and abdomen. These symptoms usually resolve within 12-24 hours. May have some vomiting sensation .Usually started orally & can get up move around by the end of 4-6 hrs

What kinds of operations can be performed using laparoscopic surgery?

  • Almost all surgeries being done in open surgery are nowadays being
  • performed laparoscopically.
  • Evaluation of infertility problems
  • To know the cause of pain abdomen
  • Family planning surgeries
  • Removal of ovarian cysts
  • Treatment of endometriosis
  • Removal of fibroids irrespective of its big size
  • Removal of uterus irrespective of its size
  • Cancer surgeries

Can cancer also be treated laparoscopically ?

In the past there had been concern raised about the safety of laparoscopic surgery for ¬cancer operations. Recently several studies involving hundreds of patients have shown that laparoscopic surgery is safe for cancer surgeries.

How safe is laparoscopic surgery?

Laparoscopic surgery is as safe as traditional open surgery.

What are the risks of laparoscopic surgery?

Laparoscopy is a relatively safe procedure .While the risks are very rare, there is always some risk with any procedure. There are some risks when you have general anesthesia. There is chance of infection or bleeding. The abdominal organs, intestines, or blood vessels may be damaged if surgeon is not experienced. But with experienced surgeons the complication rates are very low.

Is it more expensive than open surgery?

Not really .The equipment, maintenance and procedure are more expensive but as the hospital stay and the intake of drugs is reduced it is actually the same as open surgery.

Where can I get it done?

It has become very common and is being done in almost every reputed hospital .But its better to get it done in a centre where many laparoscopic surgeries are done every day & its very important that the surgeon has lot of experience in doing laparoscopic surgeries.

Is laparoscopy useful in children?

Yes ,several procedures can be done by laparoscopy in children.


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