FAQ

WHAT IS DIAGNOSTIC LAPAROSCOPY?


This is a procedure where surgeon can see what is happening inside of you.In most cases, this procedure will be able to diagnose or help discover what the problem is.


WHY IS DIAGNOSTIC LAPAROSCOPY PERFORMED?


Laparoscopy can help physicians diagnose many gynecological problems including endometriosis, uterine fibroids and other structural abnormalities, ovarian cysts, adhesions (scar tissue), and ectopic pregnancy. If you have pain, history of past pelvic infection, or symptoms suggestive of pelvic disease, your physician may recommend this procedure as part of your evaluation. Laparoscopy is sometimes recommended after completing an initial infertility evaluation on both partners. It is also performed when cause of Abdominal pain ,Abdominal mass, Ascites, Liver diseaseis not known


Why do I need a laparoscopy if I have not conceived?


A complete examination of a woman’s internal pelvic structures can provide important information regarding infertility and common gynecologic disorders. Frequently, problems that cannot be discovered by an external physical examination can be discovered by laparoscopy and hysteroscopy, two procedures that provide a direct look at the pelvic organs.


These procedures may be recommended as part of your infertility care, depending on your particular situation.


What exactly will be done in this procedure?


Laparoscopy and hysteroscopy can be used for both diagnostic (looking only) and operative (looking and treating) purposes. Diagnostic laparoscopy may be recommended to look at the outside of the uterus, fallopian tubes, ovaries, and internal pelvic area. Diagnostic hysteroscopy is used to look inside the uterine cavity. If an abnormal condition is detected during the diagnostic procedure, operative laparoscopy or operative hysteroscopy can often be performed to correct it at the same time, avoiding the need for a second surgery.



In what way is it superior to Ultrasound ?


Problems that cannot be discovered by an Ultrasound can be discovered by laparoscopy.Laparoscopy can help to diagnose many gynecological problems including endometriosis, uterine fibroids and other structural abnormalities, ovarian cysts, adhesions (scar tissue), and ectopic pregnancy.



It can be used for both diagnostic (looking only) and operative (looking and treating) purposes.


When is it performed ?


It is usually performed soon after menstruation when bleeding completely stops.


WHAT TESTS ARE NECESSARY BEFORE LAPAROSCOPY?


Routine blood test analysis, urine analysis, and possible chest X-ray or electrocardiogram may be needed before diagnostic laparoscopy. Your physician will decide which tests are necessary and will review the results of those tests, which have already been performed.


WHAT TESTS ARE NECESSARY BEFORE LAPAROSCOPY?


Routine blood test analysis, urine analysis, and possible chest X-ray or electrocardiogram may be needed before diagnostic laparoscopy. Your physician will decide which tests are necessary and will review the results of those tests, which have already been performed.


WHAT TYPE OF ANESTHESIA IS USED?


Diagnostic laparoscopy is performed either under local anesthesia with sedation or with general anesthesia. With your help, your surgeon and an anesthesiologist will decide on a method of anesthesia to perform safe and successful surgery.


WHAT PREPARATION IS REQUIRED?


  • After your surgeon reviews with you the potential risks and benefits of the operation, you will need to provide written consent for surgery.
  • Most diagnostic laparoscopy procedures are performed as an outpatient; meaning you will go home the same day the procedure was performed.
  • You should have nothing to eat or drink for six to eight hours before the procedure.
  • It is acceptable to shower the night before or morning of the operation.Report to the hospital at the correct time, which is usually 1-2 hours earlier than your scheduled surgery.
  • If you take medication on a daily basis, discuss this with your surgeon prior to surgery as you may need to take some or all of the medication on the day of surgery with a sip of water. If you take aspirin, blood thinners or arthritis medication, discuss this with your surgeon so that they can be stopped at the proper time before your surgery.
You will most likely be sedated during the procedure and an arrangement to have someone drive you home afterward is imperative.


WHAT SHOULD I EXPECT AFTER THE OPERATION?


Following the operation, you will be transferred to the recovery room, where you will be monitored carefully until all the sedatives and anesthetics have worn off. Even though you may feel fully awake, the effects of any anesthetic may persist for several hours. Once you are able to walk and get out of bed unassisted, you may be discharged. Because the effects of anesthesia can linger for many hours, it is necessary to have someone accompany you to the office or hospital and drive you home after the procedure.


You can expect some soreness around any incision site; this is normal. Your pain should improve daily even though you may need to take a pain reliever. Your surgeon will instruct you on the use of pain relievers and may give you a prescription for pain medication.


Most patients are able to shower the day after surgery and begin all normal activities within 1-2 days .


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