Dr Yuvakshi Juneja has expertise in Total hysterectomy (TLH), Myomectomy, Cystectomy, Recanalization, Prolapse repair. Hysteroscopic Tubal Cannulation, Myomectomy, Synthiolysis.
Laparoscopy is a surgical procedure that allows a doctor to see inside of the abdomen. In a female, the uterus, fallopian tubes and ovaries are located in the pelvis which is at the very bottom of the abdomen. Laparoscopy allows the doctor to see any abnormalities that might interfere with a woman’s ability to conceive a pregnancy. The most common problems are endometriosis, pelvic adhesions, ovarian cysts and uterine fibroids.
What is a laparoscope?
A laparoscope is a thin fibre optic telescope that is inserted into the abdomen usually through the belly button. The fibre optics allow a light to be used to see inside the abdomen. Carbon dioxide (CO2) gas is placed into the abdomen prior to inserting the laparoscope. This lifts the abdominal wall and allows for some separation of the organs inside the abdomen making it easier for the fertility doctor to see the pelvic organs during the surgery.
With miniaturized instruments, doctor can perform a variety of surgeries. These include:
- ovarian cyst removal
- tubal ligation, which is surgical contraception
Laparoscopy generally has a shorter healing time than open surgery. It also leaves smaller scars. A gynaecologist, general surgeon, or another type of specialist may perform this procedure.
Laparoscopy can be used for diagnosis, treatment, or both. A diagnostic procedure can sometimes turn into treatment.
Some reasons for diagnostic laparoscopy are:
- unexplained pelvic pain
- unexplained infertility
- a history of pelvic infection
Conditions that might be diagnosed using laparoscopy include:
- uterine fibroids
- ovarian cysts or tumours
- ectopic pregnancy
- pelvic abscess, or pus
- pelvic adhesions, or painful scar tissue
- pelvic inflammatory disease
- reproductive cancers
Some types of laparoscopic treatment include:
- hysterectomy, or removal of the uterus
- removal of the ovaries
- removal of ovarian cysts
- removal of fibroids
- blocking blood flow to fibroids
- endometrial tissue ablation, which is a treatment for endometriosis
- adhesion removal
- reversal of a contraceptive surgery called tubal ligation
- Burch procedure for incontinence
- vault suspension to treat a prolapsed uterus
Laparoscopy is almost always performed under general anaesthesia. This means you’ll be unconscious for the procedure. However, you may still be able to go home the same day.
Your surgeon will make a small cut in your navel and insert the laparoscope, which transmits images to a screen. This gives your doctor a clear view of your organs.
What happens next depends on the type of procedure. For diagnosis, your doctor might take a look and then be done. If you need surgery, other incisions will be made. Instruments will be inserted through these holes. Then, surgery is performed using the laparoscope as a guide.
Once the procedure is over, all instruments are removed. Incisions are closed with stitches, and then you’re bandaged and sent to recovery.