Laparoscopic Surgery/ Key Hole Surgery

Dr. Yuvakshi Juneja is an expert in Total Hysterectomy (TLH), myomectomy, cystectomy, recanalization, prolapse repair, hysteroscopic tubal cannulation and sythiolysis.

What is a laparoscope?

Laparoscopy is a surgical procedure that lets a doctor see inside the abdomen and evaluate the health of the uterus, fallopian tubes and the ovary. It also helps them detect any abnormalities that might contribute to pregnancy risks. The most common ones being endometriosis, pelvic adhesions, ovarian cysts and uterine fibroids.

 

The laparoscopy process

Performed under general anaesthesia, laparoscopy is a surgery where a surgeon makes a small cut in your navel to insert a laparoscope. The device then transmits images to a screen, giving the doctor a clear view of the organs.

If the purpose is only a diagnosis, the doctor will use the process only to check the health of your organs. But if you need a surgery, other incisions are made using the laparoscope as the guide. A doctor can perform multiple surgeries on the patient, including:

  • Tubal ligation
  • Hysterectomy
  • Ovarian cyst removal

Once the procedure is over, all the instruments are removed. The incisions are then closed with stitches and in most cases, you’re allowed to go home on the same day. Although, you do need to give yourself some time to recover.

Laparoscopic surgeries have a shorter healing time than open surgeries, and are also known to leave minimal scars.

When should you go for laparoscopy?

Laparoscopy is used for both diagnosis and treatment. But it isn’t necessarily the route you need to take. You should go for a laparoscopy in cases of an unexplained pelvic pain, a history of pelvic infection or unexplained infertility despite going through all the examinations on the doctor’s advice.

The conditions for which laparoscopy diagnosis is recommended, includes:

  • Uterine fibroids
  • Ovarian cysts and tumors
  • Reproductive cancers
  • Infertility
  • Pelvic inflammatory diseases
  • Ectopic pregnancy

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Recovery after laparoscopy

In most cases, you can go home on the same day after the surgery – but only if the doctor monitoring your vital signs say it is okay to. After the anaesthesia wears off, your recovery starts and you will be allowed to go home only after you urinate on your own. In the case where you can’t do so, the doctor might ask you to stay in the hospital for a few more days.

The recovery time also varies depending on what procedure was performed. But after the surgery, your belly button is most likely to feel tender and there could be a few bruises on your stomach. There is also a chance that you feel nausea due to the gas inside you.

Based on your health status, the doctor might prescribe a few medicines or a dose of antibiotics to prevent any infection. But it may take from a few weeks to a month or more to return to normal activities.

While complications post a laparoscopy are rare, you should go back to your doctor in case you experience any of the above:

  • Abdominal pain
  • Nausea and vomiting
  • High fever (101°F or higher)
  • Pus or bleeding at the incision
  • Pain during urination
  • Pain during bowel movements

Compared to open surgeries, laparoscopy has a shorter recovery time.