What is a laparoscopy?
A laparoscopy is known as minimally invasive surgery. It is a type of surgery that checks for problems in a female reproductive system or the abdomen. A doctor recommends laparoscopy to diagnose infertility or to treat some fertility problems. In this surgery, a thin tube called a laparoscope slid into the affected area through a small incision. The laparoscope has a camera attached to it. The camera sends images to a video monitor.
Benefits of Laparoscopy:
• It allows a surgeon to view the inside of the body without causing trauma to the patient.
• It allows for quicker recovery, less pain, and shorter scars & hospital stays than traditional (open) surgery.
• You get back to your normal activities sooner.
When Laparoscopy Is Used
Your doctor may suggest laparoscopic surgery:
• You experience pain during sexual intercourse.
• You suffer from acute period cramps or pelvic pain.
• Moderate to severe endometriosis is suspected.
• Pelvic disease or severe pelvic adhesions are suspected.
• Your doctor suspects an extrauterine pregnancy (which is often life-threatening if left untreated)
• Hydrosalpinx is suspected. It is a selected blocked Fallopian tube. Removing the affected tubule can improve IVF success rates.
• Endometrial deposits are suspected of reducing your fertility. Surgery could also be ready to unblock or repair a Fallopian tube. Success rates vary when it comes to tubal repair.
• An ovarian cyst is suspected of causing pain or blocking the fallopian tubes.
• A fibroid is causing pain, distorting the cavity, or blocking your fallopian tubes.
• You have PCOS and the doctor recommends ovarian drilling.
Laparoscopy helps diagnose and treat some causes of infertility. Laparoscopy allows your doctor to see inside your abdomen but also biopsy suspicious growths or cysts. Laparoscopy can remove connective tissue, a fibroid, or endometrial deposits that are causing pain.
How Is It Done?
• Laparoscopy happens in a hospital under general anaesthesia.
• You will have to fast or not eat or drink for eight or more hours before your scheduled surgery, and you may have to take antibiotics.
• When you get to the hospital, you’ll receive an IV, through which fluids and drugs assist you to relax. The anesthesiologist will place a mask over your face, and after breathing a sweet-smelling gas for a couple of minutes, you’ll nod off.
• Once the anaesthesia has taken effect, the doctor will make a tiny cut around your belly button. Through this cut, a needle fills your abdomen with carbon dioxide gas. It provides room for your doctor to ascertain the organs and move the surgical instruments.
• Once your abdomen fills with gas, the surgeon will then place the laparoscope through the move shop around at your pelvic organs. The surgeon may also biopsy tissue for testing.
• Sometimes, there is an incision of two or three more small cuts for other thin surgical instruments to make repairs or move the organs around for a better view.
• The surgeon will visually evaluate the pelvic organs and the surrounding abdominal organs. He or she is going to search for the presence of cysts, fibroids, connective tissue or adhesions, and endometrial growths. He or she will also look at the shape, colour, and size of the reproductive organs.
• A dye is injected through the cervix, so the surgeon can evaluate if the fallopian tubes are open.
• If an ectopic pregnancy is suspected, the surgeon will evaluate the fallopian tubes for abnormal pregnancy.
How Will It Feel?
• During laparoscopic surgery, you are under the consequences of general anaesthesia, so you ought to not feel any pain nor remember the procedure.
• When you awaken, you’ll have pharyngitis. It is thanks to the tube placed down your throat to assist you to breathe during surgery.
• You may feel bloated from the carbon dioxide gas, and you may experience sharp pains in your shoulder, which should go away in a few days.
• Though you’ll likely head home on an equivalent day as your surgery, you ought to plan on taking it easy for a minimum of one or two days.
• You may need every week or two to recover if any repairs. Be sure to speak to your doctor. Your doctor can also prescribe pain medication and antibiotics.
You should contact your doctor if immediately:
• You experience severe or worsening abdominal pain.
• You develop a fever of 101 or higher.
• There is pus oozing or significant bleeding at the incision site.
As with any surgery, laparoscopy comes with risks. One or two women out of each 100 may develop a complication, usually a minor one.
Some complications include:
• Bladder infection after surgery
• Skin irritation around the areas of the incision
• Formation of adhesions
• Hematomas of the abdominal wall
• Allergic reaction
• Nerve damage
• Urinary retention
• Blood clot
Some adhesions, endometrial growths, cysts, and fibroids were removed in some cases. If the fallopian tubes are blocked, they open, if possible. If an extrauterine pregnancy, the surgeon will remove the abnormal pregnancy and repair any tissue damage. After surgery, your doctor will explain what your options are for getting pregnant. If you had fibroids removed or a Fallopian tube repaired, you’ll be ready to attempt to get pregnant without help. Also, in endometriosis or PID, discarding scar tissue may make it possible to get pregnant without further treatment.
If you have queries about the surgery or its results, talk to our health care provider. The above information is for general information purposes only and not a substitute for professional medical advice, diagnosis or treatment. Please contact our health care provider at GarbhaGudi IVF Centre, a leading fertility centre in Bangalore with a spread of 5-branches.