A Laparoscopy is a relatively minor operation when used purely for diagnosis. It is when additional surgical treatment for Endometriosis is performed during a Laparoscopy that the procedure becomes more invasive and would be defined as major surgery.
The procedure is usually done under general anesthetic. This type of operation may also be known as key-hole surgery, and is one of the lesser forms of invasive surgical treatment available today.
There are some hospitals that will perform this operation as an out-patient procedure, with the patient going home the same day. Many hospitals require the patient to stay over night, which allows for post surgery recovery to be monitored.
How is a Laparoscopy Done ?
This surgery is performed by first inflating the abdomen with gas, which is usually carbon dioxide, through a small incision near the navel. A long thin instrument called a Laparoscope is then carefully inserted into the inflated abdominal cavity to inspect the abdomen and pelvis.
During surgery your body will be tilted slightly with the feet raised higher than the head. This allows some of the abdominal organs to shift upward toward the chest and out of the way. The gas that is used to inflate the abdomen helps to provide a better view inside the abdomen by pushing the abdominal wall and the bowel away from the organs in the pelvic cavity. This makes it easier for the surgeon to see the reproductive organs.
The laparoscope is a slender tube, like a miniature telescope, that is inserted through the small incision just below the navel. It is equipped with a lens for a clear view. A special attachment transmits light down through the tube, into the abdomen, so that the surgeon can see the ovaries, fallopian tubes and nearby organs. Once the procedure is completed, the instruments are removed, the gas is released, and the incisions are closed. A few small stitches are usually placed to close the incision and the wound is dressed.
Length of Operation
This will depend on what treatment is performed. If you are having you first laparoscopy with the aim of obtaining a diagnosis, then the laparoscopy usually takes between 20 to 30 minutes. If further treatment is performed to deal with endometrial growths and adhesions, it may last up to an hour.
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