Definition:
Laparoscopy, also commonly known as diagnostic laparoscopy, is a surgical diagnostic procedure used to analyse the organs in the midsection of abdomen. This procedure is relatively low risk, is minimally invasive and requires only a small incision.
Diagnostic laparoscopy may be recommended to look at the outside of the uterus, fallopian tubes, ovaries, and internal pelvic area. 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.
Indications for Laparoscopy
- Endometriosis
- Uterine fibroids and other structural abnormalities
- Ovarian cysts
- Adhesions (scar tissue)
- Ectopic pregnancy.
- Clipping of fallopian tubes in case of Hydrosalpinx.
- A Laparoscopy is usually performed when tests don’t provide enough information or insight for a proper and accurate diagnosis.
How is it performed?
Laparoscopy is usually performed between Day 7- day 10 of the menstrual cycle. Laparoscopy is usually performed on an outpatient basis under general anaesthesia. After the patient is under anaesthesia, a telescope is placed through the navel. Carbon dioxide gas is used to fill the abdomen, which pushes the abdominal wall away from the internal organs and decreases the risk of injury to surrounding organs such as the bowel, bladder, and blood vessels. Occasionally, alternate sites may be used for the insertion of the laparoscope based upon physician experience or the patient’s prior surgical or medical history. These incisions are typically small (usually less than 1 inch in length). If no abnormalities are noted at this time, one or two stitches close the incisions. If abnormalities are discovered, diagnostic laparoscopy can become operative laparoscopy
