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Laparoscopy (Diagnostic / Operative)

A gynaecological laparoscopy is a procedure that allows a surgeon to look inside your pelvis, for example at your fallopian tubes, ovaries and uterus (womb). It can be used either to diagnose a condition or for treatment.

Laparoscopy (Fig-10) is almost always performed under general anesthesia. This means you'll be unconscious for the procedure. However, you may still be able to go home the same day. Once you're asleep, a small tube called a catheter will be inserted to collect your urine. A small needle will be used to fill your abdomen with carbon dioxide gas. The gas keeps the abdominal wall away from your organs. It reduces the risk of injury. 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.

Laparoscopy is helpful in:
  • unexplained infertility
  • unexplained pelvic pain
  • Testing of tubes –cannulation is case they are blocked
  • a history of pelvic infection
  • endometriosis
  • uterine fibroids
  • ovarian cysts or tumors
  • 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