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What is Laparoscopy

This is a minimally invasive surgical procedure used to detect abnormalities in the abdomen or pelvic area. Minor incisions are made to allow a small viewing instrument, called a laparoscope, to be inserted, permitting the doctor to search for signs of infections, cysts or fibroids. This specialized treatment has been used for several decades. Gynecologists and surgeons are highly trained worldwide, performing laparoscopic surgery in Singapore, Brussels and the USA to name a few.

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Why Do I Need This Procedure

A doctor could recommend a laparoscopy treatment for several reasons. The doctor will view the internal organs of the abdomen searching for tumors, potential damage to the spleen, gallbladder or uterus or signs of endometriosis.
This treatment is commonly used as a way to treat endometriosis because it is a less invasive procedure. A cyst or scar tissue, caused by endometriosis, may be causing pain or infertility problems. If signs of endometriosis or scar tissue are found, they will either be excised or destroyed with a laser, known as electrocautery.

How the Procedure Done

The patient will be asleep during the procedure. Laparoscopy is performed under general anesthesia or in some cases a spinal anesthesia. A breathing tube may be inserted down the throat to open the airway while under the anesthesia. A urinary catheter may also be inserted.

After the incision is made, a needle is inserted. The abdomen is pumped up with either carbon dioxide or nitrous oxide. The gas is used to inflate the abdomen and push it out so the internal organs can be viewed. A laparoscope is then inserted into the incision. The doctor will view the internal organs. Other small incisions may be needed to help the doctor take tissue samples, drain any cysts or repair any damaged tissue. The procedure usually lasts less than one hour but can take longer depending on what the doctor finds.

After Surgery

Upon waking the patient may feel tired for the next several hours. The breathing tube will have been removed, leaving a mild soreness in the throat. Normally the patient will spend up to four hours in recovery before being released. Bloating may occur due to the inserted gas during surgery, this will soon subside. The patient may experience some pain and bruising around the incision for a few days and is instructed to take it easy with no heavy lifting.

The patient will be instructed to call the doctor if any of the following symptoms occur:

• Severe abdominal pain, redness or swelling over the incision area

• Uncontrolled bleeding or drainage from the wound

• Voice remains hoarse or gets worse after a few days

Results from the surgery may take several days. The doctor may call the patient then to discuss the findings and any other resulting plan of action that may be required.