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  • GYNECOLOGIC LAPAROSCOPY

    Gynecologic laparoscopy is an increasingly widely used alternative to open surgery. In this procedure, the surgeon uses a laparoscope to look inside the patient's pelvic area. Open surgery usually requires a large incision.A laparoscope is a long, thin and flexible tube with a light and camera at one end. It allows a doctor to see inside your body. Laparoscopy for diagnosis can determine whether you have conditions such as endometriosis or fibroids. Also, with miniaturized instruments, the physician can perform a large number of surgeries.

    Some of gyno laparoscopic surgery include:

     

    Advantages of laparoscopy or open surgery

    • Shorter period of recovery
    • Minimal incisions and scarring

    Length of Open surgery

    The length of the surgery depends upon the severity of the condition being treated. On an average, the surgeries last one to two hours

    Causes

    Gynecologic laparoscopy is used in following conditions

    Diagnosis

    The conditions are generally diagnosed through MRI scans, Doppler images, etc.Sometimes, the laparoscope itself is used for collecting tissue samples for analysis

    Preparation before open surgery

    • The patient is required to have a completely empty stomach for at least 24 hours before surgery
    • The patient should also have a void bladder
    • Over the counter medications may be prescribed

    Laparoscopic Surgery Procedure Steps

    • Laparoscopic surgery is generally performed when the patient is under general anesthesia.
    • Once the patient is asleep, a small tube called a catheter is inserted through an incision in the abdominal wall, to collect the urine.
    • After this, the abdomen is filled with carbon dioxide gas, which keeps the abdominal wall away from the internal organs and reduces the risk of injury.
    • The surgeon will make a small cut near the patient's navel. The laparoscope will be inserted, and transmits images to a larger screen.
    • The next steps depend on the type of surgery. In case of diagnosis, the doctor might simply take a look. In case of surgery, other incisions will be made and instruments will be introduced through these holes.
    • Once the surgery is over, all instruments are removed. The incision openings are sealed with stitches.

    Follow up after Laparoscopic Surgery

    • Immediately after surgery, the patient's vitals are monitored till discharge.
    • The patient needs to have a regular checkup for up to 2 months after surgery

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    Dr. Niraj Mahajan

    MD- Gynecologist, Laparoscopic Surgeon, Uro-gynecologist , Infertility specialist & Cosmetic Gynecologist.

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