Laparoscopic Gynecological Surgery
Laparoscopy is a commonly performed procedure to inspect the organs of the pelvis (uterus, tubes, ovaries) and abdomen (appendix, liver, gallbladder) using a specially designed telescope. This is carried out under general anaesthesia as a day case, without the need of overnight stay. If treatment has been carried out, one or more nights stay is recommended The abdomen is filled with gas by making a 5 mm scar in the belly button. A similar scar may be indicated below the bikini line if operative laparoscopy is indicated.
Indications in performing a Diagnostic laparoscopy:
Pelvic pain (endometriosis, pelvic inflammatory disease, pelvic abscess)
Infertility: to check the patency of tubes using dye- the tubes are seen with the telescope whilst dye is passed from below.
Indications in performing Operative Laparoscopy:
After a laparoscopy it is usual to have some pain in the tummy and around the shoulder tips. However, this should be treatable with pain relief. It should not limit a womans ability to mobilise and be discharged. Vaginal bleeding is also quite common but should not be heavier than the worst day of a normal period and should not last more than about two weeks.
Following a diagnostic laparoscopy most women take a week off work. Following an operative laparoscopy, most women take two to three weeks off work depending on the complexity of the procedure and other coexisting medical conditions.