Erebouni Medical Center
Medical Journal Erebouni

Diagnostic laparoscopy

Diagnostic laparoscopy

Diagnostic pelvic laparoscopy is used to examine the internal organs of the pelvises in order to identify a specific problem.
You may be advised to undergo the diagnostic pelvic laparoscopy if you have pelvic pain or a mass and abnormal accumulation of fluid or difficulty to becoming pregnant. These may be causes by endometrioses, tubal pregnancy or ovarian cyst or tumor starting from pelvic infections or other conditions.

Laparoscopic techniques require only tiny key hole incisions or puncture wounds and recovery period is much shorter and more comfortable.

When you arrive at the hospital for your procedure an intravenous line will be started and you will be given a sedative to help you relax. Pelvic laparoscopy is done under the general anesthesia which will put you sleep for the duration of operation. A breathing tube will be temporarily placed to your mouth and throat to help you to breath during the operation. A catheter will also placed in your bladder to drain your urine.

An uncomplicated diagnostic laparoscopy may take as little as 30 to 60 minutes. Your surgeon gain access to the interior of your pelvis by using short instrument called trocar to make a small hole just below your umbilicus. Carbon dioxide gas will then be pumped to this umbilical port to pop up your abdomen so its contents can be viewed easier. Your surgeon will insert laparoscope through the umbilical port. Images from its camera will be projected to the monitors in the operating room. Your surgeon will carefully examine your pelvic organs and tissues looking for signs of diseases that might explain your symptoms.

It may be necessary to create other ports through which will be inserted additional instruments that moves the organs out of the way for better viewing or to perform  such procedure as removing scar tissue, taking biopsy or draining abnormal fluid.

When laparoscopes and other instruments are removed especial gas bald is left in place briefly to allow all the carbon dioxide to escape from the abdomen. The key hole incisions are closed with just a staples and covered with bandages.

After you surgery the breathing tube will be removed and you will be monitored in recovery area. Your catheter will be removed shortly thereafter and you will be given pain medication as needed. Your intravenous line will be removed when you start drink a liquids. Most patients are realised within few hours after procedure.



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