What is Laparoscopy?
- It is a minor surgery done to examine the abdominal and pelvic
organs through introducing a lens through an incision done at the
umbilicus, this lens transmits the image inside the abdominal cavity
through a camera into a screen.
- It is used to diagnose a disease or to do surgical intervention.
What are the indications of laparoscopy?
1- To diagnose the cause of abdominal and pelvic pain. 2- To take biopsies from the pelvic/abdominal organs. 3- To lyse adhesions. 4- For ligation of fallopian tubes. 5- To diagnose and remove ectopic pregnancy. 6- To do weight reduction surgeries. 7- To diagnose the cause of infertility. 8- For excision of ovarian tumors. 9- For excision of fibroid or uterus.
10- Chronic pelvic infection. 11- To diagnose internal bleeding.
What are its complications? 1- Bleeding. 2- Infection. 3- Pelvic organ injury (bladder or bowel) 4- Anesthesia complications. 5- Thrombosis.
How it is done?
-The abdomen and vagina are cleaned and draped. - A small incision is done around the umbilicus and then CO2 gas is inflated inside the abdominal cavity. - Then a lens is inserted which helps to transmit the image through a camera into a big screen. -The doctor may need to do another two or more incisions in order to introduce other instruments in order to complete his operation. - After finishing of the procedure the gas deflated and incisions are repaired.
What are the advantages of laparoscopic operations over laparotomy?
1- It causes less pain. 2- Need less stay in the hospital. 3- Faster recovery. 4- Better cosmetic scar.
What organs can be examined by laparoscopy? 1- Uterus, ovaries, fallopian tubes. 2 - Bladder. 3- Large and small bowels. 4- Appendix. 5- Liver and gall bladder.
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