Gynecologic Laparoscopy
Whatis Gynecologic Laparoscopy?
Gynecologic laparoscopyis performed by a gynecologist or uro-gynecologist and is a group of minimally invasive surgical procedures on the female reproductive organs,that involves the use of a small camera, which is used for the doctor to observethe woman's reproductive organs as well as perform surgical procedures.Gynecologic laparoscopy is performed as an alternative to open surgery, whichusually involves greater risk for complications.
How is the Gynecologic Laparoscopy procedure performed?
Gynecologic laparoscopy is usually performed in the hospital and under general anesthesia. Asmall catheter is inserted through the woman's urethra into the bladder. A small incision is madeeither above or below her navel to allow the insertion of a tube called a trocar, which allowsfor the passage of the tiny video camera, which is placed where the doctor needsto observe her, uterus, fallopian tube(s), ovary/ovaries, bladder, or ottherpelvic organs he needs to observe. Before the insertion of the trocar, a needle is inserted into the incision and carbon dioxide gas is injected to elevate the abdominal wall,which creates a larger space for the doctor to work in, and allows for easier viewing and manipulation of thefemale reproductive organs.
The laparoscope is then inserted so that the organs of the pelvis and abdomen can be examined. Additional small incisions are made for instruments that allow the surgeon to move organs, cut tissue, suture, and staple structures as needed to safely and effectively perform the procedure.
Following the examination, the laparoscope is then removed, the incisions are closed with sutures, and bandages are applied. Depending upon the operation performed, a drain may be left through one of the incisions to allow for drainage of accumulated fluid.
How to prepare for the Gynecologic Laparoscopy procedure:
Always follow your doctor's specific directions. This usually includes thefollowing:
Youare not to eat or drink for 8-12 hours before theprocedure.
How the Gynecologic Laparoscopy will feel:
You will probably be under general anesthesia, and won't feel anything while theprocedure in taking place. After the procedure, the incisions may be slightly painful,and your doctor will provide you with a pain reliever.
If your doctor prefers to perform the Gynecologic Laparoscopy using local anesthesia,as opposed to general anesthesia, you may feel a prick and/or a burning sensation when the anesthetic is given.
Afterthe procedure, there maybe some pain at the incision site(s) after the procedure. The carbon dioxide gas used to inflate yourpelvic area may cause irritation in your diaphragm, which shares some of the same nerves as the shoulder. You may also experience an increased urge to urinate, sincethe carbon dioxide gas may place pressure on your bladder.
Depending on thetype of gynecologic laparoscopy being performed, your doctor may advise you to avoid eating and drinking for a period of time after the procedure.There is usually one or more follow-up doctor visits for the doctor to observeyour incision(s) and determine how you feel and whether the gynecologiclaparoscopy procedure was successful.
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