Laparoscopy is the most prevalent procedure for diagnosis and treatment of mild to moderate cases of endometriosis. In laparoscopy a small & lighted instrument known as the laparoscope is used. The laparoscope is inserted through small incisions made near the abdomen area. The size of the incision is around 5-15 millimeters. Laparoscopy has several advantages over laparotomy:
Small incision: Laparoscopy is a minimally invasive surgery and the incisions made are of the size of 5-15mm.
Decreased stay: The hospital stay if any, due to laparoscopy is relatively much shorter than the stay required due to laparotomy.
Decreased pain: Since the incisions are smaller the pain is also considerably lesser.
Better Vision: The high magnification provided laparoscopy allows for very accurate identification of adhesions and also allows for very accurate correction of these with restoration of normal anatomy
Decreased adhesion formation and potential complications: With better vision due to laparoscopy the doctor is better equipped to accurately restore of normal anatomy, hence reducing the possibility of adhesion formation and future complications.
Complications from laparoscopy are comparatively lesser than laparotomy but they do exist in rare cases:
- Uncontrolled bleeding
- Pelvic infection.
- Formations of adhesions due to surgery.
- Damage to organs such as bladder or ureters.
These risks can be reduced significantly when the procedure is carried out by an experienced and skilled surgeon.
Procedure of laparoscopy:
The whole procedure generally takes around 30-60 minutes. You will be administered anesthesia, so you won’t feel much pain during the procedure. Following is the procedure:
- The doctor will make an incision of around 5-15 millimeters in your abdominal area.
- A small tube will be inserted to pump carbon dioxide. This is done to inflate the abdomen, so that the doctor can see the organs clearly.
- A laparoscope is inserted through incision.
- If laparoscopy is carried out for treatment purposes, the doctor may make further incisions and then he will proceed to treat the condition.
- The carbon dioxide is removed and dressing is applied to the incision.
The outcome of the surgery depends on the purpose why the procedure was carried out. The procedure may be carried out for pain relief, removing endometriomas and/or for treatment of infertility.
Surgery is known to bring pain relief in many cases. Surgical management may include adhesiolysis, resection /ablation of endometriotic implants and excision of chocolate cysts and deep lesions. But in order to prolong the pain relief the doctor may advise hormone therapy. This is done to prevent growth or return of endometriosis.
Conception after surgery depends on factors such as the age of the patient. If the patient is above the age of 35 the doctor may recommend methods such as IUI and IVF. If the patient is below said age then conception maybe tried without IUI and IVF.
The doctor may drain the endometriomas or cut it completely or a part of it. Removing it completely reduces the risk of it growing again.
The patient can go home in 2-4 days depending on the extent of the surgery. Generally, you can start eating food and drinking water within 24 hours of the operation. One may require one week or more to return to normal activities.
Cost of Hysterectomy in Mumbai:
Last modified: February 8, 2017