Dr. Vivek Salunke
Laparoscopic Surgeon, Mumbai
Laparoscopy is a surgical procedure in which the surgeon accesses the stomach from inside using a small & lighted instrument known as the laparoscope. The laparoscope is inserted through small incisions made near the abdomen area. The size of the incision is around 5-15 millimeters. Being a minimally invasive surgery it has several advantages over open surgeries. It is a philosophy that believes that cure is possible through least trauma and this, in fact, is a patient’s right.
Reduced hospital stay: Laparoscopy is generally an outpatient procedure and in most of the cases, patients can leave on the same day.
Shorter recovery time: The recovery time after laparoscopy is significantly lesser as compared to open surgery.
Better cosmetic healing: Since the cuts are small (5-10 mm) so they heal faster.
Lesser pain: The pain during and post surgery is lesser than open surgery
The whole procedure generally takes around 30-60 minutes but time may vary according to the case. 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.
Laparoscopy maybe carried out for diagnostic or treatment purposes. Following are the conditions which can either be diagnosed or treated by laparoscopy:
Fibroids, also known as uterine myomas, are compact and firm tumors that are made of smooth muscle cells and fibrous connective tissue which develop in the uterus. Myomectomy is the procedure by which fibroids are treated. It involves the surgical removal of fibroids.
In this disease the tissue (called as Endometrium) which normally lines the inside of the womb or uterus and which is normally shed off with blood during periods, grows outside the uterus and is seen involving ovaries, intestines, urinary bladder, the lining of your pelvis and may even spread to distant sites like lungs etc.
Ectopic pregnancy is an abnormal case of pregnancy in which the fertilized egg does not grow in the uterus’ lining but instead it grows in the fallopian tubes, horns of the uterus, cervix or the ovaries
Laparoscopic procedures can help overcome infertility. Being infertile is defined as being unable to conceive despite having regular sex without birth control for one year.
Hysteroscopy is a procedure in which the patient’s womb (uterus) is removed surgically Depending on the condition affecting the patient, the doctor may remove the patient’s ovaries and fallopian tube as well.
An ovarian cyst is a closed sac like structure which contains fluids. They develop on the ovaries of a woman. Most types of ovarian cysts can be removed using laparoscopy.
Endometrial Cancer: Endometrial cancer is one of the two types of uterine cancer. The other type of uterine cancer is uterine sarcoma.The former is far more common than the latter. Usually endometrial cancer is detected early due to the symptom of vaginal bleeding. If it is detected early, a surgery is recommended.
Cervical Cancer: When the source of cancer are the cells present in the cervix – the lower most part of the uterus which connects to the vagina, the cancer is known as cervical cancer. In its early stages, cervical cancer is generally treated with surgery
Laparoscopy is generally an outpatient treatment and normally the patient can go home in 24 hours. After the operation, the patient is likely to feel some amount of pain near the area of incisions. Generally, you can start eating food and drinking water within 24 hours of the operation. The recovery time depends on the purpose of the operation. In some cases the patient may recover within days, while in cases such as treatment of ovarian cancer, the patient may take months.