Diagnostic Laparoscopy

Who Should Have Diagnostic Laparoscopy?

Diagnostic laparoscopy may be recommended by a gynecologist in case of persistent unexplained pain, abnormal imaging reports, difficulty conceiving. It is often recommended when ultrasounds, MRIs, or blood tests do not explain the symptoms and can be used to evaluate or diagnose conditions such as:

• Chronic pelvic and abdominal pain
• Unknown causes of fertility
• Ectopic pregnancy
• Suspected Endometriosis

What Is A Diagnostic Laparoscopy Procedure?

The procedure is carried out in an operating room under general anesthesia and takes 30-60 minutes.

• A catheter is placed before the procedure to drain urine from the bladder.
• A small 10mm incision is made in the area of the abdomen near the navel.
• The surgeon performing the laparoscopy places a special hollow tube into the incision.
• CO₂ is insufflated into the abdomen to raise the abdominal wall and for good visibility of the internal organs.
• A small camera with an integral light source is inserted. It will take real-time, high-resolution images and display them on a video monitor in the operating room. The gynaecologist will examine the organs of the abdomen and the reproductive organs.
• If necessary, they will take a tissue sample (biopsy).
• The hollow tubes are pulled out, and the gas in the abdominal cavity is allowed to escape.
• The doctor will close the cuts with stitches and cover them with a dressing.

What Are The Benefits Of Diagnostic Laparoscopy?

This modern way is commonly used today because:

• Smaller incisions are used.
• Less painful, relatively.
• Minimal blood loss.
• Lower risk of infection.
• Better visualization and accurate diagnosis.
• Needs brief hospitalization.
• You will be back to your daily activities in no time for a quick recovery

How Do You Prepare For Diagnostic Laparoscopy?

Because the procedure is done under general anesthesia, please follow the steps listed below before your appointment.

• Follow the fasting instructions. Do not eat or drink (including water) for at least 8 hours before the procedure.
• Check for need of med adjustments. Tell your doctor about any medications you are taking, including blood thinners, supplements, anti-inflammatories, and over-the-counter medications.
• Get the required blood and urine investigations done. This is to confirm that you are fit enough to have a general anaesthetic and diagnostic laparoscopy.
• We suggest that you arrange for safe transportation home, as self-driving is not generally recommended after general anesthesia.

What is Post-Diagnostic Laparoscopy Recovery?

Your gynaecologist will usually let you go home the same day after diagnostic laparoscopy. You may have mild abdominal discomfort and shoulder pain for 1-2 days. You will be able to walk normally after the procedure, but avoid vigorous activity and sexual intercourse for 1- 2 weeks. Keep the cuts covered with a dressing for a few days until your doctor removes them.

What Are The Risks And Complications Of Diagnostic Laparoscopy?

In general, diagnostic laparoscopy done by a qualified and experienced gynaecologist and obstetrician is safe. Complications are rare and include the risks of anesthesia, bleeding, infection at the incision site, injury to nearby organs, and blood clots. Major complications are rare. A full assessment before the surgery helps to avoid any potential risks.

When Should I See My Doctor?

Your doctor will check the rate of healing when you return for the scheduled follow-up appointment after the procedure. Be sure to see the doctor if you develop sudden fever, severe pain, heavy bleeding, persistent vomiting, difficulty urinating, redness or discharge from the incision, or shortness of breath.