Laparoscopy is a procedure to look inside your abdomen by using a laparoscope. A laparoscope is like a thin telescope with a light source. It is used to light up and magnify the structures inside the abdomen. A laparoscope is passed into the abdomen through a small incision (cut) in the skin. A camera is attached to the end of the telescope and the image is viewed on a video monitor. Surgery is carried out while looking at this monitor. Laparoscopic Surgery in Thane at Jijai Women's Hospital, is an advanced endoscopy procedure using minimal access surgery with latest imported equipment.

Advanced Laproscopy Set Up at Jijai Woman’s Hospital

A laparoscopy may be done to find the cause of symptoms such as abdominal pain, pelvic pain, or swelling of the abdomen or pelvic region. Or, it may be done if a previous test such as an x-ray or scan has identified a problem within the abdomen or pelvis. A laparoscopy enables a doctor to see clearly inside your abdomen. Some common conditions which can be seen by laparoscopy include:
• Endometriosis
• Other causes for infertility
• Pelvic inflammatory disease
• Ectopic pregnancy
• Ovarian cysts
• Appendicitis

Advanced Laproscopic Surgery in Thane, Jijai, includes:

• Laparoscopic Hysterectomy (removal of the womb)
• Laparoscopic Myomectomy (removal of fibroids)
• Laparoscopic Adhesiolysis
• Laparoscopic Ovarian cystectomy (removal of fluid filled sac from the ovary)
• Laparoscopic Salpingectomy (removal of tube)
• Laparoscopic Salpingolysis (Tubal fertility surgery)
• Laparoscopic Tubal recanalisation (rejoining the tube)
• Laparoscopic Excision of endometriosis , including chocolate cysts
• Laparoscopic Ovarian drilling (treatment for PCOD)

How is it done?

• Laparoscopy and laparoscopic surgery are usually done whilst you are asleep under general anaesthesia. The skin over the abdomen is cleaned. The surgeon or gynaecologist then makes a small incision (cut) about 1-2cm long near to the navel (belly button). Some gas is injected through the cut to slightly ‘blow out’ the abdominal wall. This makes it easier to see the internal organs with the laparoscope which is gently pushed through the incision into the abdominal cavity. The surgeon or gynaecologist then looks down the laparoscope or looks at pictures on a TV monitor connected to the laparoscope.
• This is a typical high flow CO2 insufflators which is used to maintain a continuous pressure inside your abdominal cavity so as to allow your surgeon to operate comfortably.
• If you have a surgical procedure, one or more separate small incisions are made in the abdominal skin. These allow thin instruments to be pushed into the abdominal cavity. The surgeon or gynaecologist can see the ends of these instruments with the laparoscope and so can perform the required procedure.
• When the surgeon or gynaecologist is finished, the laparoscope and other instruments are removed. The incisions are stitched and dressings are applied.

What are the Advantages over Conventional Surgeries?

• Key whole (small) incisions instead of large conventional incisions.
• Shorter hospital stay
• Fast recovery
• Less wound related complications.
• Magnified visualization and precise dissection.

What are Pre Endoscopy Investigations?

A complete pre operative evaluation is carried out to determine whether the patient is fit to undergo the procedure. Depending on the Pathology and Proposed surgery Investigations from following list are carried out.
• Blood Group
• Complete blood count
• HIV, HBsAg, Blood Sugar
• Renal Function Tests
• Liver Function Tests
• Coagulation Profile
• ECG, X ray chest

Certain specific conditions may require few additional investigations such as Tumour Markers, CT scan, MRI etc. The patient is also seen by a physician before the procedure. An admission slip with pre operative admission instructions is given to the patient. You are kept on a liquid diet for a day prior to surgery. Do not eat or drink anything after midnight and the morning before the procedure. You’ll see the anaesthesiologist before surgery who’ll answer your questions about anesthesia.

What to expect during Procedure, Recovery and Post Operative Period?
On the Day of the Surgery

Before the surgery, an intravenous line, which consists of a small flexible plastic tube, will be inserted into a vein in the patient’s arm or hand. It is used to give medications and fluids during the operation. Sometimes intravenous medication is administered before surgery to help the patient relax.

After the Surgery

The effects of general anaesthesia make most people feel groggy at first, but they quickly become more alert. Some people experience nausea for a short time after awakening from a general anesthesia. Some major laparoscopic procedures require hospital stay of a day or two.

What Problems Can Occur After Surgery?

Complications after laparoscopic surgery are rare. Most people recover quickly and resume their normal activities without problems. However, the procedure is not without any risks. The risk of infection or other problems exists as with any kind of surgery. You can discuss this with the doctor before undergoing the procedure. There may be some soreness near the incisions, especially when twisting or stretching the body. If a breathing tube was used for the surgery, patients may have a mild sore throat. There may be discomfort in the abdomen, upper chest, shoulders, and neck area due to the carbon dioxide used to inflate the abdomen, but this disappears quickly. You may notice a change in bowel habits for a few days. You should avoid any heavy strenuous activity, but are allowed to do all routine activity once you are discharged. You are usually advised to come back for a follow up visit a week after the procedure.

Recovery in Hospital

You may stay in the hospital for 1 to 3 days to recover from the surgery and for observation. You are started on liquid diet 4 – 6 hours after surgery and gradually shifted to soft and then full diet in the next day or two depending on the type of surgery and speed of recovery.

Recovery at Home

You should avoid any heavy strenuous activity, but are allowed to do all routine activities once you are discharged. You are usually advised to come back for a follow up visit a week after the procedure.

How long Will it take for full recovery?

Recovery time depends on the kind of procedure, the patient’s age, and health before the procedure. The following is a normal timetable for recovery from minimally invasive surgery on the abdomen: Any pain in the shoulders or neck area usually goes away after a few days. Soreness in the incisions disappears within a few days and the incisions heal after about five days. The bloated feeling after abdominal or pelvic laparoscopy goes away within a few days.

When can I go back to work?

Depending on the procedure most people feel well enough to return to work or normal daily activities three to five days after laparoscopy, although some people may need a week or more of rest.

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