Diagnostic laparoscopy is when surgery done through one or more small incisions, using small tubes and tiny video cameras and surgical instruments under general anaesthesia. This is usually a day case procedure.
The aim of this procedure is to allow a thorough assessment of the pelvic organs and diagnose conditions such as endometriosis, adhesion, pelvic inflammatory disease.
With prior discussion and consent Miss Lo can proceed to a therapeutic laparoscopy and treat some of these conditions at the same procedure thus allowing a ‘see and treat’ setting resolving the root cause of your gynaecological problems.
The indications for laparoscopy in gynaecology include:
Endometriosis [diagnosis & treatment]
Ovarian cysts [oophorectomy and cystectomy]
Pelvic pain [diagnosis and treatment]
Vault & uterine prolapse [sacrocolpopexy & hysteropexy]
These are pictures taken at laparoscopy:
Pelvic adhesion from Pelvic Inflammatory Disease
Frozen pelvis from severe endometriosis - ‘kissing ovaries’ with endometriomata adherent to the uterus on top and large bowel underneath.
Patient with 2 left ovaries
Laparoscopic surgery has many advantages:
Shorter hospital stay & quicker recovery
Reduced bleeding and tissue handling thus less risk of adhesion formation
Smaller incisions for patients
Less post-operative pain
Better visualization and access for surgeon
Reduced risk of infection and thrombo-embolism [blood clots in legs and lungs]
Early return to normal activity and work
Like any operative procedure, laparoscopic surgery is not without risks. Common risks are bleeding, haematoma [collection of blood], infection, injury to intra-abdominal structures including bowel, bladder and ureters. There is a risk of conversion to laparotomy [open operation].