Dr Chang T.C.

Gynaecology Laparoscopic Surgery

Laparoscopy, also known as diagnostic laparoscopy, is a surgical diagnostic procedure used to examine the pelvic organs within the abdominal cavity. It is a minimally invasive procedure that requires 3 – 4 small incisions.

Laparoscopy uses an instrument called a laparoscope to look at the abdominal organs. A laparoscope is a long, slender tube with light and a high-resolution camera at the front. The instrument is inserted through an incision in the abdominal wall.

Laparoscopy allows your doctor to see inside your body without open surgery. Your doctor also can perform biopsies during this procedure.

Laparoscopic surgery for gynaecological disorders can be performed for the following medical conditions:

Abnormal uterine bleeding
Adenomyosis
Uterine fibroids
Chronic pelvic pain

Menstrual cramps
(dysmenorrhoea)
Endometriosis
Ovarian cysts
Heavy menstrual periods
Ectopic pregnancy

Preparing for gynaecologic laparoscopy

Preparation depends on the type of surgery. You may need a pelvic ultrasound, blood tests, chest X-ray and ECG. You will need to fast for 6 hours before the surgery. Your doctor may also arrange for you to have an enema before the surgery.
Tell your doctor about any medication you take. This includes over-the-counter. You may need to stop them before the procedure.
Ask a friend or famly member to come pick you up after the surgery

Risks of laparoscopy

Skin irritation and bladder infection are common minor side effects of this procedure.

More serious complications include:

damage to an abdominal blood vessel, the bladder, the bowel, the uterus and other pelvic structures
pelvic nerve damage
abdominal adhesions
deep vein thrombosis post-surgery

Conditions that increase your risk of complications include:

previous abdominal surgery, previous Caesarean deliveries
obesity
being very thin
endometriosis or blood clots plastered to the ovaries, bladder, pouch of Douglas (behind the uterus) or fallopian tubes
pelvic infection
adhesions due to previous appendicitis

Pay close attention to your body during the recovery period. Write down any side effects you’re experiencing and discuss them with your doctor.