Dr. Kateryna Shapovalova

Common Uses of Laparoscopy by Dr.Kateryna Shapovalova 

Laparoscopy is used for both diagnostic and surgical purposes. It is often recommended for conditions such as:

• Diagnosing and treating abdominal pain when the cause is unclear.
• Gynecological surgeries, such as the removal of ovarian cysts, treatment of endometriosis, or hysterectomies.
• Appendectomy for the removal of the appendix.
• Gallbladder removal (cholecystectomy).
• Hernia repair.
• Biopsy procedures to take tissue samples for further examination.

Benefits of Laparoscopy

Compared to traditional open surgery, laparoscopy offers several advantages:

• Minimally invasive: Smaller incisions mean less tissue damage.
• Reduced pain and discomfort post-surgery.
• Shorter hospital stays and quicker recovery time.
• Lower risk of complications, such as infection and significant blood loss.
• Minimal scarring, leading to better cosmetic outcomes.

How the Procedure Works

1. Preparation: Patients are typically advised to avoid eating or drinking for several hours before the procedure. Preoperative tests may be conducted to ensure the patient is fit for surgery.
2. Anesthesia: General anesthesia is administered to keep the patient asleep and pain-free during the surgery.
3. Insertion of the Laparoscope: A small incision is made near the navel, and the laparoscope is inserted. To create a clear view, carbon dioxide gas is often introduced into the abdominal cavity to gently inflate it.
4. Additional Incisions: Depending on the procedure, one or more additional small incisions may be made to insert other surgical instruments.
5. Surgery: The surgeon uses the images displayed on the monitor to guide the instruments and perform the required operation.
6. Closure: Once the surgery is complete, the instruments are removed, the gas is released, and the incisions are closed with sutures or surgical tape.

Recovery and Aftercare

• Immediate Recovery: Most patients are monitored for a few hours after the procedure and can go home the same day.
• Pain Management: Mild discomfort in the shoulders or abdomen is common due to the gas used during surgery, but this typically subsides within 48 hours.
• Activity Restrictions: Patients should avoid heavy lifting and strenuous activities for a few weeks as the incisions heal.
• Follow-up: A follow-up visit may be scheduled to monitor recovery and ensure no complications, such as infection or internal bleeding, have occurred.

Risks and Potential Complications

While laparoscopy is generally safe, it does carry some risks, including:

• Infections at the incision sites.
• Bleeding or damage to internal organs.
• Blood clots or adverse reactions to anesthesia.
• Hernias at the incision sites in rare cases. Most complications are infrequent and can be effectively managed with prompt medical attention.

Who is a Candidate for Laparoscopy?

Laparoscopy is suitable for most patients who require abdominal or pelvic surgery, though it may not be recommended for individuals with certain pre-existing conditions or significant prior surgeries that result in extensive scar tissue. A consultation with a qualified surgeon will help determine if laparoscopy is the best option for a specific condition.

Final Thoughts

Laparoscopy is a valuable tool in modern medicine, providing a less invasive alternative to traditional surgery while maintaining effectiveness and safety. With its shorter recovery time and minimal scarring, it has become a preferred method for a variety of surgical procedures.