Laparoscopy is a surgical technique where an instrument similar to a telescope is inserted into the abdominal cavity through a small incision. The abdominal organs can then be inspected using this scope. Additional small incisions can be made to allow instruments to be inserted so actual surgical procedures can be done. A wide variety of surgical procedures can be performed with this technique, including:
The advantage of this technique is that there is much less pain after surgery because incisions are smaller, allowing a quicker return to normal activity.
A diagnostic laparoscopy is a procedure in which the laparoscopic surgeon uses a laparoscope to look at the organs and tissues inside abdominal cavity.
The laparoscopic surgery is a method by which surgery is done by making small incisions on the abdominal wall and inserting the instruments through specially designed ports. The procedure will be visualized with the help of a camera, which will also be introduced through one of these ports.
In conventional surgery a long incision is made to gain entry into the abdominal cavity and operate. This result in increased post- operative pain, longer stay in hospital, delayed recovery, long and ugly scars, respiratory problems, higher chance of wound infection, higher chance of incisional hernia, delayed feeding after surgery. The incidence of all these is dramatically reduced by laparoscopic surgery.
Almost all surgeries being done in open surgery are nowadays being performed. The most common however are cholecystectomy (removal of the gall bladder), appendicectomy (removal of the appendix), tubal ligation (sterilisation), diagnostic laparoscopy, hernia repair.
Diagnostic laparoscopy and hernia repairs can be done under local anaesthesia but the other procedures will require general anaesthesia.
A healthy person without any other medical ailments and complications can be investigated on an out-patient basis. They can come in on the day of surgery or the previous day. Following a laparoscopic procedure for the gall bladder or appendix they can be discharged on the next day but for more advanced procedures three to four days in hospital would be the norm.
In general, the patient can start clear liquids the day after surgery. Each procedure has different post-operative dietary instructions which your dietitian will have reviewed with you before surgery.
It is recommended that you get clearance from the doctor first before going back to work. Most laparoscopic patients can go back to work within two weeks. Patients having open procedures done may have to wait as long as 6 weeks. Most patients can go back to work as soon as they’re ready as long as there is no heavy lifting of over five or six pounds for the first six weeks, or strenuous activities. If you need to take the full two or six weeks off, we can put you on disability during this time.
The equipment, maintenance and procedure are more expensive but as the hospital stay and the intake of drugs is reduced it is actually the same if not less than open surgery.
While the risks are very rare, there is always some risk with any procedure. There are some risks when you have general anesthesia. There is chance of infection or bleeding. The abdominal organs, glands, intestines, or blood vessels may be damaged if surgeon is not experienced. The lining of the abdominal wall may become inflamed, which is known as peritonitis. A blood clot may enter the bloodstream and clog an artery in the lung, pelvis, or legs. The clot may break off and clog an artery in the heart or brain, causing a heart attack or stroke.