Diagnostic laparoscopy is basically a
test to find out the cause for complaints related to the abdomen for which
other tests have failed to conclude anything.
It is indicated
in patients with suspected appendicitis, chronic lower abdominal pain, adhesive
colic, peritonitis, blunt/penetrating abdominal trauma with a suspected injury, and as staging for abdominal cancers.
Laparoscopy
is usually done as an outpatient procedure. This means that you’ll be able to
go home the same day as your surgery. It may be performed in a hospital or an
outpatient surgical centre.
You’ll
likely be given general anesthesia for this type of surgery.
This means that you’ll sleep through the procedure and won’t feel any pain. To
achieve general anesthesia, an intravenous (IV) line is inserted in one of your
veins. Through the IV, your anaesthesiologist can give you special medications
and well provide hydration with fluids.
In
some cases, local anesthesia is used instead. A local anesthetic numbs the
area, so even though you’ll be awake during the surgery, you won’t feel any
pain.
During
laparoscopy, the Surgeon
makes an incision below your belly button and then inserts a small tube called
a cannula. The cannula is used to inflate your abdomen with carbon dioxide gas.
This gas allows your doctor to see your abdominal organs more clearly.
Once
your abdomen is inflated, the surgeon inserts the laparoscope through the
incision. The camera attached to the laparoscope displays the images on a
screen, allowing your organs to be viewed in real-time.
The
number and size of incisions depend upon what specific diseases your surgeon
is attempting to confirm or rule out. Generally, you get from one to four
incisions that are each between 1 and 2 centimeters in length. These incisions
allow other instruments to be inserted. For example, your surgeon may need to
use another surgical tool to perform a biopsy. During a biopsy, they take a
small sample of tissue from an organ to be evaluated.
After
the procedure is done, the instruments are removed. Your incisions are then
closed with stitches or surgical tape. Bandages may be placed over the
incisions.
It is
performed as any other laparoscopic surgery with the patient in OT under
general anesthesia.
It
usually takes less than 30 minutes to perform and the patient may be discharged
the same day.
DR ACHAL AGRAWAL is a
consultant gastrointestinal, laparoscopic & bariatric surgeon at Greater
Kailash Hospital, Indore. Dr. Achal Agrawal, during his undergraduate days in a
premier medical college, was highly influenced to take up surgery as his
specialization. He has experience of more than 10 years with more than 1000
successful surgeries.
Book Appointment: – +91 -9171770805
Email: – drachalagrawal@gmail.com
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