Other small cuts may be made in the lower part of the belly to put in different cutting tools to remove or biopsy abnormal areas which are then checked in the lab. The laparoscope, cutting tool, and most of the gas will then be removed and the small cuts will be closed. Once the procedure is complete, you will be gently woken up and taken off the breathing machine. As the anesthesia wears off you may be groggy or confused for a few hours. Your mouth and throat will probably be numb for a few hours.
You won't be allowed to eat or drink until the numbness wears off. Once the numbness is gone, you may have a sore throat, cough, or hoarseness for the next day or so. You may have pain or numbness in the sites where the cuts were made. You might also have abdominal or shoulder pain from the left-over gas that may take a few hours or days to get better. Laparoscopy, also known as diagnostic laparoscopy, is a surgical diagnostic procedure used to examine the organs inside the abdomen.
Laparoscopy uses an instrument called a laparoscope to look at the abdominal organs. A laparoscope is a long, thin tube with a high-intensity light and a high-resolution camera at the front. The instrument is inserted through an incision in the abdominal wall. As it moves along, the camera sends images to a video monitor. Laparoscopy allows your doctor to see inside your body in real time, without open surgery. Your doctor also can obtain biopsy samples during this procedure.
Laparoscopy is often used to identify and diagnose the source of pelvic or abdominal pain. The procedure may also be used to take a biopsy, or sample of tissue, from a particular organ in the abdomen. As well, your doctor may be able to perform an intervention to treat your condition immediately after diagnosis.
The most common risks associated with laparoscopy are bleeding , infection, and damage to organs in your abdomen. However, these are rare occurrences. Contact your doctor if you experience:. There is a small risk of damage to the organs being examined during laparoscopy. Blood and other fluids may leak out into your body if an organ is punctured. In some circumstances, your surgeon may believe the risk of diagnostic laparoscopy is too high to warrant the benefits of using a minimally invasive technique.
Performing laparoscopy in the presence of adhesions will take much longer and increases the risk of injuring organs. Your doctor will tell you how they should be used before and after the procedure.
Your doctor may change the dose of any medications that could affect the outcome of laparoscopy. These drugs include:. This will reduce the risk of harm to your developing baby. These tests can help your doctor better understand the abnormality being examined during laparoscopy. The results also give your doctor a visual guide to the inside of your abdomen.
This can improve the effectiveness of laparoscopy. You should also arrange for a family member or friend to drive you home after the procedure. Laparoscopy is often performed using general anesthesia, which can make you drowsy and unable to drive for several hours after surgery. Laparoscopy is usually done as an outpatient procedure. It may be performed in a hospital or an outpatient surgical center. To achieve general anesthesia, an intravenous IV line is inserted in one of your veins.
Through the IV, your anesthesiologist can give you special medications and well as provide hydration with fluids. In some cases, local anesthesia is used instead. During laparoscopy, the surgeon makes an incision below your belly button, and then inserts a small tube called a cannula. Kiley MD - Obstetrics and Gynecology. Author: Healthwise Staff. This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.
Your use of this information means that you agree to the Terms of Use and Privacy Policy. Learn how we develop our content. To learn more about Healthwise, visit Healthwise. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Top of the page. Surgery Overview Laparoscopy is the most common procedure used to diagnose and remove mild to moderate endometriosis.
If your doctor recommends a laparoscopy, it will be to: View the internal organs to look for signs of endometriosis and other possible problems. This is the only way that endometriosis can be diagnosed with certainty. But a "no endometriosis" diagnosis is never certain. Growths implants can be tiny or hidden from the surgeon's view. Remove any visible endometriosis implants and scar tissue that may be causing pain or infertility.
If an endometriosis cyst is found growing on an ovary endometrioma , it is likely to be removed. Laparoscopy procedure You will be advised not to eat or drink for at least 8 hours before a laparoscopy. Why It Is Done Laparoscopy is used to examine the pelvic organs and to remove implants and scar tissue. This procedure is typically used for checking and treating: Severe endometriosis and scar tissue that is thought to be interfering with internal organs, such as the bowel or bladder.
Endometriosis pain that has continued or returned after hormone therapy. Severe endometriosis pain some women and their doctors choose to skip medicine treatment. An endometriosis cyst on an ovary endometrioma. Endometriosis as a possible cause of infertility. The surgeon usually removes any visible implants and scar tissue. This may improve fertility. When laparoscopy may not be needed Directly viewing the pelvic organs is the only way to confirm whether you have endometriosis.
How Well It Works Pain relief As with hormone therapy, surgery relieves endometriosis pain for most women. Some studies have shown: Most women—about 60 to 80 out of —report pain relief in the first months after surgery.
This number increases over time. Research has not firmly proved that removing mild endometriosis improves fertility.
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