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Pelvic laparoscopy
Pelvic laparoscopy


Endometriosis
Endometriosis


Pelvic adhesions
Pelvic adhesions


Ovarian cyst
Ovarian cyst


Pelvic laparoscopy - series
Pelvic laparoscopy - series


Definition:

Pelvic laparoscopy is a surgical procedure that examines and treats pelvic organs through a small surgical viewing instrument (laparoscope) inserted into the abdomen at the navel.



Alternative Names:

Celioscopy; Band-aid surgery; Pelviscopy



Description:

While you are deep asleep and pain-free under general anesthesia , the doctor makes a half-inch surgical cut in the skin below the navel. Carbon dioxide gas is pumped into the abdomen to help the doctor see the organs more easily.

The laparoscope, an instrument that looks like a small telescope on a flexible tube, is inserted so the doctor can view the area. Other instruments may be inserted through other small cuts in the lower abdomen to get tissue samples or do other procedures. After the laparoscopy, the carbon dioxide gas is released, and the surgeon closes the cuts with stitches.



Why the Procedure Is Performed:

Pelvic laparoscopy is used both for diagnosis and treatment. It may be recommended for:

Pelvic laparoscopy is not recommended for patients with:

  • Severe obesity
  • Severe adhesions in the pelvis from other surgeries


Risks:

General anesthesia poses the risk of reactions to medications, including breathing problems. Risks for any surgery include:

  • Bleeding
  • Damage to nearby organs and tissues
  • Infection


After the Procedure:

Laparoscopic procedures are growing more popular with doctors, especially with the introduction of more high-tech laparoscopes.

Many of the procedures can be done the same day on an outpatient basis, but you may need to stay overnight. The average time of surgery is about an hour, but this depends on the procedure performed.

Whether used to diagnose or treat conditions, laparoscopy may prevent the need for a large surgical cut in the abdomen and a longer hospital stay. Laparoscopic surgery can be considered major surgery, depending on the procedure.

Unless major problems are uncovered during the procedure (such as severe bleeding or a tubal pregnancy), laparoscopy may be the only operation needed.



Outlook (Prognosis):

The gas pumped into the abdomen may cause abdominal discomfort for 1 - 2 days after the procedure. Some people feel neck and shoulder pain for several days after a laparoscopy as the carbon dioxide gas escapes through the skin.

You may resume your normal activities in fewer than 2 days. You can begin sexual activities again as soon as bleeding (if there is any) has stopped.

Call your doctor if you have:

  • Bleeding from the vagina
  • Fever that doesn't go away
  • Severe abdominal pain


References:

Katz VL, Lentz GM, Lobo RA, Gershenson DM. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby; 2007.




Review Date: 2/19/2008
Reviewed By: Peter Chen, MD, Department of Obstetrics & Gynecology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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