What is Laparoscopy?
Laparoscopy
(also known as Key Hole Surgery)
is usually done under general anesthesia although it could be done
using local anesthesia.
A small cut
is made under or through the navel where a thin needle is inserted
into the abdominal cavity and is used to insert gas (CO2) . The
abdomen is insufflated to a certain degree of pressure and then a
trocar is introduced through the small cut and the telescope
inserted through it. The camera is then attached to the telescope to
enable the internal organs to be viewed on a monitor, smaller sized
trocars are then inserted into the lower part of the abdomen & on
either side (could be three in total) .Instruments could then be
introduced into the abdomen through the trocars enabling the
operator to perform his procedure.
Recovery
after Laparoscopy
In the recovery room
the attending nurse will observe the patient until she is conscious
and then the patient will be returned to her room, if she is
discharged on the same day she is not allowed to drive. As a result
of the anaesthetic the patient might feel tired and dizzy which is
normal. Some feel shoulder pain for the first 24 hours after the
operation. Minor complications could result from the operation
manifesting as redness at the incisions sites or leakage of fluid
from the cut sites or a small degree of fever. All of these
complications are rare and easily controlled by the attending
doctor.
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What is
Hysteroscopy?
Using the
hysteroscope (telescope) which the surgeon introduces through
the cervix (neck of the uterus) to the uterine cavity and by
using a fluid (or gas) to distend the uterine cavity, the cavity
is visualized using a light source for illumination and
instruments are used for operating.
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Some instruments used in
hysteroscopy |
Abnormal
Menstrual loss
Using the
hysteroscopy the cause of bleeding from the uterus could be found
and dealt with. It could be due to a tumor whether Benign or
malignant. Large tumors within the cavity could lead to abortion.
Intrauterine
Adhesions
This could be the
result of uterine infections or previous curettage operations or
operations on the uterine cavity. .The walls of the uterus get stuck
together and could cause menstrual abnormalities, infertility or
abortion. The hysteroscopy is used to diagnose these adhesions and
deal with them.
What happens
after the hysteroscopy operation?
The patient might feel slight pain
in the lower part of the abdomen and may loose some blood through
the vagina. Take a rest for one day and check with your doctor if
needed.
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