Laparoscopy Keyhole Surgery - Medical Negligence Compensation Solicitors

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Laparoscopy Keyhole Surgery

A laparoscopy is a type of surgery in which a lighted scope that is often flexible is placed through a small incision in the abdomen or pelvis in order to see what is inside or to repair a medical/surgical problem. It is able to find cysts, fibroids, adhesions, infections and tumors; it is able to do things that used to require open abdominal or pelvic surgery. Laparoscopic surgery is often less stressful to the patient with a considerable improvement in recovery time.

Laparoscopies are done for the following reasons, among others:

  • It is used to treat ectopic pregnancies, endometriosis or pelvic inflammatory disease.
  • It can evaluate and remove tumors in the abdomen or pelvis.
  • It can perform a biopsy.
  • It can evaluate causes of infertility.
  • It can check on the injuries to the spleen or liver following trauma.
  • It can check for abdominal metastases.
  • It can repair several types of abdominal and inguinal hernias.
  • It can do a tubal ligation.
  • It can evaluate pelvic pain.
  • It can perform an appendectomy, hysterectomy, splenectomy or gallbladder removal.

A laparoscopy can be done by a surgeon or gynecologist. It is usually done under general anesthesia but can be done under spinal anesthesia. The doctor will have you empty your bladder before surgery and you’ll receive an IV and a sedative followed by your anesthetic.

After the anesthesia has taken hold, you will have a tube placed in your throat for proper breathing. A urinary catheter will be placed in the bladder and some of your abdominal or pubic hair will be shaved. The affected area will be washed with sterile soap. In a pelvic exam, a cannula is placed through the cervix to better manipulate the uterus during the procedure.

An incision will be made in the belly. An amount of CO2 gas is introduced to better see the structures. The laparoscope is a thin, lighted tube inserted through the first incision. Other incisions are made if necessary for tools and tissue manipulators are to be inserted. In some cases, a laser is attached to the laparoscope if the procedure is to be laser surgery.

When the surgery is completed, the tools are taken out and the gas will be released; incisions can then be treated with sutures and bandages. These incisions are less than an inch long and will fade in time.

A laparoscopy takes about thirty to ninety minutes to perform. The recovery period is about 2-4 hours. Pain is markedly less than it would be if you had an open surgery. Pain medications will nevertheless be given for a few days after the surgery.

Laparoscopies are not without their risks. There are minor and major risks taken when undergoing a laparoscopy. The most common risk factors for having a laparoscopy include the following:

  • Incisional bleeding which might require a blood transfusion.
  • Damage to a nerve, blood vessel or organ. This can require an open surgery to repair.
  • Infection in the abdominal or pelvic region.
  • There is a greater risk of complication if you have the following conditions:

    • Abdominal hernia.
    • Abdominal cancer.
    • Had a history of past abdominal surgeries in the past.
    • In addition, the CO2 gas used during the laparoscopic procedure can be irritating to the diaphragm for a couple of days postoperatively. It can cause shoulder pain from referred pain from the diaphragm to the shoulder. The belly gas may also leak into your skin so that you notice crackling in the skin if you press on the skin around the incision. While interesting, it is not serious and will disappear after a few days.

      You should call your doctor if you have a great deal of redness or swelling around the incisions or if you have excessive bleeding or drainage around the incisions.

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