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Laparoscopy

(Surgery With Keyhole Incisions)

En Español (Spanish Version)

Definition | Reasons for Procedure | Possible Complications | What to Expect | Call Your Doctor

Click here to view an animated version of this procedure.

Definition

Laparoscopy is a type of surgery done through several small incisions in the abdomen. Small tools and a laparoscope, a tiny camera, are placed through the incisions to allow the surgeon to see inside the belly and perform surgical tasks. This type of surgery is popular, because it usually shortens recovery time. It also leaves small scars in most cases.

Laparoscopic Instruments Being Placed in the Abdomen

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Copyright © Nucleus Medical Media, Inc.

Reasons for Procedure

Many types of surgery can now be done with a laparoscope. Some examples include:

It can also be done to help make a diagnosis.

Possible Complications

Complications are rare, but no procedure is completely free of risk. If you are planning to have a laparoscopy, your doctor will review a list of possible complications, which may include:

  • Infection
  • Bleeding
  • Damage to blood vessels or organs
  • Problems related to anesthesia
  • The need for open surgery rather than laparoscopic surgery

Factors that may increase the risk of complications include:

  • Smoking
  • Obesity
  • Heart or lung conditions
  • Previous abdominal surgery
  • Diabetes

What to Expect

Depending on the reason for your surgery, your doctor may do the following:

  • Physical exam and review of medicines
  • Blood tests, such as a pregnancy test, liver function test, and electrolyte status
  • Urinalysis to detect urinary tract infection and diabetes
  • Ultrasound —a test that uses sound waves to visualize the inside of the body
  • CT scan —a type of x-ray that uses a computer to make pictures of the inside of the body
  • MRI scan —a test that uses magnetic waves to make pictures of the inside of the body

In the days leading up to your procedure:

  • Depending on the type of surgery, you may need to take a laxative or use an enema.
  • Arrange for a ride home.
  • The night before, eat a light meal. Unless told otherwise by your doctor, do not eat or drink anything after midnight.

Talk to your doctor about the medications you are taking. Up to one week before the procedure, you may be asked to stop taking some medications such as:

  • Anti-inflammatory drugs
  • Blood thinners
  • Anti-platelet medications

Most commonly, you will have general anesthesia. You will be asleep.

After you are asleep and do not feel any pain, a needle will be inserted to inject carbon dioxide into your abdomen. The gas will make your abdomen expand. This will make it easier to see the organs. The laparoscope will then be inserted through a small hole that is cut in the skin. The laparoscope lights, magnifies, and projects an image onto a video screen. The area will then be inspected.

If necessary, several other incisions will be made in the abdomen. Tiny tools will be inserted to take biopsies or do surgery. The incisions will be closed with stitches or clips.

This varies greatly depending on the procedure

Anesthesia will prevent pain during the procedure. You may have soreness for a couple of days during recovery. Ask your doctor about pain medication. You may also feel bloated or have pain in your shoulder from the gas. This can last up to three days.

When you are home, follow your doctor's instructions , which may include:

  • Removing the dressing the morning after surgery.
  • Avoiding heavy lifting.
  • Not drinking carbonated beverages for two days.

Ask your doctor about when it is safe to shower, bathe, or soak in water. You should be able to go back to regular activities in about one week. If the procedure was done to help diagnose a condition, your doctor will suggest treatment options. Biopsy results may take up to a week to come back.

Call Your Doctor

After arriving home, contact your doctor if any of the following occur:

  • Signs of infection, including fever and chills
  • Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
  • Nausea and/or vomiting that you cannot control with the medications you were given after surgery, or which last for more than two days after discharge from the hospital
  • Pain that you cannot control with the medications you have been given
  • Headache, muscle aches, feeling faint or lightheaded
  • Pain, burning, urgency or frequency of urination, or persistent bleeding in the urine
  • Difficulty urinating or having a bowel movement
  • Cough, shortness of breath, or chest pain

In case of an emergency, call for medical help right away.

RESOURCES:

American College of Surgeons

http://www.facs.org

Society of American Gastrointestinal Endoscopic Surgeons

http://www.sages.org

CANADIAN RESOURCES:

Women's Health Matters

http://www.womenshealthmatters.ca

References:

Laparoscopy. American College of Obstetricians and Gynecologists website. Available at: http://www.acog.org/~/media/For%20Patients/faq061.pdf?dmc=1&ts=20130723T1313462445. Published April 2013. Accessed July 23, 2013.

Patient information for diagnostic laparoscopy. Society of American Gastrointestinal Endoscopic Surgeons website. Available at: http://www.sages.org/publication/id/PI02/. Accessed July 23, 2013.

6/2/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed/: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.

Last reviewed July 2013 by Daus Mahnke, MD; Michael Woods, MD

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.


 
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