Laparoscopy is a procedure to look inside the abdomen and pelvic autonomy. It is also known as a minimal surgery, less invasive compared to other infertility treatments. The laparoscopy surgery involves minor cuts to insert a slim tube like tool into the body. The tool used for this procedure is called laparoscope. In recent times, the use of these tools makes it possible to see inside the body without making huge cuts to examine the internal organs. The laparoscopic surgery is done to fix the organs in the abdomen i.e. gallbladder and to cure infertility issues (pregnancy complications).
In the earlier times, the surgeons used to make 6 to 12 inches long cut to diagnose the cause of the pain, biopsy and cysts. The surgeons make several cuts of half-inch and insert laparoscope into the body. It is a low-risk procedure as no major cuttings are done which later take days to cure. Especially, the diabetes patients have to wait for a longer period of time to cure these major cuttings. Fortunately, laparoscopic doesn’t involve any of these major cuts. These small incisions require low recovery time. This diagnostic surgery is carried out under soporific effects of medications. Laparoscopy is to detect the causes of infertility, chronic pelvic pain and inflammatory pelvic disease. The doctor will use a catheter to see better inside the body. A uterine manipulator is also used sometimes to identify the pelvic disorder.
Laparoscopy is carried out to identify the root of abdominal diseases and pelvic pain reasons. It is done when other non-invasive procedures are unable to locate the causes of uterus and urinary bladder disorders. In most cases, the abdominal disease causes are diagnosed with ultrasound, CT scan, MRI Scan (through the use of magnet or radio waves to produce the image of body).
Laparoscopic is recommended for the following organs such as:
• Small intestine.
• Pelvic and appendix etc.
The doctor will perform a surgical intervention after diagnosing the increase in mass of abdomen i.e. the growth occurs abnormally in the abdomen and causes unnecessary swelling, weight gain, bloating, tumor and pain. Other reasons are ascites (fluid in the abdominal cavity) and to check cancer progress. A pregnant woman with ascites will experience failure of liver. It leads to shortness of breath, abdominal discomfort and weight increases as a result of ascites. Endometriosis is another condition which involves the painful tissue formation similar to lining of uterus outside the uterus. It covers the area of ovaries, fallopian tubes and tissues of pelvis which causes infertility among 50% of women.
Laparoscopy is not an open surgery and a less invasive treatment for infertility doctors in Pakistan. It is carried out to check the abdomen and the organs for the following reasons when CT scan or X-ray is unable to examine the cause
• The tumor may take root in the tissues and organs of the body.
• The internal injuries and cancer.
• The internal bleeding.
• An infection has started in the abdomen.
• An excoriating pain has begun in the abdomen or pelvic.
• Some blockages in the organs.
The Laparoscopy is carried out under the soporific effects of medicine prescribed by doctors. This is to ensure that the patient don’t feel any pain during the laparoscopy process. Laparoscopy is also done to treat infertility. It is approximately 45 minutes procedure. The abdomen is inflated with gas to have a clearer view. The infertility specialist might remove endometriosis or scar tissues which are spread around fallopian tubes and ovaries. After minor operation, the incision spot are stitched and the gas is removed from the abdomen. Your infertility specialist will decide whether you need a stay in the hospital or return home.
Ectopic Pregnancy is also detected through keyhole surgery (laparoscopy) when an embryo is attached outside the uterus lining. This disease is treated with a medicine injection i.e. methotrexate, it dissolves the embryo and stops the cell division. The fallopian tube is also removed in this procedure. Nevertheless, you can consult with your infertility specialist to not remove your fallopian tubes.
Other treatments involve vaginal prolapse which is when a vagina begins to fall out of its normal position. The treatment of vaginal prolapse includes kegal exercises and pessary is inserted in the vagina to support the bulging tissues.
Your infertility specialist may not recommend you laparoscopy if you had abdomen surgeries prior to this.
You should not hide anything from your infertility specialist. If you are pregnant or either taking any oral medications then your doctor will further provide insight about the procedure. You might be recommended blood-thinning medicines or Vitamin K. Share everything with your doctor; this will not only help them but they will also be able to better facilitate you.