Gynecologic Laparoscopy
Gynecologic laparoscopy is a minimally invasive alternative to open surgery, utilizing a laparoscope to examine the pelvic area. Unlike open surgery, which requires a large incision, laparoscopy involves a slender, lighted telescope that allows your doctor to see inside your body.
Diagnostic laparoscopy can identify conditions such as endometriosis or fibroids and can also be used as a treatment method. With the use of miniaturized instruments, your doctor can perform various surgeries through this approach. Laparoscopy typically results in a shorter healing time and smaller scars compared to open surgery.
Gynaecological laparoscopy procedure
Gynaecological laparoscopy typically takes about 30 minutes to an hour for diagnostic purposes. It will take longer if treatment is needed.
First, your doctor will make a small incision in your lower abdomen, usually in or near your navel. Through this incision, a needle is inserted to pass carbon dioxide, gently inflating your abdomen to improve visibility and provide space to maneuver the instruments.
Next, the doctor will insert a laparoscope, a small tube with a camera and light, through the same incision to view inside your abdomen. The camera transmits video images to a monitor. Your doctor will then make one or more additional small incisions to insert any necessary instruments for the procedure.
At the end of the procedure, the doctor will release the carbon dioxide gas and close the incisions with stitches or glue.
Aftercare for gynaecological laparoscopy
You’ll need to rest until the effects of the anaesthetic wear off. You might experience some discomfort as it fades, but pain relief will be provided.
If you’ve had a laparoscopy for diagnostic purposes, you can usually go home after a few hours, once you feel ready. You’ll need someone to take you home and stay with you for the first 24 hours while the anaesthetic wears off. If your laparoscopy included treatment, your medical team may ask you to stay in the hospital overnight. Before you leave, your nurse will give you advice on caring for your wounds and may schedule a follow-up appointment.
A general anaesthetic can affect how you feel for the first 24 hours. You might experience coordination issues or difficulty thinking clearly, but this should pass within a day. During this time, avoid driving, drinking alcohol, operating machinery, or making important decisions.
Your stitches may dissolve on their own. If you have non-dissolvable stitches, they will need to be removed, usually after five to seven days. A practice nurse at your GP surgery can do this for you.
Recovery after gynaecological laparoscopy
Rest for the first couple of days after a laparoscopy and gradually return to your usual activities. Recovery time varies: about three days for minor procedures and up to two or three weeks for more complex ones.
You may experience pain and discomfort for a few days. Use prescribed painkillers or over-the-counter options like paracetamol or ibuprofen. Some vaginal spotting or bleeding is normal; use sanitary pads until it stops.
Move around as much as possible to prevent blood clots. Even while resting, keep your feet and legs active. Your doctor may recommend compression stockings or blood-thinning injections.
Avoid driving for at least 24 hours after the anaesthetic. Drive only when you can do so comfortably and safely, and check with your insurance company for any specific conditions.
You can resume sexual activity when you feel ready.