Operative Laparoscopy

Most abnormal findings discovered at diagnostic laparoscopy can be corrected in the same sitting. Besides using several operating tools such as grasping forceps, needle suture devices, operating scissors and other fine instruments, various energy sources such as laser, ultrasound, and electro surgical instruments are utilized.

Via operative laparoscopy, adhesions can be excised, blocked tubes opened, and most anatomical defects can be corrected. Operative laparoscopy allows for removal of ovarian cysts, effectively treating extensive pelvic endometriosis, removal and deconstruction of uterine fibroids, and treating ectopic pregnancy. We now offer patients tubal reversal following earlier tubal ligation. Many of the aforementioned procedures until very recently were performed via laparotomy (opening the abdomen). The surgeon’s operating skills and experience, the availability of a dedicated laparoscopic suite, and the surgical procedure play a significant role in deciding if a laparotomy or a laparoscopy should be done. At the end of the procedure, the carbon dioxide gas is released, deflating the abdomen, and the incisions are closed. Pictures are taken before, during, and after the surgery.

Serious complications of diagnostic and operative laparoscopy are rare. Major risks include injury to bowel, bladder, ureters, uterus, major blood vessels, and other intra-abdominal organs. The chance that emergency surgery may be required is only 0.2 to 0.4 percent.

Recovery time following the surgery is usually around 2 hours. Most patients are discharged home following the procedure. Normal activities can usually be resumed within a few days.

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