Laparoscopy is a minimally invasive surgical examination. The procedure can be diagnostic or therapeutic. It is used as a diagnostic procedure to determine the causes of infertility, such as fallopian tubes patency problems, severe adhesions, myomas, endometriosis, and uterine abnormalities. In therapeutic use, it is used to treat pathological changes – remove adhesions, myomas, cysts, endometriosis, etc.
The day of the surgery is set by our facility physician, usually in the first half of the menstrual cycle. As laparoscopy is a surgical procedure, it is necessary to undergo a routine pre-operative examination by a general practitioner in advance. The patient then comes on the day of its procedure. The procedure is performed by our facility physician. For safe anesthesia, it is required to fast from 9 PM of the previous day. Liquids are also not allowed starting at midnight. The patient comes for admission at 7 AM in the morning of the procedure.
The procedure lasts about 30 minutes and is done under general anesthesia. Preferably, it is scheduled at the onset of a menstrual cycle. The physician makes a 1.5 cm long incision just below the navel. Through this incision, the abdominal cavity is filled with CO2. Then, the trocar (tube for laparoscope) and the actual laparoscope with the camera and light source are inserted in the same way.
All the organs of the abdominal cavity, including the uterus, fallopian tubes, and the ovaries are thoroughly examined and, if necessary, the fallopian tubes patency test is performed. When used for treatment, the surgical tools can be inserted with the help of another skin incision and a 5 mm puncture (or two). After the surgery is completed, the surgical area is visually examined, the gas is released, and the small incisions are closed (usually 1 suture). The patient is discharged the next day. Within two weeks of the operation, the patient can perform any activity without restriction.
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