Diagnostic Laparoscopy
Diagnostic Laparoscopy
Preparation :
As for a general anesthetic, patients require to fast for 6 hours prior to the procedure.
Procedure :
Number of ports and sites of these is dependent upon clinical situation and this will be discussed with you by your consultant.
Indications :
1. Diagnostic laparoscopy for acute conditions
a. Acute abdomen
b. Trauma
c. ICU
2. Diagnostic laparoscopy for chronic conditions
a. Chronic pelvic pain and endometriosis
b. Liver disease (including cirrhosis)
c. Infertility
d. Cryptorchidism
e. Other
3. Staging laparoscopy for cancer
a. Esophageal cancer
b. Gastric cancer
c. Pancreatic and periampullary cancers
d. Liver cancer
e. Biliary tract cancer
f. Colorectal cancer
g. Lymphoma
Diagnostic Laparoscopy in Primary and Secondary Infertility:
Rationale for Procedure
Laparoscopy is typically the final step of a workup for infertility and is used to avoid open surgery. Diagnostic laparoscopy can be used as an adjunct to salpingography to help diagnose causes of infertility. Lesions that may not be seen with salpingography and are viewed better with laparoscopy include endometriosis and adhesions.
Recommendations
Diagnostic laparoscopy can be used safely in female patients with infertility. Diagnostic laparoscopy may be considered in appropriately selected infertile patients even after normal hysterosalpingograms, as important pelvic pathology may be identified in a significant number of patients. The paucity of available data and the low level of evidence do not substantiate a firm recommendation for the procedure.
Anesthesia :
General.
Post Op :
Patients are mobilized in couple of hours after surgery.
Patients can start eating after recovery from anesthesia. As with many intra-abdominal laparoscopic procedures shoulder tip pain may be a problem over the initial post-operative period. Patients are discharged within 24 hours after the surgery.