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Laparoscopy is direct visualization of the peritoneal cavity, ovaries, outside of the tubes and uterus by using a laparoscopy. The laparoscopy is an instrument somewhat like a miniature telescope with a fiber optic system which brings light into the abdomen. It is about as big around as a fountain pen and twice as long.
An instrument to move the uterus during surgery will be placed in the vagina. Carbon dioxide (CO2) is put into the abdomen through a special needle that is inserted just below the navel. This gas helps to separate the organs inside the abdominal cavity, making it easier for the physician to see the reproductive organs during laparoscopy. The gas is removed at the end of the procedure.
Microlaparoscopy a new minimally invasive diagnostic surgical procedure uses telescopes and instruments that are much smaller than normal. If this procedure is appropriate for your condition, smaller incisions will be made and postoperative abdominal tenderness may be reduced.
After you check in at the Ambulatory Surgery Center, the nurse will call you into the changing room. You will take off all your clothing and put on a patient gown, robe and slippers. The nurse will complete a questionnaire about medications, allergies, your health status and other information prior to your surgery. Please ask any questions and express any concerns you may have.
Immediately prior to surgery, you will be asked to empty your bladder. Glasses, contact lenses, dentures and jewelry should be removed. Valuables should be left in the safekeeping of the person who accompanies you or should be left at home.
You may be given specific instructions regarding diet prior to leaving the hospital. In general, you must consume only clear liquids (juices, Jello, or both) until you pass gas from you rectum or have a bowel movement. At this time, you may begin to advance your diet. Eat light, easily digested food for a few days.
In the event that you have not passed gas the morning after surgery AND have no nausea, you may try something light to eat, such as a piece of toast. If you are able to tolerate this, you may then begin advancing your diet very slowly. If you do experience nausea at this time, please call the office and speak either with the physician or with the nurse.
Expect to feel sore and “washed out” for a few days following surgery. Remember to get up and move about, even through you may not want to. Increase your activity gradually during this time. For a week or two after surgery expect to tire easily even after the slightest effort of work or exercise. Do not engage in strenuous activity until after your first post-op visit at our office. If you plan to travel, please check with your physician prior to surgery if possible. If an emergency arises and you must travel during the first week of surgery, please notify our office before you leave.
The pain pills do what they are supposed to do, which is mask your pain. Therefore, you may feel a false sense of wellness due to the pain pills, so even though you feel fine the next day or two, be aware that your body is still recovering and take it easy. Eat and drink carefully. The last thing you will want to do following this type of surgery is choke or cough. Sneezing, laughing, crying and shivering from the cold may also be uncomfortable. So snuggle up and treat yourself well.
You may experience some gas pains from residual carbon dioxide that may remain in your abdomen following the procedure. This pain usually presents as shoulder pain or sharp pain underneath your diaphragm. The pain is usually transient and will disappear in a day or two. It helps if you get up and move around while you are having this pain, and also if you drink either hot water or hot tea with fresh lemon. Heat, massage and exercise can also help to alleviate this pain.
Take your temperature every morning for one week. Please notify our office if your temperature is above 101 degrees. If you note increasing redness, swelling, pain or unusual drainage from your incisions, please call our office. If you experience frequent urination, burning with urination, or spasmodic pain in the lower abdomen above the pubic bone, you may have a bladder infection. Please notify our office if you have any of these symptoms.
Sexual activity may be resumed approximately two to three days following surgery unless you are told otherwise. However, if you have any pain, vaginal bleeding, or discharge, please do not resume sexual intercourse until these symptoms have subsided.
Why the Test is Performed ?
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