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Laparoscopy

Laparoscopy

An abdominal laparoscopy is required when pathological abnormalities and suspicious findings in the abdominal area cannot be sufficiently explained or remedied. One example of this would be to follow up on a suspicion of adhesions or endometriosis (a type of misplacement of uterine tissue) in the case of chronic lower abdominal pain. Laparoscopy enables the precise confirmation of diagnosis and therapy by the targeted removal of small tissue samples (biopsy), which are then histologically analysed. Laparoscopy also plays an important role in the clarification of sterility, where the Fallopian tubes are flushed with a dye solution to check for patency.

Laparoscopy requires general anaesthesia. A small incision of approx. 1 cm in length is made in the lower umbilical fossa. The doctors then insert a special needle into the abdominal cavity and fill it with about 3 to 4 litres of carbon dioxide gas. As a result, the abdominal wall elevates above the internal organs, providing enough space for the ensuing endoscopy. Next, a 5-10 mm diameter tube (trocar) is inserted into the abdominal cavity through the incision in the lower abdomen. The entire abdominal cavity can then be examined using a rod-shaped optical instrument (laparoscope) to which a light source is connected. Our laparoscopes work with a video chain in which the image from the abdominal cavity is recorded by a special camera and shown on a monitor. The smallest abnormalities can also be examined by enlarging the images. One could say that the surgeon performs the operation on the monitor. This ensures the safety and variety of endoscopic operations.

Flushing out the abdominal cavity at the end of the operation is a way of reducing the frequently lamented shoulder pain caused by the gas. A physiotherapy exercise we will show you before you go home can provide relief.

The duration of a laparoscopy depends on the diagnosis of disease. On average it takes less than one hour. More serious findings may frequently require 1 ½ to 2 hours or more. Despite this, you’ll recovery quickly under the accompanying measures following the operation, normally allowing you to leave for home within 4 hours after the operation.