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Laparoscopy

This page provides basic knowledge about the medical procedure known as a laparoscopy.

The aim of this procedure is to visualize the internal female organs and to assist in making a more accurate diagnosis. It was originally more used asa diagnostic tool but in modern medicine it became an important treatment tool. ( it is also used by general surgeons , to remove gall bladders , to repair hernias and to perform many other surgical operations).

The uturus , tubes and ovaries are visualised as well as the the bladder and intestines. In fact all the intra abdominal organs can be visualized.

Main reasons for doing laproscopies:

(i) Investigating pelvic pain. ( pain in the lower part of the tummy).

(ii) Suspected ectopic pregnancies.

(iii) Pain during sexual intercourse.

(iv) Female infertility.

(v) Pelvic growths

(vi) Assessing the effectiveness of medical treatment in diseases like endometriosis.

(vii) Surgical destruction of lesions like endomtriosis ( laser or cauterisasion).

(vii) Major surgery with minimal excess techniques:

Laparoscopic assisted vaginal histeectomy

Removal of ovaries (oopharectomy)

Tubal ligation (sterilisation)

Subtotal hysterectomies

Myomectomies.

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A Graphic Presentation of the Procedure Known as a Laparoscopy.

The next drawings show how a laparoscopy is performed.

The first step is to insert needle through the abdominal wall to insuflate the peritoneal cavity. This needle is connected to an instrument that regulate the gas flow and prevent over insufflation. Carbon dioxide is usually used .( the only exception is when a laparoscopy is done to obtain egg cells for invitro fertilization and the GIFT prosedure

The next drawing shows the insufflated peritoneal cavity with the distended tummy. This in crease the visibility and manoeuverability of the instruments. The needle is connected via a tube

The next step is to insert the laparoscope through the abdominal wall and to connect it to a video camera. The next drawing will give you the idea. Remember it is dark inside the peritoneal cavity and the laparoscope needs a light source.

 

 

 

 

 

End the page : Laparoscopy Made Simple

LAST UPDATE : 20/01/2002

 

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