Know What Matters Relate to Laparoscopy

 

Laparoscopy of the womb is a procedure of action to diagnose and treat abnormalities or disorders that occur in the female reproductive system, especially disorders involving the uterus and ovary cells. This procedure is an alternative method of an open (conventional) surgical procedure.

Laparoscopic content is performed using a laparoscope, a thin and long hose-shaped device equipped with a camera and light at the edges. This method allows the physician to access and obtain a clear picture of the inside of the patient's abdominal cavity and pelvis without having to make a wide incision on the patient's skin.

Laparoscopic contents may also be performed as treatment measures against certain conditions, such as hysterectomy (removal of the uterus ) or removal of ovarian cysts. This procedure will be performed by the obstetrician.

Know What Matters Relate to Laparoscopy

Laparoscopic Indication

Laparoscopic content may be used as a diagnostic, or both. Some conditions that cause the patient to undergo laparoscopy of the womb, include:

  • Chronic or acute pelvic pain.
  • Endometriosis.
  • Ectopic pregnancy
  • Miom, the growth of abnormal tissue that develops in the womb of a woman.
  • Ovarian tumors or cysts, if size is not too large.
  • Inflammation.
  • pelvic abscess
  • Cancer of the reproductive system
  • Infertility.

However, not all of these conditions can be overcome with laparoscopy, for example patients with large tumors or cysts will be advised to undergo an open surgical procedure.

Warning:

  • Tell the doctor if ever allergic reactions to ingredients contained in anesthetic drugs.
  • Let your doctor know if you have had a stomach operation or have bowel obstruction since it may increase the risk of bowel discharge.
  • Notify d okter type of drugs or supplements that are being consumed, especially anticoagulant drugs. The doctor may advise the patient to stop taking the drug before undergoing a laparoscopic womb.
  • Tell the doctor if you are suffering from a blood clotting disorder or have a history of heart, liver or lung disease.
  • Notify doctor before pregnancy

Before Laparoscopy Ingredients

Before a patient undergoes a gynecologist laparoscopy, the doctor will do a medical history check and ask a question about a complaint of the symptoms experienced by the patient, the history of the disease, and the history of allergies.

Next, the patient will undergo a blood test and urine test. If necessary, the doctor will perform several investigations, such as chest X-ray, ultrasound, CT scan, MRI, and electrocardiogram (EKG). The results of this examination will be used as a guide for physicians, thereby increasing the effectiveness of laparoscopy.

In addition, there are some other things that patients need to do before undergoing laparoscopic contents, among others:

  • Fasting for approximately 8 hours.
  • Invite family members or friends to take the patient home. This is done because the patient's condition is not possible to drive a vehicle due to the effects of the anesthetic.

Before entering the operating room, the doctor or nurse will insert the IV tube into the blood vessel in the patient's arm to distribute the drug- drugs and fluids during laparoscopic action. After the doctor confirms the patient's condition is stable, the patient will be taken to the operating room.

Laparoscopic Procedure Procedure

The laparoscopic procedure is performed in an operating room equipped with a monitor. This procedure generally lasts for approximately 1 hour. Here are the laparoscopic steps of the contents:

  • The patient will be laid on an operating table with a slightly raised leg and propped up with a support.
  • The anesthesiologist will inject medicine anesthetic through an IV tube. The type of anesthetic used in laparoscopy of the uterus is total anesthesia, so the patient will fall asleep during the procedure. After the patient has fallen asleep, the doctor will insert a small tube or catheter into the bladder to remove the urine.
  • A small needle will be inserted to deliver carbon dioxide gas into the patient's abdomen, allowing the stomach to expand. This gas will hold the abdominal wall, so doctors can see the internal organs clearly.
  • The doctor will make a small incision in the patient's navel and enter the laparoscope. This tool will send a detailed picture of the condition of the abdominal cavity and pelvis to a screen so that the doctor can get a clear picture of the patient's disorder.
  • If the patient's condition requires follow-up, then the doctor will make another cut in the abdomen patient and insert a laparoscope through this hole. Furthermore, the doctor will take treatment action using laparoscope as a guide. There are several types of surgical procedures that may be performed through the laparoscopic method of the womb, including:
    • Hysterectomy, the procedure of removal of the uterus
    • Oophorectomy, the procedure of removal of the ovaries.
    • Myomectomy, the procedure of removal of myoma.
    • Ovarian cystectomy, which is the cyst removal procedure of the ovaries.
    • Tubectomy, the sterilization procedure in women.
    • The procedure for handling ectopic pregnancy.
    • Procedure for dealing with endometriosis
  • After the procedure is completed, the doctor will remove all tools and incisions covered with stitches and bandages.>

Laparoscopic technology with robotic techniques can also be used in laparoscopic procedures. Robotic techniques have a more stable advantage and are able to perform fine motor skills, such as complicated cutting procedures and special stitches that are difficult to do manually with laparoscopy.

After Laparoscopy Content

Once the laparoscopic procedure is completed, the patient will be placed in the recovery room until the drug's effects disappear completely. During the recovery period, the doctor or nurse will monitor the patient's heart rate and blood pressure.

During recovery, the patient may feel nausea, bloating, and pain in the incision area. In addition, the gas used during the procedure may also cause pain in the chest and shoulders of the patient.

The length of recovery time generally depends on the type of laparoscopic procedure the womb is performed and the patient's overall condition. Patients may be admitted home a few hours after the procedure, or are admitted to the hospital for one night or more.

Before the patient goes home, the doctor will explain how to treat an incision scar and control side effects happen. In addition, doctors may also prescribe painkillers or antibiotics to prevent wound infections.

During a home remedy, your doctor may recommend that the patient rest for a few days or several weeks. Patients may take a month before they can resume normal activity. To speed up the healing process, there are several things that the patient can do, among others:

  • Trying to undergo light activity, such as walking, to strengthen muscles and prevent the risk of blood clots. However, avoid strenuous activity, such as lifting weights.
  • Wearing clothes that are not too tight.

    • Risks of Laparoscopy Gynecology

    Laparoscopy of the womb is a safe procedure. Common side effects are skin irritation, pain in the injection area, and bladder infections. In addition, there are other risks of complications, but they are rare. Among these are:

    • Allergic reactions.
    • Blood clots.
    • Difficult urination.
    • Adhesion of internal organs ( adhesion).
    • Damage to nerves.
    • Damage of blood vessels in the abdomen, bladder, intestines, uterus, and pelvic structures.

    Gas the carbon dioxide used to fill the abdominal cavity can also cause complications if it enters the blood vessels.

    Immediately contact your doctor if you have severe stomach pain, persistent nausea and vomiting, fever with a temperature of 38 o C or more, pus or bleeding occurs in the incision area, or pain when urinating.

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