Sterilization Procedure

Laparoscopic

Laparoscopic gynaecological surgery is a minimally invasive approach that allows the surgeon to operate without making a large incision. A thin, lighted tube with a camera on the end, known as a laparoscope, is inserted into the abdomen through a small incision. The camera sends images of the inside of the body to a TV monitor in the operating room, allowing the surgeon to see and operate on the pelvic organs without having to use a long incision.

Other small incisions may be made in the abdomen to insert very fine specialized surgical instruments.

Benefits of laparoscopic gynaecological surgery can include less pain compared to open abdominal surgery, fewer complications, less scarring, shorter hospital stays, and faster recovery. Many patients go home the same day (outpatient surgery) or the next morning.

Laparoscopic surgery can be used to treat a variety of gynaecologic conditions that previously required large incisions, including endometriosis, fibroids, ovarian cysts, ectopic pregnancy, sterilization, pelvic problems such as urinary incontinence and pelvic support problems such as uterine prolapse. It can also be used for a variety of procedures, including a laparoscopic hysterectomy and a laparoscopically assisted vaginal hysterectomy.

Purpose

Laparoscopy can be used for diagnosis, treatment, or both. A diagnostic procedure can sometimes turn into treatment.

Some reasons for diagnostic laparoscopy are:

  • Unexplained pelvic pain
  • Unexplained infertility
  • A history of pelvic infection

Conditions that might be diagnosed using laparoscopy include:

  • Endometriosis
  • Uterine fibroids
  • Ovarian cysts or tumours
  • Ectopic pregnancy
  • Pelvic abscess, or pus
  • Pelvic adhesions, or painful scar tissue
  • Infertility
  • Pelvic inflammatory disease
  • Reproductive cancers

Some types of laparoscopic treatment include:

  • Hysterectomy, or removal of the uterus
  • Removal of the ovaries
  • Removal of ovarian cysts
  • Removal of fibroids
  • Blocking blood flow to fibroids
  • Endometrial tissue ablation, which is a treatment for endometriosis
  • Adhesion removal
  • Reversal of a contraceptive surgery called tubal ligation
  • Burch procedure for incontinence
  • Vault suspension to treat a prolapsed uterus

Preparation and Procedure

Preparation depends on the type of surgery. You may need imaging tests, or your doctor might order fasting or an enema. Tell your doctor about any medication you take. This includes over-the-counter drugs and supplements. You may need to stop them before the procedure. Ask a friend to come pick you up after the surgery or schedule a car service. You will not be allowed to drive yourself.

Laparoscopy is almost always performed under general anaesthesia. This means you’ll be unconscious for the procedure. However, you may still be able to go home the same day. Once you’re asleep, a small tube called a catheter will be inserted to collect your urine. A small needle will be used to fill your abdomen with carbon dioxide gas. The gas keeps the abdominal wall away from your organs, which reduces the risk of injury. Your surgeon will make a small cut in your navel and insert the laparoscope, which transmits images to a screen. This gives your doctor a clear view of your organs. What happens next depends on the type of procedure. For diagnosis, your doctor might take a look and then be done. If you need surgery, other incisions will be made. Instruments will be inserted through these holes. Then, surgery is performed using the laparoscope as a guide. Once the procedure is over, all instruments are removed. Incisions are closed with stitches, and then you’re bandaged and sent to recovery.

Genetics: researchers have discovered disruptions in the genetic structure leading to the growth of fibroids.

Other factors that contribute to the growth of fibroids are obesity, early age menstruation, delay in menopause, excessive consumption of red meat, vitamin D deficiency, alcohol consumption, etc.

Risks

Skin irritation and bladder infection are common side effects of this procedure. More serious complications are rare. However, they include:

  • Damage to an abdominal blood vessel, the bladder, the bowel, the uterus, and other pelvic structures
  • Nerve damage
  • Allergic reactions
  • Adhesions
  • Blood clots
  • Problems with urinating

Conditions that increase your risk of complications include:

  • Previous abdominal surgery
  • Obesity
  • Being very thin
  • Extreme endometriosis
  • Pelvic infection
  • Chronic bowel disease
  • The gas used to fill the abdominal cavity can also cause complications if it enters a blood vessel

Pay close attention to your body during the recovery period. Write down any side effects you’re experiencing and discuss them with your doctor.

Recovery

Once the procedure is over, nurses will monitor your vital signs. You’ll stay in recovery until the anaesthesia wears off. You will not be released until you can urinate on your own. Difficulty urinating is a possible side effect of catheter use. Recovery time varies. It depends on what procedure was performed. You may be free to go home a few hours after surgery. You might also have to stay in the hospital for one or more nights.

After surgery, your belly button might be tender. There may be bruises on your stomach. The gas inside you can make your chest, middle, and shoulders ache. There’s also a chance that you’ll feel nauseated for the rest of the day. Before you go home, your doctor will give you instructions on how to manage possible side effects. Your doctor may prescribe pain medication or antibiotics to prevent an infection. Depending on the surgery, you may be told to rest for a few days or weeks. It may take a month or more to return to normal activities. Serious complications of laparoscopy are rare. However, you should call your doctor if you have:

  • Serious abdominal pain
  • Prolonged nausea and vomiting
  • Fever of 101°F or higher
  • Pus or significant bleeding at your incision site
  • Pain during urination or bowel movements

The results of these procedures are usually good. This technology allows the surgeon to easily see and diagnose many problems. Recovery time is also shorter compared to open surgery.

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