Laparoscopic Surgery: Purpose, Treatment, Risks, Benefits, FAQs
A Guide to Laparoscopic Surgeries procedure, Cost and Recovery in Goregaon West, Mumbai
Laparoscopic surgery is a minimally invasive or keyhole surgery to examine various organs inside the abdomen and pelvis and treat some conditions at the same time.
Many diseases make it difficult to diagnose the abdomen, which is often referred to as a magic box. So in these cases, laparoscopy is very useful to diagnose an ailment or any pathology accurately especially when all other imaging techniques like MRI, Sonography, CT scan, etc. have not been able to provide enough diagnostic clues.
Conventional surgery requires a long incision with prolonged recovery time. Laparoscopy is a boon for a patient having abdominal concerns, particularly females having infertility and various gynecological ailments.
With so many advancements in the field of laparoscopy and the advent of many higher-end instruments; laparoscopy is frequently used to perform even the most complicated surgeries.
“CPT code – 49320″
“We, at Vardaan hospital; are equipped with advanced laparoscopic instrumentation. Dr. Dimple Doshi is an expert laparoscopic surgeon with an experience of more than 12 years in the field of gynec laparoscopy.”
With the help of high definition camera and monitor system and high-tech instruments, your laparoscopic surgeon can also perform laparoscopic surgery at the same time. For example
- To obtain a tissue sample for biopsy.
- To excise endometriosis
- To perform tubal sterilization, tubal ligation, or tubectomy
- To treat ovarian cyst or ovarian sparing PCOS drilling
- To do oophorectomy or salpingo-oophorectomy
- To remove a fibroid/s; laparoscopic myomectomy
- To remove an ectopic pregnancy
- To remove the uterus or hysterectomy.
- To repair a perforated uterus.
- To perform surgery for incontinence of urine like Burch suspension
- To do colposuspension in a prolapsed uterus.
- To remove adhesions from the pelvis.
- To remove lymph nodes affected by pelvic cancers
Dr. Dimple Doshi at Vardaan Hospital; believes prevention is better than cure, and thus apart from the precise treatment guidelines; preventive measures are an essential part of our consultations with the patients who have either had it or want to know more about it.
A laparoscope is a thin lighted tube and a revolutionary surgical device that gets connected to a high definition camera which then transmits the image to the high definition monitor and the body image is relayed on the screen. Your laparoscopic surgeon operates on you while looking at the screen.
CPT CODE FOR LAPAROSCOPIC SURGERY: 49320
The List for doing things
- No big scars; only keyholes ;
- Safer than conventional surgery
- Minimum blood loss; so faster healing and smooth recovery
- Very less pain
- Early mobilization; so going back home and getting back to work is faster
- Best cosmesis; as the incisions are inconspicuous
Laparoscopy is frequently performed by gynecologists for the following reasons;
- To diagnose various reasons for infertility; also called diagnostic laparoscopy. Here laparoscopy is combined with hysteroscopy to assess the complete reproductive tract and is a very useful tool to diagnose the cause of infertility.
- To find out whether your fallopian tubes are patent or not.
- diagnose ectopic pregnancy
- To find out the cause of pelvic pain
- To diagnose endometriosis.. its extent, severity and staging
- To examine ovarian cysts, fibroid
- To observe the extent or spread of gynecological cancers
- To diagnose pelvic inflammatory disease
- To diagnose pelvic abscess or pus
- To examine the adhesions inside the abdomen
- General fitness test which includes routine and special blood investigations, your x-ray , and ECG if you are more than 30 yrs
- Noninvasive investigations like ultrasonography
- You may need imaging tests like a CT scan or MRI depending upon the type and complexity of your laparoscopic surgery.
Anaesthesia: It can be done under general or regional anesthesia however general anesthesia is preferred.
Duration: 30 min to 2 hr
Hospitalization: day care to 2 days
Laparoscopy Procedure:
Small needle will be used to fill your abdomen with carbon dioxide gas. The gas keeps the abdominal wall away from your organs, and gives the surgeon space to operate.
Incision: 2 to 4 incisions less than 1 cm in size
Depending on the procedure, the shape of your abdomen, and the organ to be operated on, your laparoscopic surgeon will decide the location of your incision(s).
After inserting the laparoscope, your doctor can clearly view your organs as the laparoscope sees, the camera captures and transmits the image to the monitor
Through the other incisions, different laparoscopic instruments are introduced depending upon the type of surgery.
Once the procedure is over, all instruments are removed. Carbon dioxide gas is released. Incisions are closed with stitches that are not visible as they are absorbable from the inside. A sterile waterproof dressing is kept on the keyholes . This allows you to take bath without the fear of it getting wet.
Recovery After Laparoscopy
Stay: Most laparoscopic surgeries are daycare procedures and you will be discharged the same day; however if you are having any discomfort, your doctor may ask you to stay back for one night. Apart from this, some complicated laparoscopic surgeries may warrant you to stay for a day or two for injectable antibiotics and observation.
Diet You will be allowed to have sips of water about 6 hrs after surgery.
Mobilization: You will be allowed to walk around or use the restroom after 6 hrs if not feeling giddy.
Pain: You will be given round-the-clock pain killers, However laparoscopy itself is known to cause less pain to the patient.
Dressing: Waterproof dressings are placed.
Bath: You will be allowed to take bath from the next day.
Follow up: You are asked to come for follow up after 4 to 6 days
Before you go home, your doctor will give you instructions on how to manage possible side effects. Your doctor will prescribe you pain medication and oral antibiotics to prevent an infection.
Any surgery has its own set of complications. But if done by an expert, at a well equipped centre,the complications of laparoscopy surgery are rare.
Complications two types:
- Anaethesia related complications and
- Surgery related complications
You should call your doctor immediately if you develop any of these:
- severe abdominal pain
- prolonged nausea and vomiting
- fever
- discharge, pus or bleeding at the site of your incision
- pain during urination or bowel movements
Q: WHAT IS LAPAROSCOPY SURGERY?
A: Laparoscopy is a procedure in which a telescope attached to a camera is inserted inside the abdomen through tiny holes to aid in the diagnosis or to perform surgery.
Q:WHAT IS LAPAROSCOPIC SURGERY/ MINIMALLY INVASIVE SURGERY?
A: Any surgery which is done using a laparoscope that is inserted through tiny holes in the abdomen is called laparoscopic surgery. It is called minimally invasive surgery as even major and supra major surgeries can be performed through tiny incisions and hence the tissue damage is very less.
Q: IS LAPAROSCOPY A MAJOR SURGERY?
A: Laparoscopy is a minimally invasive surgery. Diagnostic laparoscopy is a minor surgery but the remaining laparoscopic surgeries are called major surgeries.
Q:WHY IS LAPAROSCOPIC SURGERY DONE?
A: Laparoscopy is used to diagnose a wide range of conditions that develop inside the abdomen or pelvis. It can also be used to carry out surgical procedures, such as removing a damaged or diseased organ or removing a tissue sample for further testing (biopsy).
Q: IS LAPAROSCOPIC SURGERY PAINFUL?
A: You will likely be given general anesthesia for this surgery. So you will not feel any pain as you will sleep through the surgery.
Q: WHAT IS THE COST OF LAPAROSCOPIC SURGERY?
A The average cost of laparoscopic surgery in India ranges from ₹ 20000 to ₹ 300000; depending upon the type of surgery and complexity of the case.
Q: HOW LONG DOES IT TAKE TO FULLY RECOVER FROM LAPAROSCOPIC SURGERY?
A In most cases, you will be discharged within 2 days of laparoscopic surgery; and the complete recovery time is 5 to 7 days. However, if the procedure is part of a larger surgical procedure; it can range from 4 to 12 weeks.
Q: WHAT ARE THE BENEFITS OF LAPAROSCOPIC SURGERY
A Less pain; faster recovery; better cosmesis and rapid resumption of normal activities are the major benefits of laparoscopic surgery
Q: WHICH DOCTORS PERFORM LAPAROSCOPIC SURGERY?
A Any surgeon or a gynecologist who has taken special training in laparoscopic surgery can perform this surgery.
Q: WHAT ARE THE PREPARATIONS FOR LAPAROSCOPIC SURGERY?
A: You need to do the blood tests; sonography; x-ray chest and fitness from a physician if the surgery is major or if you have any medical conditions. You will be asked to continue thyroid; diabetes and blood pressure medicines and will be asked to stop any blood thinner medicines like aspirin or contraceptives if you are taking them.
Q: WHAT ARE THE POSSIBLE RISKS OF LAPAROSCOPIC SURGERY?
A: Injury to internal structures; bleeding; infection; adverse reactions to anesthesia are the major possible risks of laparoscopic surgery.
Q: WHAT ARE THE POSSIBLE RISKS OF LAPAROSCOPIC SURGERY?
A: Laparoscopic surgery is less painful than open surgery as it is done through the keyholes and the instruments used to do the surgery are higher-end and advanced ones; so the tissue damage is very less. And so the pain is very less. That is why you will be able to walk around within a few hours of the surgery.
Dr. Mrs. Dimple Doshi is a Lady gynecologist; practicing at Vardaan Hospital situated in Goregaon West; Mumbai. We have a range of packages for laparoscopic Surgeries depending on the type of room you select.
Economy ward/ general room : ₹ 50,000.
Semi-special room: ₹ 68000 to ₹ 75000
Deluxe Room: ₹ 1.2 lacs
Super deluxe room: ₹ 1.5 lacs
Suit rooms: ₹ 2 lacs