Laparoscopy

Laparoscopy is a method of examination that allows you to examine with the help of a special optical device the organs of the abdominal cavity, including the area of ​​the uterus, fallopian tubes and ovaries. Through a small incision of the anterior abdominal wall into the abdominal cavity a narrow telescope-like device is inserted, and the image of the organs being examined appears on the video monitor.

Laparoscopy can be of three types. Diagnostic - visual examination of the abdominal organs with the use of an additional manipulator (usually goes into the operative). Operative - the whole volume of gynecological operations is performed. Control - is performed to monitor the effectiveness of previously performed surgical treatment.

Diagnostic laparoscopy is performed mainly under local anesthesia (less commonly under general anesthesia), the procedure takes about 20 minutes to 2 hours (in case of a complicated case). Approximately 2 hours after the examination a woman can already get up, within 1-2 days it is recommended to avoid physical strain. Within a week after laparoscopic examination, moderate pain can occur at the incision site and in the lower abdomen.

Indications for laparoscopy:

  1. In the planned order:

  • Clarification of the causes of infertility (assessment of patency of the fallopian tubes and the place of their occlusion (blockage), identification of adhesions in the area of ​​fallopian tubes, ovaries and uterus).

  • Clarification of the diagnosis of polycystic ovaries.

  • Identification of various disorders of the development of the uterus.

  • Clarification of the causes of pelvic pain.

  • Clarification of the diagnosis of endometriosis.

  • Clarification of the diagnosis of the ovarian cyst.

  • In an emergency:

    • Ectopic pregnancy is diagnosed.

    • It is possible to distinguish between inflammatory processes in the appendages of the uterus and appendicitis.

    • Diagnosis of ovarian apoplexy.