Laparoscopy is a type of surgery done using very small incisions. This type of surgery is possible because of the laparoscope (a long, slender tool with a camera and light). It lets your surgeon see inside the abdomen. To perform the surgery, special instruments are inserted into the abdomen through the small incisions. Pelvic laparoscopy is often used to diagnose and treat the causes of pelvic problems, such as pain and infertility. Laparoscopy often involves:
A short hospital stay. (You can most likely go home the same day.)
A quick recovery.
Small external scars.
Mild to moderate postoperative pain.
To prepare for surgery:
Tell your surgeon about any medications you take. Include herbs, supplements, and over-the-counter medications. You may need to stop taking certain medications, such as aspirin, for 2 weeks before surgery.
Do not eat or drink anything after the midnight before surgery.
Arrange for a ride home after surgery.
Before the Procedure
You will most likely be given general anesthesia to make you sleep during the procedure. A catheter may be inserted to drain urine from the bladder.
How Pelvic Laparoscopy Is Done
One or more small (quarter- or half-inch) incisions are made near the navel or the pubic hairline, or on either side of the lower abdomen. The laparoscope is inserted through an incision. It sends images to a video screen, allowing the surgeon a close-up view of the organs. Gas is used to inflate the abdomen, allowing the surgeon room to see and work. Depending on what is found, surgery to treat the problem may be done at this time.
After the Procedure
You’ll be taken to a post-op area to wake up and recover from anesthesia.
You may feel some shoulder pain. This is due to irritation from the gas used to inflate the abdomen.
You may have some discharge from the vagina. If so, ask the nurse for a pad.
You will be asked to walk around to improve breathing and blood flow.
If you had a catheter, it will most likely be removed before you go home.
You can go home as soon as you recover from anesthesia and your condition is stable.
Recovery time depends on which procedure was done through the laparoscope. Your recovery from pelvic laparoscopy may take up to 6 weeks. If it was a simple procedure, like tubal ligation, then 2 weeks is reasonable. For laparoscopic hysterectomies, the recovery may be closer to 6 weeks. While you recover, be sure to follow your doctor’s instructions. During this time:
Take pain medication as prescribed.
Start eating solid food when you feel ready. To avoid constipation, eat fruits, vegetables, and whole grains. Drink plenty of fluids.
Don’t lift anything over 20 pounds until your doctor says it’s safe.
Take it easy for a few days. Ask your doctor when you can return to work, exercise, and sex.
Arrange for a follow-up visit with your doctor to discuss the results of the procedure.
Call your doctor
Contact your doctor right away if you have any of the following:
Have chills, or a fever of 101°F (38.3°C) or higher.
Notice that the incision is red, swollen, or draining.
Have heavy, bright-red vaginal bleeding or a smelly discharge.
Have difficulty urinating.
Experience severe abdominal pain or bloating.
Have leg pain, redness, or swelling.
Have persistent nausea or vomiting.
Are not improving daily.