Laparoscopy 

  • Overview

Introduction 

Having an operation

If your GP has suggested you may need surgery, this guide is for you

A laparoscopy is a type of surgical procedure that allows a surgeon to access the inside of the abdomen and pelvis without having to make large incisions in the skin. It is also known as keyhole surgery.

Laparoscopy is minimally invasive. This is made possible with an instrument called a laparoscope.

Laparoscope

A laparoscope is a small tube that consists of a light source and a camera. The camera relays images of the inside of the abdomen or pelvis to a television monitor.

The surgeon makes a small incision in the skin and passes the laparoscope through it to study the organs and tissues inside the abdomen or pelvis.

Read more about how a laparoscopy is performed.

The advantages of this technique over traditional open surgery are that people who have a laparoscopy have:

  • a faster recovery time
  • less pain after the operation
  • minimal scarring

What is a laparoscopy used for?

A laparoscopy can be used to help diagnose a wide range of conditions that develop inside the abdomen or pelvis, such as:

As well as being used to see clearly inside the body, laparoscopies can also be used to carry out surgical procedures. Small surgical instruments and devices, such as lasers, can be passed through incisions in the skin. They are used to perform procedures including removing a damaged or diseased organ, such as an appendix, or to take a biopsy.

Laparoscopy is most commonly used in:

  • gynaecology – the study and treatment of conditions that affect the female reproductive system
  • gastroenterology – the study and treatment of conditions that affect the digestive system

Read more about when a laparoscopy is used.

Safety

Laparoscopic surgery is very common and is generally regarded as very safe. Serious complications as a result of surgery are rare and occur in an estimated 1 in 1,000 cases.

Possible complications of a laparoscopy include:

  • damage to organs, such as the bladder or bowel
  • injury to a major artery

Last reviewed: 09/12/2011

Next review due: 09/12/2013

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Comments are personal views. Any information they give has not been checked and may not be accurate.

louisa1990 said on 14 March 2013

I had my laparoscopy yesterday after a year of sick with chronic pain. It was assumed (basted in my symptoms) that I could have endometriosis. My Dr found a 4-5cm cyst on my left ovary which she drained. As happy as I am that I only had a cyst I have no idea why I was in such pain (on morphine daily) for a year. This is a question I will probably never know the answer to but I am so scared the pain will continue. I have many other pains/symptoms so the thought of continued pains leave me with so many questions/consurns. Not only this I have a horrendous headache which has not eased despite my meds (morphine included). It is painful to look at my phone, tv etc and even laying in a quiet dark room has not eased it. Is it normal to feel this way after the op?

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Joss1978 said on 06 November 2012

I am 1 week post surgery, the Laparoscopy found a burst cyst which made an angry appendix and then discovered I have endometreosis. The word pain can not describe what i was in when i was admitted, thank god for the gp who sent me to hospital straight away and thank god also for liquid morphine! I was having panic attacks and could not lie down to be examined (a whaling banshee!). The pain really started the afternoon before and felt like period pain x 15 million! AMAZING staff in Winchester from the moment I got there until I left. Blood tests, urine tests - both showed some sort of infection/abnormality, then x-ray, then drip, tests and questions galore etc...before you know it there is a surgery bed ready to go so there wasn't much time to be worried, great anethatists, explaining everything. The immediate pain post surgery (apart from belly) is your throat (from the tube), you want to cough but this feels like is can't be an option so lots of tea and biscuits, you will sleep sitting up/on your back (i am a front sleeper) so you don't really sleep, painkillers required every 2-4 hours (alternate them!), and shoulder pain from the gas which goes in a day or so. First few days I literally carried my belly around like a 6 month pregnant lady, good days followed bad ones, constipation from co-codymol BUT the after pain is no where near as bad as the pain that got me there, 3 small incisions that have healed well 1 week on (kept dressings on for 2 days at a time). DO NOT underestimate what you do after surgery, a simple walk can wipe me out, you feel ok but you have just had surgery! MAKE SURE you have helpers, I am single without family so I took up the offers of lots of my friends and we had a great time, lots of funny memories in the future! No idea what the future holds with the endometreosis BUT i am so glad it happened now and NOT as I fly out to Australia for Xmas and New Year, and who knows perhaps this is the end to years of savage period pain! Jx

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Smurfette234 said on 09 June 2012

ive had a laparoscopy, yes your hooked upto heart moniters and few other things,the first days it was pretty painfull, had alot of shoulder pain due to the gas they put in, but after that it just becomes more uncomftable than painfull

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samreenshinde said on 12 May 2012

How does a doctor preform a laparascopy? I read there can be more than one incision but are very small- like around 2 inches. Also, is it different if I'm a teenager? I read that they do it under general anesthesia, so they must have you hooked up to a heart monitor right? Has anyone ever had this? Is it painful or just bothersome? Thanks!

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Seviyorumcok said on 20 February 2012

Does anybody know for what reason would the surgeon do an open operation as opposed to a laparoscopy? I know I have the more severe type of Hiayus Hernia because my food is not being digested and the consequences are projectile vomiting which cannot do my espohagus any good because of the acidity from my stomach.

I know I am worrying a lot but if you knew the pain I have been going through and the awful projectile vomiting then I think you would understand.

OMG! listen to me I sound like a right hypochondriac! Even the ambulance guy thought I was having a heart attack - if anyone can let me know I would be ever so grateful thanks

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