Laparoscopy

Laparoscopic Surgery Melbourne

What is a laparoscopy?

Laparoscopy – also known as minimally invasive surgery or ‘keyhole’ surgery – is a procedure where slender tube (laparoscope) is inserted into the patient’s abdomen, usually through a small cut (5-10mm) in the belly button. It is fitted with a light source and video camera to allow the surgeon to look at the abdominal and pelvic organs (such as uterus, fallopian tubes and ovaries) through a video monitor. Photographs may also be taken. Surgical instruments such as scissors and graspers may be inserted through additional small cuts (5- 10mm) to allow surgery to be performed.

Laparoscopy is performed under general anaesthetic, many can be done as a day procedure in a hospital by a gynaecologist. If more extensive surgery is involved, you may need to stay 1-2 nights in the hospital.

Why is a laparoscopy performed?

Laparoscopy may be:

• diagnostic to investigate
  • pelvic pain
  • period problems
  • infertility
• or operative to treat/ remove
  • endometriosis
  • ovarian cysts
  • tubal ectopic pregnancy
  • adhesions
  • fibroids (myomectomy)
  • uterus (hysterectomy)

What are the advantages of a laparoscopy over a traditional open surgery?

In many cases, laparoscopy replaces the need for open surgery (with larger cut in the abdomen), therefore:

• reduces pain after surgery
• reduces the risk of bleeding
• reduces the risk of infection
• causes less scarring
• and allows shorter recovery time – discharge from hospital the same day, and return to work within a week in most cases

Who should be performing your laparoscopy?

Laparoscopy should be performed by specialist gynaecologists who have completed additional training either in minimally invasive gynaecology surgery, or in surgical gynaecological oncology in order to learn techniques and procedures to complete the most complex surgeries with lower complication rates and quicker recovery period. They also perform higher volume of more complex cases.

What are the potential risks of a laparoscopy?

Although laparoscopy is a commonly performed and safe procedure, all surgeries have associated risks no matter how minor they are. The rate of all complications in a laparoscopy is less than 1 in 100, with the rate of major complications less than 1 in 200.

Potential complications in a laparoscopy include:

• bleeding
• infection
• damage to internal organs such as bladder, ureters, bowel, or major blood vessels
• blood clots in the legs or lungs
• pain
• nausea and vomiting
• hernia at incision sites

Further Information

Link to RANZCOG Patient Information on Laparoscopy.

Link to AGES Patient Information Video on Laparoscopy.