What will be done?
This procedure will permit visualisation of the internal organs and may be combined with specific treatment, such as the removal of ovarian cysts, treatment of endometriosis or the division of adhesions (scarring).
Why is this done?
Common reasons include the assessment of painful or heavy periods, pelvic pain (as may occur with endometriosis or adhesions), pelvic masses (such as ovarian cysts) or as assessment of fertility. You should have a clear understanding of your reason for this surgery.
What are the alternatives?
Alternatively, similar procedures may be performed by open surgery (laparotomy). This is a much more invasive procedure, involving higher complications, increased hospitalisation and recovery. However, in certain situations a laparotomy may be the most appropriate procedure.
How is this done?
The procedure is normally performed under a general anaesthetic in the operating theatre. A drip is inserted into your arm. An examination is made under anaesthesia and instruments may be inserted into the vagina or rectum. A small incision is made either in or just below your umbilicus. The incision is made either in or just below your umbilicus. The abdomen is inflated with gas and an optical instrument, called a laparoscope (similar to a telescope) is inserted to visualise the internal organs. Further small incisions may be made in your abdomen if any abnormalities require treatment. The wounds are closed in layers. The procedure itself takes thirty minutes or more, but you can expect to be in theatre and recovery for a number of hours.
What should I do before the procedure?
Any investigations or consultations arranged at the preoperative consultation should have been completed. You should continue your regular medications, unless advised otherwise. You may be required to have a bowel preparation, which will empty your bowel prior to the surgery. If this is required, you should only have fluids (soups, jellies, cordials, juices or similar drinks) in the 24 hours prior to the surgery. The bowel preparation medication should be taken as ordered.
Stop smoking. Should you develop an illness prior to your surgery, please contact our office immediately.
What should I do on the day of the procedure?
Unless otherwise specified, you should stop eating and drinking at the following times on the day of the surgery:
You should continue all your usual medications, unless otherwise specified.
You should bring:
What should I expect after the procedure?
When you wake from the anaesthetic, you will be in the recovery room. Depending on the procedure, you may be able to leave that day. You should expect some abdominal discomfort or bloating and may experience some shoulder tip pain, related to the gas used in the procedure. You will be given specific discharge medication if required, but you may use panadol or panadeine as required (one to two tablets every four hours up to a maximum of eight tablets per day).
After discharge from hospital, you should:
You should not:
What are the complications of this procedure?
Every surgical procedure has associated risks. Complications include, but are not limited to:
Any specific risks and complications will be discussed prior to the procedure.
What if I have any problems?
You should seek medical attention if you experience:
Please contact the office on (07) 333 21 999 or attend the Mater Emergency Department if you require urgent attention.