Celioscopy; Band-aid surgery; Pelviscopy; Gynecologic laparoscopy; Exploratory laparoscopy - gynecologic
Pelvic laparoscopy is surgery to examine pelvic organs. It uses a viewing tool called a laparoscope. The surgery is also used to treat certain diseases of the pelvic organs.
While you are deep asleep and pain-free under general anesthesia, the doctor makes a half-inch (1.25 centimeters) surgical cut in the skin below the belly button. Carbon dioxide gas is pumped into the abdomen to help the doctor see the organs more easily.
The laparoscope, an instrument that looks like a small telescope with a light and a video camera, is inserted so the doctor can view the area.
Other instruments may be inserted through other small cuts in the lower abdomen. While watching a video monitor, the doctor is able to:
After the laparoscopy, the carbon dioxide gas is released, and the cuts are closed.
Laparoscopy uses a smaller surgical cut than open surgery. This means your hospital stay is likely to be shorter and your recovery faster. There is less blood loss with laparoscopic surgery and less pain after surgery.
Pelvic laparoscopy is used both for diagnosis and treatment. It may be recommended for:
A pelvic laparoscopy may also be done to:
Risks for any pelvic surgery include:
Always tell your health care provider:
During the days before surgery:
On the day of your surgery:
You will spend some time in a recovery area as you wake up from the anesthesia.
Many people are able to go home the same day as the procedure. Sometimes, you may need to stay overnight, depending on what surgery was done using the laparoscope.
The gas pumped into the abdomen may cause abdominal discomfort for 1 to 2 days after the procedure. Some people feel neck and shoulder pain for several days after a laparoscopy because the carbon dioxide gas irritates the diaphragm. As the gas is absorbed, this pain will go away. Lying down can help decrease the pain.
You will get a prescription for pain medicine or tell you what over-the-counter pain medicines you can take.
You may go back to your normal activities within 1 to 2 days. However, DO NOT lift anything over 10 pounds (4.5 kilograms) for 3 weeks after surgery to decrease your risk of getting a hernia in your incisions.
Depending on what procedure is done, you can usually begin sexual activities again as soon as any bleeding has stopped. If you have had a hysterectomy, you need to wait 3 months before having sexual intercourse again. Ask your provider what is recommended for the procedure you are having.
Call your provider if you have:
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Last reviewed on: 4/5/2016
Reviewed by: Irina Burd, MD, PhD, Associate Professor of Gynecology and Obstetrics at Johns Hopkins University School of Medicine, Baltimore, MD. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.