Diagnostic laparoscopy

Diagnostic laparoscopy :



Diagnostic laparoscopy is a minimally access surgical procedure that allows the visual examination and documention of intra abdominal organ in order to detect pathology by two ports. this procedure  always performed by two ports technique. Surgeon hold the camera and instruments himself to perform diagnostic laparoscopy.

Diagnostic laparoscopy was first introduced in 1901 by kelling, He performed it on dog.

A swedish internist named. Jacobaeusc is credited with performing the first diagnostic laparoscopy on human in 1910 for ascitis. 

The image of the liver, stomach, intestine,, gallbladder, spleen, peritoneum and pelvic organ can be viewed by the diagnostic laparoscopy. 

Mostly diagnostic laparoscopy done with hysteroscopy procedure for the further treatment of infertility and identify for fallopian tube and ovary. 

Diagnostic Laparoscopy in female  means to know the cause for the discomfort or fertility issues. Common reasons for undergoing a laparoscopy include : the diagnosis and treatment of endometriosis, chronic pelvic pain, pelvic inflammatory disease, and causes of infertility. the removal of fibroid, uterus, ovarian cysts, lymph nodes, or an ectopic pregnancy these procedures are day care procedures and you can return back home the same day or may be next day.

Manipulation and biopsy of the is possible by introducing forceps through additional ports. 

Ultrasound, which uses high-frequency sound waves to create images of the body.CT scan, which is a series of special X-rays that take cross-sectional images of the body, MRI scan, which uses magnets and radio waves to produce images of the body

Laparoscopy is performed when these tests don’t provide enough information or insight for a diagnosis. The procedure may also be used to take a biopsy, or sample of tissue, from a particular organ in the abdomen.

Before laparoscopy,  doctor  order blood tests, urinalysis, electrocardiogram (EKG or ECG), and chest X-ray. Your doctor might also perform certain imaging tests, including an ultrasound, CT scan, or MRI scan.These tests necessary for assess physical fitness and surgery planning  and doctor better understand the abnormality being examined during laparoscopy. The results also give your doctor a visual guide to the inside of your abdomen.

Stop eating and drinking for at least eight hours before laparoscopy and arrange for a family member or friend to drive you home after the procedure. 

Diagnostic Laparoscopy is usually done as an outpatient procedure (OPD).patient will be discharge from the hospital same day of the procedure  after 4 to 5 hours.

Doctor may prescribe medication to relieve from pain.It’s also common to have shoulder pain after your procedure. The pain is usually a result of the carbon dioxide gas used to inflate your abdomen to create a working space for the surgical instruments. The gas can irritate your diaphragm, which shares nerves with your shoulder. It may also cause some bloating. The discomfort should go away within a couple of days.

What are the causes of diagnostic laparoscopic :

Diagnostic laparoscopic is done this conditions or indication of this procedure :
Appendicitis 
Diverticulum 
Duodenal perforation 
Mesentric adenitis
Intestinal adhesion
Omental adhesion
Intestinal infarction 
Ovarian cyst
Pelvic inflammatory disease 
Acute salphingitis
Ectopic pregnancy 
Endometriosis 
Perforated uterus due to criminal abortion 
Abdominal trauma and ascitis. 
Infertility 

Contraindication of the surgery :

Diagnostic laparoscopic is not done in this conditions :
-Hypertension 
-Marked obesity 
-Multiple previous operations (hostile abdomen )
-Massive distension from dilated bowel
-Third trimesters of pregnancy
-Increased intracranial pressure

Disclaimer :  This content for education purpose only and is not intended as a medical advice while we strive for 100% accuracy, error may occur, technology and protocols can change over time.






















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