Laparotomy Surgery

What is a Laparoscopy or Laparotomy Surgery?

Laparoscopy is a minimally invasive surgery technique through small incisions on the abdomen.

A long thin telescopic instrument (camera) called a laparoscope is inserted into the abdomen through a small incision. It visualises the pelvic organs, and pelvic pathology can be treated through additional small incisions elsewhere on the abdomen.

Laparoscopy vs Laparotomy

Laparotomy is a surgical procedure that involves a large incision in the abdomen to facilitate a procedure. While laparoscopy is a minimally invasive surgical procedure sometimes referred to as keyhole surgery, it uses a small incision.

What Happens During A Laparoscopic Procedure?

The procedure is performed under general anaesthesia in the operating theatre. Between 2 – 4 small incisions are made on the abdomen where a long thin camera and other surgical instruments are inserted.

The abdomen is filled with gas to allow a clear view of the pelvic organs. Once the treatment is complete, the incisions are closed.

How to Prepare for a Laparoscopic Procedure?

You may need to have a bowel preparation to empty the lower half of your bowel before the surgery. You will be given instructions for this beforehand if you need this.

If you develop signs of illness before your surgery, please contact my rooms immediately.

What Can You Expect After A Laparoscopic Procedure?

You will be in the recovery room when you wake up from anaesthesia.

You may:

• feel sleepy for the next few hours,
• experience pain in the shoulder or back caused by the gas used in the procedure inside your abdomen? It will resolve within a few days.
• Have some discomfort or feel tired for a few days after the procedure.

Pain is usually worse in the first two days, and strong pain medication is usually not needed after the third day. If the pain worsens, contact me or attend the emergency department at your nearest hospital.

What Should I Do If I Experience Any Problems During The Recovery Period?

You should seek immediate medical attention by going to the emergency department of your closest hospital or contacting me if you experience any of the below-mentioned conditions:

• Fever
• Offensive vaginal discharge or heavy bleeding
• Severe nausea or vomiting
• Inability to empty your bladder or bowels
• Severe pain

During The Postoperative Period

During the Postoperative Period you

• should avoid heavy activities or exercise until your post-operative review
• may return to half-intensity activities after two weeks and
• return to normal intensity activities after four weeks.

Risks and Complications of a Laparoscopic Procedure?

As with any surgical procedure, laparoscopic surgery is also associated with certain risks and complications, and they include:

• Problems with anaesthesia
• Injury to internal or surrounding organs
• Bleeding and infection

Before the procedure, any specific risks and complications will be discussed with you.