How is a pelvic laparoscopic surgery preformed?
While in the operating room, the surgeon generally makes an incision into or just below the naval. The incision is normally less than a half inch or so in depth. He/she will then inject CO2 ( Carbon dioxide) into the pelvic and/or abdominal region to expand the area for ease in viewing various organs, etc. The surgeon will then insert a flexible tube-like instrument called a laparocope into the incision. This instrument has an attachment that enables it to excise or cut out any adhesions or suspicious looking growths that will be examined by a pathologist. There is a monitor (much like that of a television) in which the surgeon uses to view the pelvic organs. This is how the surgeon performs the operation..via the visualization of the internal structures/organs by simply looking at the monitor. This procedure is much less invasive than something such as a traditional larger incision which requires a longer hospital stay and many more sutures. The CO2 is expelled after the procedure and only a few sutures are generally required. The patient is normally able to return home the same day.
My wife had the surgery 31 years ago so it could have changed by now. The DR. made a very small incission just below the navel and another at the public hair line. Each incission was less than 1/2 inch long. An nstrument as big aound as a bic pen is inserted and the Dr. can look and see your internal organs. My wife had a bad pain on her left side. She had scar tissue pulling her left ovary slightly out of position. The Dr. broke the adhesion. There were no stiches. Just two band aids. My wife came home from the hospital the next day. This was before they started rushing peopel out early. This was in 1977 so it could have changed by now.
The position of the incisions varies from person to person, but with all laproscopies, there is an insision in the navel ( belly button) and a second insision elsewhere. They then pump gas into the navel insion so they have room to move the scope, and more space to move tht scope around organs and such. The second incision is to insert the scope so they can look around. If they see something wrong then they will need to make a third incision to get tools inside to remove or repair the organ. Once the proceedure is finished, they use a mild suction to get the gas out of the body (some gas may still remain but gets absorbed into the body and removed through normal bodily functions) and use dermabord or tagaderm to seal the incisions. Healing from a lapriscopy only takes a day or two, opposed to the weeks it would take to heal from an open cavity surgery. :)
Lisa's method is much more complicated than the one I'd like to give her ;-) Hi Lisa...How ya doin', Sweets?
