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Laparoscopic Surgery
Laparoscopic Surgery in London Book an Appointment

Understanding Laparoscopy: A Minimally Invasive Surgical Approach

Laparoscopy is a minimally invasive surgical technique that allows surgeons to examine and treat internal organs using images transmitted by a small, thin tube known as a laparoscope. This instrument, equipped with a camera and light at one end, is inserted through a small incision, providing a detailed view of the internal structures.

Laparoscopic examination is often recommended by doctors when investigating potential gynaecological issues such as endometriosis or polycystic ovary syndrome (PCOS), and for performing minor surgical procedures within the body.

How is a Laparoscopy Conducted?

Laparoscopy is performed under general anaesthesia, ensuring that the patient remains unconscious and pain-free throughout the procedure. In most cases, patients are discharged on the same day, although some may require an overnight stay for observation.

We do not perform the Laparoscopy in the clinic, however our Consultants have admitting privileges to London’s leading private hospitals, allowing you fast access to the procedure.

The procedure allows the surgeon to identify the root cause of symptoms and, when necessary, to treat certain conditions directly. If performed for diagnostic purposes, laparoscopy typically takes between 30 to 60 minutes, though the duration may vary depending on the specific condition being addressed.

How is a Laparoscopy Conducted
When is a Laparoscopy Indicated

When is a Laparoscopy Indicated?

Laparoscopy is an invaluable tool in diagnosing various conditions that affect the pelvis or abdomen, particularly when other non-invasive methods such as MRI, CT scans, or ultrasound fail to provide a clear diagnosis. Additionally, it facilitates the removal of tissue samples for biopsy or the excision of damaged or diseased organs.

This surgical approach is especially beneficial in three key medical specialities:

  • Gynaecology: Addressing conditions of the female reproductive system.
  • Urology: Treating disorders of the urinary system.
  • Gastroenterology: Managing diseases of the digestive system.
In gynaecology, laparoscopy is employed

In gynaecology, laparoscopy is employed to diagnose and treat several conditions, including:

  • Endometriosis: A condition where uterine tissue grows outside the womb, causing severe pain. Laparoscopy confirms the diagnosis and can be used to remove or destroy the endometrial tissue.
  • Ovarian Cysts: Fluid-filled sacs within the ovaries. While common and often benign, laparoscopy may be necessary to remove complex cysts.
  • Fibroids: Non-cancerous growths around the uterus, removable via laparoscopic myomectomy, preserving the uterus.
  • Ectopic Pregnancy: A pregnancy that occurs outside the womb, typically requiring laparoscopic intervention to remove the ectopic tissue or fallopian tube.
  • Pelvic Inflammatory Disease (PID): A bacterial infection of the female reproductive organs, often resulting from untreated STIs.
  • Infertility: Evaluation and treatment of conditions contributing to infertility.
  • Hysterectomy: Removal of the uterus or cervix to treat conditions like endometriosis, PID, and heavy periods.
  • Pelvic Abscess: Removal of pus-filled pockets in the pelvis.
  • Cancer Diagnosis: Especially for cancers like ovarian cancer.

Laparoscopy is not suitable for every patient, particularly those who are overweight, undergoing menopause, or with a history of heart or lung conditions or previous abdominal surgery. In such cases, a more invasive procedure known as laparotomy, which involves a larger abdominal incision, may be recommended. The choice of procedure will be determined by the surgeon based on the patient’s individual circumstances, with a thorough discussion of the associated benefits and risks.

Who Performs a Laparoscopy?

While Gynaecologists typically perform laparoscopies, complex cases require advanced skills acquired through specialised training and experience. At Medical Express Clinic, our Gynaecologists utilise cutting-edge techniques, adhering to the highest standards of care to ensure the best possible outcomes while prioritising patient safety.

Preparing for a Laparoscopy

Patients are generally advised to refrain from eating or drinking 6-12 hours before surgery, depending on the type of laparoscopy being performed. It is also important to stop taking blood-thinning medications, such as Warfarin and Aspirin, as these can increase the risk of bleeding. Smoking should be avoided to promote healing and reduce the risk of complications.

Post-Surgery Care

Post-Surgery Care

After the procedure, you will gradually awaken from general anaesthesia and may feel groggy or disoriented. Nausea is also common and should not cause concern. It is advisable to have a friend or family member accompany you to the hospital and assist you in getting home safely, as you will need someone to care for you during the first 24 hours post-surgery.

During this period, you should monitor for symptoms that may require emergency medical attention, such as severe vomiting, high fever, wound infection, or swelling and pain in the legs. Our staff will provide guidance on how to care for your wounds and arrange a follow-up appointment with your consultant to ensure proper healing and, if necessary, to remove stitches (though some may dissolve naturally).

Mild pain and discomfort are normal in the days following surgery, and your doctor will prescribe pain relief as needed. You may also experience residual gas in the abdomen, leading to shoulder pain, bloating, and cramps, but these symptoms should subside naturally within a few days.

Recovery times vary based on the individual and the type of surgery performed. Factors such as the reason for the surgery, your overall health, adherence to post-surgical instructions, and any complications will influence your recovery pace. You can consult your surgeon for more detailed information on when you can resume normal activities.

Advantages of Laparoscopic Surgery

Advantages of Laparoscopic Surgery

As a minimally invasive procedure, laparoscopy offers several benefits over traditional open surgery:

  • Shorter Hospital Stay: Many patients are discharged the same day.
  • Faster Recovery: Quicker return to daily activities.
  • Reduced Post-Operative Pain: Less discomfort compared to open surgery.
  • Lower Risk of Complications: Reduced risk of adhesion, infection, and bleeding.
  • Minimal Scarring: Small incisions lead to better cosmetic outcomes.
  • Enhanced Surgical Precision: The laparoscope provides clear visuals, allowing for accurate diagnosis and treatment during the same procedure.

Associated Risks

While laparoscopy is generally safe, as with any surgical procedure, it carries some risks. Minor complications, such as bruising, minor bleeding, and infection at the incision site, may occur in 1-2% of cases. Nausea is also a common side effect. Serious complications are rare and will be discussed with you by your surgeon prior to the procedure.

Special Expertise Required

Most gynaecologists are capable of performing laparoscopic surgery, but more complex procedures require surgeons with advanced skills, including surgical acumen, decision-making abilities, dexterity, and extensive experience. These attributes are essential for a professional laparoscopic surgeon.

Recovery Expectations

Our gynaecologists at Medical Express Clinic will provide you with detailed information on what to expect during your recovery from laparoscopy or laparoscopic hysterectomy, including timelines and guidelines for resuming normal activities.

Why Choose Medical Express Clinic?

Medical Express Clinic offers several advantages, including:

  • Flexible Appointments: Scheduling that fits your convenience.
  • Choice of Consultant: Freedom to select your preferred specialist.
  • Personalised, Consultant-Led Care: Tailored to meet individual needs.
  • Fast Referral Pathways: Rapid referrals to London’s leading private hospitals for your procedure.
  • Comprehensive Support: From initial consultation to discharge, our clinical team provides optimal support.
  • Competitive Packages: Transparent pricing with inclusive aftercare.

For further details or to book an appointment, please contact us or use our secure online booking system.

Why Choose Medical Express Clinic