Laparoscopy describes a group of operations performed with the aid of a camera placed in the abdomen or pelvis.
The laparoscope allows doctors to perform both minor and complex surgeries with a few small cuts in the abdomen. This technique is known as laparoscopic-assisted surgery.
Laparoscopy may also be done to diagnose a condition. In this case, the procedure is called diagnostic laparoscopy.
For more details about specific laparoscopic surgeries, see:
Anti-reflux surgery Anti-reflux surgery - children Appendectomy Gallbladder removal - laparoscopic
- Gynecologic laparoscopy
Hysterectomy Inguinal hernia repair Laparoscopic gastric banding Pelvic laparoscopy Radical prostatectomy Spleen removal Tubal ligation
How the test is performed
The procedure is usually done in the hospital under
After a small cut is made above or below the belly button (navel), a tube is inserted. A tiny video camera passes through the tube. Carbon dioxide gas is injected into the abdomen to lift the abdominal wall, making a larger space in which to work. This allows for easier viewing and moving of the organs.
The laparoscope is then inserted, and the organs of the pelvis and abdomen are examined. Additional small openings are made for instruments that let the surgeon move, cut, stitch, and staple structures during the operation.
After the examination, the laparoscope is removed, all openings are stitched closed, and bandages are applied. Depending on the operation performed, a tube may be left through one of the cuts to let fluids drain.
How the test will feel
With general anesthesia, you will feel no pain during the procedure. However, the stitched cuts may throb and be slightly painful afterward. Your doctor may give you a pain reliever.
You may experience shoulder pain for a few days, because the gas can irritate the diaphragm, the large muscle at the top of the belly. Some of the nerves in the diaphragm also go to the shoulder.
Finally, you may experience an increased urge to urinate, because the gas can put pressure on the bladder.
Why the test is performed
A diagnostic laparoscopy may be done if your doctor cannot tell what type of problem or injury you have based on the results of a physical exam or other tests.
A diagnostic laparoscopy may be done if you have:
- Pain or other symptoms that cannot be explained
- An injury
- Cancer that may have spread (cancer staging)
Review Date: 08/21/2009
Reviewed By: James Lee, MD, Department of Surgery, Columbia Presbyterian Medical Center, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.