During laparoscopy, the surgeon makes an incision below your belly button, and then inserts a small tube called a cannula. The cannula is used to inflate your abdomen with carbon dioxide gas. This gas allows your doctor to see your abdominal organs more clearly. Once your abdomen is inflated, the surgeon inserts the laparoscope through the incision.
The camera attached to the laparoscope displays the images on a screen, allowing your organs to be viewed in real time. The number and size of incisions depends upon what specific diseases your surgeon is attempting to confirm or rule out. Generally, you get from one to four incisions that are each between 1 and 2 centimeters in length.
These incisions allow other instruments to be inserted. For example, your surgeon may need to use another surgical tool to perform a biopsy. During a biopsy, they take a small sample of tissue from an organ to be evaluated. After the procedure is done, the instruments are removed. Your incisions are then closed with stitches or surgical tape. Bandages may be placed over the incisions.
Your vital signs, such your breathing and heart rate, will be monitored closely. Hospital staff will also check for any adverse reactions to the anesthesia or the procedure, as well as monitor for prolonged bleeding. A family member or friend will need to drive you home if you received general anesthesia.
The effects of general anesthesia usually take several hours to wear off, so it can be unsafe to drive after the procedure. In the days following laparoscopy, you may feel moderate pain and throbbing in the areas where incisions were made. Any pain or discomfort should improve within a few days.
Your doctor may prescribe medication to relieve the pain. 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.
You can usually resume all normal activities within a week. If a biopsy was taken, a pathologist will examine it. A pathologist is a doctor who specializes in tissue analysis.
A report detailing the results will be sent to your doctor. Normal results from laparoscopy indicate the absence of abdominal bleeding, hernias , and intestinal blockages. They also mean that all your organs are healthy.
Your doctor will schedule an appointment with you to go over the results. If a serious medical condition was found, your doctor will discuss appropriate treatment options with you and work with you to come up with a plan for addressing that condition. Some of the gas used to inflate your abdomen can remain inside your abdomen after the procedure, which can cause:. These symptoms are nothing to worry about and should pass after a day or so, once your body has absorbed the remaining gas.
In the days or weeks after the procedure, you'll probably feel more tired than usual, as your body is using a lot of energy to heal itself. Taking regular naps may help. The time it takes to recover from laparoscopy is different for everybody. It depends on factors such as the reason the procedure was carried out whether it was used to diagnose or treat a condition , your general health and if any complications develop.
If you've had laparoscopy to diagnose a condition, you'll probably be able to resume your normal activities within 5 days. The recovery period after laparoscopy to treat a condition depends on the type of treatment.
After minor surgery, such as appendix removal, you may be able to resume normal activities within 3 weeks. Following major surgery, such as removal of your ovaries or kidney because of cancer , the recovery time may be as long as 12 weeks. Your surgical team can give you more information about when you'll be able to resume normal activities. It's usually recommended that someone stays with you for the first 24 hours after surgery.
This is in case you experience any symptoms that suggest a problem, such as:. If you experience any of these symptoms during your recovery, you should contact either the hospital where the procedure was carried out, your GP or NHS for advice.
A relatively recent development in laparoscopy is the use of robots to assist with procedures. This is known as "robotic-assisted laparoscopy". During robotic-assisted laparoscopy, your surgeon uses a console located in the operating theatre to carry out the procedure by controlling robotic arms. The robotic arms hold a special camera and surgical equipment. The robotic system provides magnified 3D vision and an increased range of movement for instruments working inside the body.
Robotic-assisted laparoscopy allows surgeons to carry out complex procedures with increased precision and smaller incisions. Summitt, R. Tozer, A. Tulandi, T. Update , 2 , — Vilos, G. Vossen, C. Oxford University Press is a department of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Sign In or Create an Account. Sign In. Advanced Search. Search Menu. Article Navigation. Close mobile search navigation Article Navigation.
Volume Article Contents Abstract. Materials and methods. How long does laparoscopic surgery really take? Lessons learned from operative laparoscopies. Asher Shushan , Asher Shushan. Oxford Academic. Google Scholar. Hossam Mohamed.
Adam L. Select Format Select format. Permissions Icon Permissions. Abstract The purpose of this study was to assess the operating time of the most common gynaecological laparoscopic procedures. Table I. Clinical characteristics of patients and procedures undertaken. Ectopic pregnancy. Ovarian cyst. Tubal surgery and adhesiolysis. Laparoscopic hysterectomy. Age years Open in new tab. Figure 1.
Open in new tab Download slide. Operating time for laparoscopic treatment of ectopic pregnancy. Figure 2. Figure 3. Operating time for laparoscopic treatment of endometriosis. Figure 4. Operating time for laparoscopic treatment of ovarian cysts.
Figure 5. Operating time for laparoscopic treatment of fibroids. Figure 6. Operating time for laparoscopic hysterectomy. Issue Section:. Download all slides. View Metrics. Email alerts Article activity alert. Advance article alerts. New issue alert. Receive exclusive offers and updates from Oxford Academic. More on this topic A case-control study to compare the variability of operating time in laparoscopic and open surgery. Impaired ovarian blood flow and reduced antral follicle count following laparoscopic salpingectomy for ectopic pregnancy.
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