All you wanted to know about Diagnostic Laproscopy

Dr. Manish Joshi is a Consultant Surgical Gastroenterologist, GI Oncologist and Advanced Laparoscopic Surgeon at the BGS Global Hospitals, Bangalore. He had earlier served as Head of Surgical Gastroenterology services at St. John’s Medical College Hospital, Bangalore for almost 3 years. 

What is Diagnostics Laproscopy ?

Laparoscopy, also known as diagnostic laparoscopy, is a surgical diagnostic procedure used to examine the organs inside the abdomen. It’s a low-risk, minimally invasive procedure that requires only small incisions. Laparoscopy uses an instrument called a laparoscope to look at the abdominal organs. A laparoscope is a long, thin tube with a high-intensity light and a high-resolution camera at the front. The instrument is inserted through an incision in the abdominal wall. As it moves along, the camera sends images to a video monitor. Laparoscopy allows your doctor to see inside your body in real time, without open surgery. Your doctor also can obtain biopsy samples during this procedure.

Why is laparoscopy performed?

Laparoscopy is often used to identify and diagnose the source of pelvic or abdominal pain. It’s usually performed when noninvasive methods are unable to help with diagnosis. In many cases, abdominal problems can also be diagnosed with imaging techniques such as:

Ultrasound

Which uses high-frequency sound waves to create images of the body

CT Scan

Which is a series of special X-rays that take cross-sectional images of the body

MRI Scan

Which uses magnets and radio waves to produce images of the body
Laparoscopy is performed when these tests don’t provide enough information or insight for a diagnosis. The procedure may also be used to take a biopsy, or sample of tissue, from a particular organ in the abdomen.
Your doctor may recommend laparoscopy to examine the following organs:

Appendix

a

Gallbladder

Liver

Pancreas

Small Intestine

Spleen

Stomach

By observing these areas with a laparoscope, your doctor can detect:

  • An abdominal mass or tumor
  • Fluid in the abdominal cavity
  • Liver disease
  • The effectiveness of certain treatments
  • The degree to which a particular cancer has progressed
As well, your doctor may be able to perform an intervention to treat your condition immediately after diagnosis.
Indicative Laparoscopic Surgery Picture

How is laparoscopy performed?

Indicative Laparoscopic Surgery Picture
To achieve general anesthesia, an intravenous (IV) line is inserted in one of your veins. Through the IV, your anesthesiologist can give you special medications and well as provide hydration with fluids. In some cases, local anesthesia is used instead.
Laparoscopy is usually done as an outpatient procedure. This means that you’ll be able to go home the same day as your surgery. It may be performed in a hospital or an outpatient surgical center. You’ll likely be given general anesthesia for this type of surgery. This means that you’ll sleep through the procedure and won’t feel any pain.
Open surgery picture
A local anesthetic numbs the area, so even though you’ll be awake during the surgery, you won’t feel any pain. 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.

PreOp-Instructions

  • ON THE DAY BEFORE SURGERY
    Proceed with normal activities, normal diet & Shower
  • AFTER MIDNIGHT BEFORE THE DAY OF SURGERY
    Do not eat or drink anything, including water, candy, gum, mints, Brushing teeth is okay
  • ON THE DAY OF SURGERY
    Do not eat or drink anything Brushing teeth is okay Shower if you did not shower the night before
  • These are typical instructions. Your instructions by your surgeon or doctor may vary.

These are typical instructions. Your instructions by your surgeon or doctor may vary.

PostOp-Instructions

  • ON THE DAY BEFORE SURGERY
    Proceed with normal activities, normal diet & Shower
  • AFTER MIDNIGHT BEFORE THE DAY OF SURGERY
    Do not eat or drink anything, including water, candy, gum, mints, Brushing teeth is okay
  • ON THE DAY OF SURGERY
    Do not eat or drink anything Brushing teeth is okay Shower if you did not shower the night before
  • These are typical instructions. Your instructions by your surgeon or doctor may vary.

These are typical instructions. Your instructions by your surgeon or doctor may vary.

Results of laparoscopy

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.
Abnormal results from laparoscopy indicate certain conditions, including:
  • Adhesions or surgical scars
  • Hernias
  • Appendicitis, an inflammation of the intestines
  • Cysts or tumors
  • Cancer
  • Cholecystitis, an inflammation of the gall bladder
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.
Indicative Laparoscopic Surgery Picture

Diagnostics Laproscopy FAQ's

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Dr. Manish Joshi is the Best Gastrointestinal surgeon in Bangalore & India. He is an expert in Advanced Laparoscopic & Robotic Surgical Techniques. His motto is ‘Patient comes first” View Profile.

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