Diagnostic laparoscopy is a surgical intervention that involves the insertion of a small chamber into the abdominal cavity, which is done through the navel or small hole next to it. The image from the camera is fed to the monitor, which allows the doctor to control the process and observe what is happening inside. During this operation, you can enter not only one tool, but two. The role of the second is a manipulator, with which the surgeon can change the position of the necessary organ for a more detailed examination. The diameter of each hole that is needed for the procedure is no more than 7 mm.
Diagnostic laparoscopy allows you to:
- Give a more accurate assessment of the condition of internal organs.
- Diagnose or disprove the presence of adhesions in the fallopian tubes.
- Determine the degree of patency of the fallopian tubes.
- Accurately establish the size of the ovarian cyst, fibroids and other uterine neoplasms. Also, using this procedure, their location is determined.
- Diagnose an ectopic pregnancy.
- Set the stage of endometriosis, as well as determine the main foci of the disease.
- To establish malformations in the development of internal organs and the presence of tumors in them.
- Determine the cause of abdominal pain.
- Establish a factor that contributed to the development of ascites.
- Diagnose liver disease.
- In general, determine the diagnosis.
As a rule, this type of laparoscopy is indicated only in cases where the doctor cannot accurately diagnose the disease. Also, this procedure is prescribed before surgical laparoscopy (such operations include laparoscopic appendectomy), when there is a need for a preliminary study.
This type of diagnosis has several advantages over other research methods:
- With a similar examination, you can more accurately make a diagnosis, in particular, determine the nature of the disease.
- In parallel with the diagnosis, you can take part of the tissue of the cyst or any other neoplasm for analysis, so that it can be studied in more detail in the laboratory.
Diagnostic laparoscopy, when compared with other methods, is a more expensive study. It is not as fast and painless as ultrasound, but it has a high degree of quality. Because after it, the doctor already knows for sure the patient’s diagnosis and can immediately begin treatment. The thing is that surgical laparoscopy can be performed immediately after the diagnostic or during it.
Note that diagnostic laparoscopy does not require any special preparation of the patient. Of course, you must first obtain the permission of the therapist. He must confirm that the patient has no diseases that would not allow this procedure. Poor blood coagulability (during surgery, there may be damage to blood vessels) and malfunctioning of the cardiovascular system ( carbon dioxide is introduced into the abdominal cavity , which can negatively affect the functioning of the heart).
So, diagnostic laparoscopy has several stages:
- Preparation. During this time, contraindications are eliminated.
- Anesthesia. As a rule, local anesthesia is used.
- Next, carbon dioxide is introduced into the abdominal cavity.
- Then the doctor inserts the instruments through the prepared holes, the amount of which depends on the organ under investigation.
- Diagnosis of the condition of internal organs, further extraction of improvised tools and elimination of carbon dioxide from the abdominal cavity.
During the application of this procedure, there were practically no negative consequences after it. What is possible after such an operation is a slight bleeding that occurs due to vascular injuries.