Laparoscopy diagnostic: the essence and methodology of conducting
Diagnostic laparoscopy is a surgical procedure that involves the introduction of a small chamber into the abdominal cavity, which is made through the navel or a small hole near it. The image from the camera is fed to the monitor, which allows the doctor to monitor the process and observe what is happening inside. During this operation, you can enter not only one tool, but two. In the role of the second is the manipulator, by means of which the surgeon can change the position of the necessary organ for a more detailed examination. The diameter of each hole, which is required for the procedure, is no more than 7 mm.
Diagnostic laparoscopy allows:
- 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.
- Precisely set the size of the ovarian cyst, myoma and other uterine neoplasms. This procedure also determines their location.
- To diagnose ectopic pregnancy.
- Establish the stage of endometriosis, as well as identify the main foci of the disease.
- Establish vices 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.
- To diagnose liver diseases.
- In general, determine the diagnosis.
Typically, this kind of laparoscopy is indicated only in cases where the doctor can not accurately diagnose the disease. Also, this procedure is prescribed before the surgical laparoscopy( such operations include laparoscopic appendectomy), when it becomes necessary to conduct a preliminary study.
This type of diagnostics has a number of advantages over other methods of research:
- With such an examination it is possible to more accurately diagnose, in particular, to determine the nature of the disease.
- In parallel with the diagnosis, you can take a piece of tissue cyst or any other neoplasm for analysis so that it can be studied in more detail in the laboratory.
Laparoscopy is a diagnostic, if compared with other methods, is a more expensive study. It is not as fast and painless as ultrasound, but has a greater degree of quality. Because after him the doctor already knows the diagnosis of the patient and can immediately begin his 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 first need to get a therapist's permission. He must confirm that the patient has no diseases that would not allow this procedure. An obstacle may be poor blood clotting( blood vessel damage can occur during the operation) and cardiovascular system disorders( carbon dioxide is introduced into the abdominal cavity, which can negatively affect the heart's work).
So, the diagnostic laparoscopy has several stages:
- Preparation. During this time, an exception is made for contraindications.
- Anesthesia. As a rule, local anesthesia is used.
- Further, carbon dioxide is introduced into the abdominal cavity.
- Then the doctor enters the instruments through the prepared holes, the number of which depends on the organ being examined.
- Diagnosis of internal organs, further extraction of improvised tools and removal of carbon dioxide from the abdominal cavity.
During the application of this procedure, negative consequences after it were practically not fixed. What is possible after such an operation is a small bleeding that occurs as a result of vascular injuries.