A laparoscopy may be performed on an outpatient basis or as part of your stay in a hospital. Procedures may vary depending on your condition and your doctor’s practices.
A laparoscopy is generally performed while you are asleep under general anesthesia. However, your doctor will determine the type of anesthesia based on the reason for the procedure and your overall health status.Generally, a laparoscopy follows this process:
- You will be asked to remove any jewelry or other objects that may interfere with the procedure.
- You will be asked to remove clothing and be given a gown to wear.
- An intravenous (IV) line will be inserted in your arm or hand.
An indwelling catheter may be inserted into the bladder to reduce the risk of bladder perforation.
- You will be positioned on your back on the operating table.
- The anesthesiologist will continuously monitor your heart rate, blood pressure, breathing, and blood oxygen level during the surgery.
- If there is excessive hair at the surgical site, it may be clipped or shaved off. If you plan to clip, shave or wax hair off before your appointment, please do so 3 days+ before the procedure to be sure all cuts or wounds have healed.
- The skin over the surgical site will be cleansed with an antiseptic solution.
- If general anesthesia is not used, a local anesthetic may be injected into the incision site to numb the area. You will feel a needle stick and a brief stinging sensation.
- A small incision will be made in the abdomen just below the navel, or belly button.
- Additional incisions may be made so that other surgical instruments can be used during the procedure.
- Carbon dioxide gas will be introduced into the abdomen to inflate the abdominal cavity so that organs and other structures can be easily visualized.
- If general anesthesia is not used, you may experience some discomfort in the abdomen and top of the shoulder as carbon dioxide is instilled and as instruments are manipulated.
- The laparoscope will be inserted and the examination will be performed.
- Once the examination and any additional procedures have been completed, the laparoscope will be removed.
- The incision(s) will be closed with stitches, tape, or surgical staples. If you prefer one method, please discuss this with Dr. Kolachalam. Some methods are preferred for healing, though we are always open for discussion.
- A sterile bandage or dressing or adhesive strips will be applied.