Laparoscopic Technique

 Dr. Kolachalam, Laparoscopy  laparoscopy



What is Laparoscopy?


  • It is a procedure used to examine the organs of the abdominal cavity.
  • Laparoscopy utilizes a laparoscope, a thin flexible tube containing a video camera.
  • The laparoscope is placed through a small incision in the abdomen and produces images that can be seen on a computer screen. A similar procedure can be used to look at the organs of the pelvis (gynecologic laparoscopy or pelviscopy).


  • It allows a direct view of the abdominal organs and structures without the need for major surgery.
  • Laparoscopy may also be used to perform biopsies or surgical procedures, such as an appendectomy or cholecystectomy (removal of gallbladder).
  • Other related procedures that may be used to examine the abdomen include abdominal X-ray, computed tomography (CT scan) of the abdomen, abdominal ultrasound, and abdominal angiogram. Please see these procedures for additional information.


As with any surgical procedure, complications may occur. Possible complications of laparoscopy include, but are not limited to:

  • Bleeding from the site of insertion
  • Misplacement of the gas used to help visualize the organs.

In certain situations, laparoscopy may be contraindicated. These situations include patients with:

  • Aadvanced abdominal wall malignancies
  • Chronic tuberculosis
  • Thrombocytopenia (low blood platelet count) or other bleeding problems,
  • Multiple surgical adhesions
  • Patients taking blood thinning medication.

There may be other risks depending on your specific medical condition. Be sure to discuss any concerns with Dr. Kolachalam prior to your procedure.

Certain factors or conditions may interfere with a laparoscopy. These factors include, but are not limited to, the following:

  • Obesity
  • History of multiple surgeries resulting in adhesions that prevent safe access to the abdomen with a laparoscope.
  • Blood from an intra-abdominal hemorrhage may prevent visualization with the laparoscope.


The difference between the “Open” method & the Laparoscopic method:


  • Open method involves making two- to three-inch incision in the lower right-hand side of the abdomen. The surgeon locates the tissue or organ and removes it through the incision.
  • Laparoscopic method uses several small incisions and three or more laparoscopes—small thin tubes with video cameras attached—to visualize the inside of the abdomen during the operation. The surgeon performs the surgery while looking at a TV monitor. The tissue or organ is removed through one of the incisions.


Image of Options for Ventral Hernia Repair

Options for Ventral Hernia Repair showing where incisions would be placed


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