Laparoscopy is also known as minimally invasive surgery and is a modern surgery technique in which the operations in the abdomen are performed through tiny incisions which are usually of 0.5 to 1.5 cm as opposed to the larger incisions needed in laprotomy.
Advantages of laparoscopy
- Less postoperative pain and morbidity.
- Decreased postoperative adhesion formation.
- Less tissue handling and fever opportunities for foreign body contamination such as lint and suture.
- Shorter hospital stay.
- Better cosmosis.
Indications of Diagnostic laparoscopy
- Pelvic inflammatory disease.
- Ectopic pregnancy.
- Adnexal Torsion can be diagnosed in a timely manner.
- Laparoscopy also permits evaluation of tubal and peritoneal factors in the infertile patient.
- Diagnostic Laparoscopy is an important tool in evaluation of the patient presenting with acute or chronic pelvic pain.
Procedure of a Laparoscopy Centre India
The patient is positioned in the lithotmy position with ten to twenty degree head down so as to displace the intestine cranially. In the absence of operative scar, the periumbilical site (thinnest site and least distance from anterior peritoneum) is the most preferred site of the veress needle insertion.
When adequate insufflations have been achieved, the veress needle is removed and the trocar is inserted. Correct placement of the trocar is confirmed by the escape of gas when the trocar is removed from the sleeve. The laparoscope is then inserted and correct intraperitoneal placement is confirmed.
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