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Obstetrics

FAQ’s

What is Laparoscopy?

Laparoscopy is a procedure that enables your surgeon to look inside the abdominal and pelvic cavities to diagnose and treat a variety of abnormal conditions. A laparoscope is a long, narrow telescope with a light source and video camera at the end. The scope is passed through a tiny incision into the abdomen where images from the camera are projected onto a large monitor for the surgeon to view the abdominopelvic cavity. Laparoscopes have channels inside the scope enabling the surgeon to pass gas in and out to expand the viewing area or to insert tiny surgical instruments for treatment purposes. The surgical instruments used in operative laparoscopy are very small but appear much larger when viewed through a laparoscope.

How is laparoscopy performed?

Laparoscopy is performed as day surgery either in the hospital or outpatient surgery center under general, regional, or occasionally local anesthesia depending on the type of procedure performed and the surgeon’s preference.

During laparoscopy, the patient is placed lying on their back with their body tilted so the feet are higher than the head. This position helps to move some of the abdominal organs toward the chest allowing the surgeon a clearer view. The surgeon uses a needle to inject a harmless gas into the abdominal cavity near the belly button to expand the viewing area of the abdomen giving the surgeon a clear view and room to work.

The surgeon makes a small incision in the abdomen, usually at or below the belly button, and inserts a tube called a trocar through which the laparoscope is introduced into the abdomen. Additional small incisions may be made for a variety of surgical instruments to be used during the procedure. The location of the incisions will depend upon the reason for the procedure.

With the images from the laparoscope as a guide, the surgeon can look for any pathology or anomaly. The large image on the television screen allows the surgeon to see the abdominal contents directly and to determine the extent of the problem, and then perform the particular surgical procedure, if necessary.

If the surgeon sees an opportunity to treat a problem, a variety of surgical instruments can be inserted through the laparoscope or through other small incisions your surgeon may make.

After treating the problem, the laparoscope and other instruments are removed and the gas released. The tiny incisions are closed and covered with small bandages. Laparoscopy is much less traumatic to the muscles and soft tissues than the traditional method of surgically opening the abdomen with long incisions (open techniques).

What are the postoperative guidelines following laparoscopy?

  • You will need someone to drive you home after you are released as the anesthesia may make you feel groggy and tired.
  • Do not remove the dressings over the incisions for the first two days and keep the area clean and dry. No showering or bathing during this time. The incisions usually heal in about 5 days.
  • Your surgeon may give you activity restrictions such as no heavy lifting. It is very important that you follow your surgeon’s instructions for a successful recovery.
  • You may feel soreness around the incision areas. Your surgeon may give you a prescription pain medicine or recommend NSAID’s (non-steroidal anti-inflammatory drugs) for the first few days to keep you comfortable.
  • If the abdomen was distended with gas, you may experience discomfort in the abdomen, chest, or shoulder area for a couple days while the excess gas is being absorbed.
  • Contact your doctor immediately if you have a fever, chills, increased pain, bleeding or fluid leakage from the incisions, chest pain, shortness of breath, leg pain, or dizziness.

What is Caesarean Section?

Caesarean section also called C-section is a non-vaginal delivery of a baby. It is a surgical procedure of delivering a baby through incisions made in the abdomen and uterus of a pregnant woman.

Why is Caesarean Section Performed?

Your doctor may decide to perform a C-section if your condition is unsafe to go for a vaginal birth. Most of the times, it may be done when unexpected complications arise during labour. At times pregnant women may prefer C-section rather than normal vaginal delivery.

What is preconception counseling?

Preconception counselling is a counselling session conducted before you conceive, and is beneficial for the mother as well as the baby during the term of pregnancy. It helps in checking for possible risk factors during pregnancy and also gives a way to resolve any medical issues you may have before you become pregnant. Pre-pregnancy counselling and care will help you to become physically healthy and emotionally strong before you enter into the phase of pregnancy.

What should I bring with me when I come for a scheduled office appointment?

  • Driver’s License or a valid ID
  • Insurance information
  • Referral Letter (if required)
  • Reports, X-rays, MRI’s, CT scans etc. and any other relevant information
  • List of medications (if any)
  • Are my medical records kept private and confidential?

Your medical file is handled with the utmost respect for your privacy. Our staff is bound by strict confidentiality requirements as a condition of employment. We will not release the contents of your medical file without your consent.

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