Laparoscopy is the evaluation of the ovaries, peritoneal cavity, outside of the tubes and uterus through a laparoscopy. The laparoscopy is a device almost similar to a miniature telescope consists of a fiber optic tool which throws light into the abdomen.
You should arrange someone to accompany you for at least 48 hours post surgery. You must collect pain medication, over-the-counter pain medications, thermometer, heating pad, food (oatmeal, ice cream, steamed vegetables, rice, bread, and fruits), feminine pads, easy comfortable clothing to put on, and throat lozenges.
You should not eat or drink after 12:00 midnight the night prior to the surgery. If you are taking any medication, consult your physician if you should continue it or stop taking it.
You might have got instructions in this regard during your earlier office visit. Bowel preparation is generally suggested for patients with pelvic adhesions, endometriosis. Preparing the bowel facilitating a purging agent like Go-lytely or Magnesium Citrate is normally followed by some oral antibiotic and enemas. This method cuts down the risk of surgical complications due to bowel trauma during your surgery. Nail polish, jewelry or make-up should be eliminated night prior to surgery. Wear loose-fitting dress to ward off any undue pressure on the umbilicus on the day of surgery.
The nurse anesthetist will monitor your heart rate. You will be administered medication that will leave you drowsy and potentially blur your vision.
A device is inserted in the vagina to move the uterus during operation. Carbon dioxide (CO2) is placed into the stomach using a special needle which is inserted just below the navel. This gas enables to segregate the inside organs of the abdominal cavity, giving proper space to the physician to view the reproductive organs during laparoscopy. The gas is detached at the end of the procedure.
Post surgery, the nurse will examine your pulse, blood pressure, and temperature off and on. The medical assistant will examine your intravenous and dressing. If you feel cold, you can ask for extra blanket. The nurse will inform you regarding the day when you can drink something.
You may not recall conversations immediately post surgery, which is common and lasts for a short period.
Medications are available for nausea and pain. It may be in the form of injections so long you are not able to drink. Once you start drinking, the doctor will change your drugs to pills.
You may also feel a sore throat. It generally lasts for a few days and can often be assisted by throat lozenges.
You will held in the Outpatient Surgery Center for mostly three or four hours after the surgery. When you are able to drain your bladder, you will be relieved from the hospital. If you are not able to flush your bladder or nausea is serious, a 23 hour hospital stay can be recommended.
You may witness drainage from the incisions for one or two days. If required, you may change your dressing if they become saturated. In most events, this secretion lasts not more than 48 hours. If you had undergone a microlaparoscopy band aids can be removed the next morning.
Generally, you can drink only clear liquids so long you have bowel movement or pass gas from your rectum. You may advance your diet at this time. If you experience nausea, consult your physician.
You should not engage in strenuous activity until after your initial post-operation visit to your physician’s office.
You may feel some gas trouble due to residual carbon dioxide which may be left out in your abdomen after the procedure. The pain is generally transient and will subside in a day or two. Heat, exercise and massage can enable you alleviate this pain.
Check your temperature for a week every morning. Report if the temperature soars too much. If you observe augmenting redness, pain, swelling or unusual drainage from your incisions, call your doctor.