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Laparoscopy

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Laparoscopy which is also known as diagnostic laparoscopy is actually a surgical diagnostic procedure which is used for the examination of the organs located inside the abdomen. The best thing about the procedure is that it involves a very low risk and is a minimally invasive procedure which requires only small incisions to be made. The specialised instrument used for carrying out laparoscopy is a laparoscope which helps in studying the details of the abdominal organs. A laparoscope is basically a long thin tube which has a high intensity light along with a camera at the front that is of a very high resolution. The laparoscope is inserted through the incision made on the wall of the abdomen for the getting the real time picture of the internal organs without an open surgery.
Laparoscopy plays a vital role in studying the details of infertility in the males. The procedure helps in getting a clear picture of the male reproductive organs to find out the exact cause of infertility. Based on the results obtained from laparoscopy, our expert doctors at KARE devise the most appropriate treatment plan to overcome infertility. Thus, it can be very well understood how vital role does laparoscopy plays for the proper identification of reason behind infertility in men.

Preparation for Laparoscopy

Before going for laparoscopy, you should clearly tell the surgeon about any pre - existing health conditions, prescriptions or over the counter medication that you are already on. This would help the doctor in getting a clearer picture about your overall health conditions and the doctor might change the dosage or completely stop some of the medications that could interfere in the outcome of laparoscopy. These medications include the following.

• Any kinds of anticoagulants like the blood thinners
• Any of the non - steroidal anti - inflammatory drugs which includes aspirin, or ibuprofen
• Other types of medications that affects the clotting of blood
• Any types of dietary or herbal supplements
• Vitamin K supplements

Before the procedure of laparoscopy, our expert surgeons at KARE may also order some blood tests, ECG, urinalysis, chest x-ray and some imaging tests such as MRI, CT Scan or ultrasound for a much better understanding of the abnormality which is to be tested for at the time of laparoscopy so that it is more effective.

How Laparoscopy is Performed?

The primary step in the procedure is the use of a general or a local anaesthesia so that no pain is felt during the time of surgery. In general anaesthesia, the patient sleeps throughout the surgery and a local anaesthesia numbs the area where the incision is to be made, thereby the patient remains awake but unable to feel any pain. The next step is the making of an incision just below the belly button where a small tube referred to as a cannula is inserted. This is to make the abdomen inflated with carbon dioxide gas so that the surgeon is able to a clear picture of the reproductive organs. After the inflation is done, the laparoscope is inserted through the incision and the camera of the laparoscope displays images on a screen which allows the reproductive organs to be viewed in real time. In an addition to this, our doctors also use a surgical tool for performing a biopsy where sample tissue of the testes is taken for detailed studying of the cause of infertility.

Authored by Dr. Nirmal Krishnan