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Diagnostic Laparoscopy

What is a Diagnostic Laparoscopy?

A diagnostic laparoscopy is a procedure in which the doctor uses a laparoscope to look at the organs and tissues in your abdomen. A laparoscope is a thin metal tube with a light and tiny camera.

Laparoscopy literally means,"to look inside the abdomen". It is a surgical procedure sometimes referred to by patients as "belly-button surgery". The procedure involves placing a telescope-like instrument through a small, usually ½ inch, incision in the abdomen.

The laparoscope is then attached to a high-resolution TV monitor so that the surgeon and their assistants can complete the procedure. Laparoscopy is usually performed on an outpatient basis, which means that the patient can go home a few hours after the surgery. In addition, recovery times are much shorter than when large abdominal incisions are performed.


What is the purpose of Diagnostic Laparoscopy?

Diagnostic laparoscoy may be recommended to look at the outside of the uterus, fallopian tubes, ovaries, and internal pelvic area. Many infertile patients require laparoscopy for a complete evaluation. Generally, the test is performed after the basic infertility screening tests, although the presence of pain, history of past infection or an abnormal ultrasound may signal the need to perform diagnostic laparoscopy sooner in the evaluation. In some women the fallopian tubes are blocked. This can prevent sperm and egg from coming together, causing infertility. With laparoscopy, a simple test confirms this possibility. A coloured fluid is injected through the uterus. If the tubes are open the fluid will flow out the ends of the tubes into the abdomen. The surgeon can see this through the laparoscope.

This procedure also allows us to determine whether there are any defects such as scar tissue (adhesions), endometriosis, ovarian cysts, ectopic pregnancy, tubal disease, genital tuberculosis, fibroid tumors and other abnormalities of the uterus. If any defects are found then they can often be corrected with operative laparoscopy which involves placing instruments through ports in the scope and through additional, narrow (5 mm) ports which are usually inserted at the top of the pubic hair line in the lower abdomen.


What are the benefits of Diagnostic Laparoscopy?

How do I prepare for Diagnostic Laparoscopy?

kind of anesthesia is used for Diagnostic Laparoscopy?

Laparoscopy is usually performed as an outpatient procedure, under general anesthesia, and with minimal discomfort.


How is Diagnostic Laparoscopy performed?

After anesthesia, a needle is inserted through the navel, and the abdomen is filled with carbon dioxide gas. As the gas enters the abdomen, it creates a space inside by pushing the abdominal wall and the bowel away from the organs in the pelivic area allowing a view of the reproductive organs. The laparoscope is then inserted through the same incision. It is connected to a tiny camera that send images to a television monitor. While looking at the monitor, the surgeon can see the uterus, fallopian tubes, ovaries, and nearby structures. A small probe is inserted through another incision just above the pubic region to move the organs into clear view. A device called a uterine manipulator may be placed in the uterus through the vagina to move the uterus during the procedure.

The monitor makes the images larger and easier for the doctor to see. These images are recorded for later viewing and a copy of the same will be given to you on a compact disc.

The doctor uses the laparoscope to see the following parts of the body.

Additionally, a blue solution is injected through the cervix to determine if the fallopian tubes are open. The procedure usually takes about 15 to 20 minutes.

If no abnormalities are noted at this time, the instruments are removed and the gas released (If defects or abnormalities are discovered, one can proceed to operative laparoscopy).The cuts are then closed without stitches, using an adhesive dressing. You are kept in a recovery room for one to three hours while anesthesia wears off. In a few hours, you can go home.


What happens after Diagnostic Laparoscopy?

The anesthetic may cause sleepiness or grogginess for a while. You are allowed liquids after 4 hours and soft diet in the evening. The most common complaints after laparoscopy include

Most symptoms usually improve within 24 to 48 hours after surgery.


What are the risks associated with Diagnostic Laparoscopy?

Complications after laparoscopic surgery are rare. The incidence is about 3 of every 1,000 women who have diagnostic laparoscopy. However, the risks may be greater for people who are obese, smoke cigarettes, or have additional health problems.

Most people recover quickly and resume their normal activities without problems.


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