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Diagnostic Laparoscopy -- The Procedure

Clip Number: 14 of 40
Presentation: Women's Health -- Common Conditions, Tests, and Procedures
The following reviewers and/or references were utilized in the creation of this video:
Reviewed By: Arthur Schoenstadt, MD
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Now let's discuss your procedure.
After your anesthesia takes effect, your abdomen and vagina will be washed with a special disinfectant solution. Your feet will then be placed in stirrups. A catheter, or small tube, will be placed in your bladder to empty it of urine. The catheter will be taken out before the procedure begins.
Your doctor will begin by placing a speculum into your vagina. A small instrument will then carefully be placed into the end of your cervix. This makes it possible for your doctor to gently move the uterus into different positions, so that your pelvic structures can be seen more clearly through the laparoscope.
Then a small incision, or cut, will be made in or just below your navel. A tube, called a trocar, will then be inserted into your abdomen. Through this, your doctor will fill your abdomen with carbon dioxide gas, which is like the air you breathe out. This gas helps your doctor see your pelvic structures more clearly. The laparoscope will then be inserted. Through this, your doctor will view the inside of your abdomen on a video screen. The laparoscope can also take pictures and videotape the procedure.
Your doctor will be looking for anything that appears abnormal. If your doctor finds something abnormal during the examination, or if an operative laparoscopy was already planned, the main part of the procedure will then begin. Occasionally, two or three small incisions may need to be made just below the navel for other instruments.
The specifics of this portion of the procedure will depend on your particular pelvic problem, its location and size. Once the procedure is complete, the air and instruments are removed; the incisions are then stitched closed and covered with bandages. These stitches will be absorbed by your body over time.
 

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