Gynaecological laparoscopy

Keyhole surgery used to diagnose problems within the pelvis such as your ovaries, uterus, and Fallopian tubes.

I have a question about gynaecological laparoscopy

Mr Ahmed Khalil, Consultant Gynaecologist, discusses gynaecological laparoscopy, used to diagnose problems within the pelvis (9 videos)

Video transcript

What is a gynaecological laparoscopy?

Gynaecological laparoscopy is a minimally invasive procedure that allows surgeons to have access to the abdomen and the pelvis without making a large incision in the abdomen. It involves putting a scope or a camera inside to have a look inside the abdomen and the pelvis.

It can be used to treat or for diagnosis or both. Usually, it is used for ovarian cysts, removing the ovaries, the tubes or can be used for a hysterectomy.

How long does a laparoscopy take?

Laparoscopy takes from 30 minutes to a few hours, depending on the complexity of the procedure and what we are going to do.

How long is recovery after laparoscopy?

After laparoscopy, most people will have full recovery within two weeks. However, some people can have extended, full recovery in four to six weeks.

How long will my stomach be swollen after laparoscopy?

Abdominal distention is common after laparoscopy. It usually takes from a few days up to a week to subside. It is because of the irritation of the gas inside. We tend to minimise that by allowing all the gas to come out, but still you will have some distention for a few days.

When should I remove my dressing after laparoscopy?

Usually, we tend to remove the dressings in four to five days, but your surgeon might give you specific instructions when to remove the dressing.

How long after laparoscopy can I exercise?

Light exercise, like walking, can be continued straight away after the surgery. However, heavy exercise should be avoided for at least two to four weeks.

How long after a laparoscopy can I take a bath?

After laparoscopy, it is recommended not to have a bath, swim or immerse in water till the wounds are completely healed. The wounds usually heal in one to two weeks.

How long after a laparoscopy can I have intercourse?

There is no clear guidance when you can have intercourse after laparoscopy. But, in general, we prefer to wait after full recovery, which takes one to two weeks.

How long after a laparoscopy can I drive?

After laparoscopy, you can drive when you can do an emergency brake, but please speak to your insurer before driving.

What is a gynaecological laparoscopy?

A gynaecological laparoscopy is a form of keyhole surgery used to diagnose problems within the pelvis such as your ovaries, uterus, and fallopian tubes. A laparoscopy is a less invasive alternative to open surgery. It allows for a quicker recovery time, and can aid in determining whether you have conditions such as endometriosis, fibroids, ovarian cysts, or other causes of pelvic problems

Why would I have a gynaecological laparoscopy?

You may have a laparoscopy to find out whether you have conditions such as endometriosis, fibroids, ovarian cysts, or other causes of pelvic problems.

What happens during a gynaecological laparoscopy?

A gynaecological laparoscopy is performed under general anaesthetic, and is usually performed as a day case procedure, meaning there is no need for an overnight stay in hospital.

Once you are asleep, your surgeon will make small incisions in your abdomen, which is where the instruments used for the surgery are inserted. An instrument called a laparoscope which has a camera and a light on the end of it will send images back to a screen for your surgeon to see.

Carbon dioxide is also pumped into your abdomen to inflate it and allow your surgeon to clearly examine the area. If treatment is required, further incisions will be made in your abdomen and further instruments inserted to perform the treatment.

Once the procedure is complete, the instruments will be removed and the carbon dioxide will be released. Your incisions will be closed usually with dissolvable stitches.

You will be asked to fast before your surgery, which means no food or drink typically 4-8 hours before your operation.

It is advisable to wear loose clothing to wear after your surgery as you may feel a little bloated from the carbon dioxide.

You must arrange for someone to take you home and stay with you for 24 hours after your operation, as you will be unable to drive.

What should I expect after a gynaecological laparoscopy?

After your surgery, you will usually be allowed to return home after a couple of hours.

Your doctor or nurse will prescribe you with any painkillers for you to manage your pain at home. You will also be asked to wear compression stockings for a while after your surgery. This is usually for two weeks, or up until you are moving around more often.

You may experience ‘gas pains’ in your abdomen or in your shoulders caused by the carbon dioxide. Your body will absorb this naturally over time. You may also have some bruising, but this will fade within a couple of weeks.

Supporting your health, every step of the way

As you move through the different stages of your life – from coping with periods to pregnancy to menopause and beyond - your needs might change.

Taking care of your body and mind at work or in your personal life is important and our female health hub is here to provide you further information and signposting to help.

Visit our women's health hub