Laparoscopy

Alternate Names

Band-Aid Surgery, Celioscopy, Pelviscopy

Indications

Pelvic laparoscopy is used both for diagnosis and for treatment and may be recommended for: pelvic pain due to:

  • uterine tissue found outside the uterus in the abdomen (endometriosis)
  • infections (pelvic inflammatory disease) not responsive to drug therapy
  • suspected twisting (torsion) of an ovary
  • ovarian cyst
  • scar tissue (adhesions) in pelvis
  • puncture through the uterus (uterine perforation) following D and C or by an IUD
  • evaluation of infertility
  • sterilization (tubal ligation)
  • evaluation and removal of an abnormal pelvic mass (such as in a fallopian tube or ovary) that was confirmed previously by abdominal ultrasound
  • removal of uterine fibroids (myomectomy)
  • removal of uterus (hysterectomy)
  • Surgical treatment of tubal pregnancy in a hemodynamically stable patient
  • Evaluation of a woman who may have appendicitis or salpingitis

Pelvic laparoscopy is not recommended for patients with:

  • Severe obesity
  • Existing severe pelvic adhesions from previous surgeries.

Convalescence & Recovery

The gas pumped into the abdomen may cause abdominal discomfort for 1 or 2 days after the procedure.

Occasionally, neck and shoulder pain may be noted for several days after a laparoscopy as the carbon dioxide gas escapes through the skin. However, you should be back to normal activities in less than 2 days.

Sexual activities may resume as soon as bleeding, if any, has stopped. Call your doctor if you have severe abdominal pain, persistent fever, or vaginal bleeding.

Risks

Risks for any anesthesia are:

  • reactions to medications
  • problems breathing

Risks for any surgery are:

  • bleeding
  • infection
  • damage to adjacent organs

LEEP (Loop Electrosurgical Excision Procedure)

Outpatient treatment for pre-cancer of the cervix

Based on a recent exam of your cervix, your doctor decided the LEEP procedure is a good option for you. The LEEP procedure removes the entire abnormal area of your cervix with a hot wire loop. The tissue is then sent to Pathology for diagnosis.

How is LEEP done?

LEEP can be done in the office or hospital setting. Dr. Hagen performs this procedure at an outpatient facility (such as Central Park Surgery or Park St. David's in Austin). A small wire loop is used with electrical current to remove the abnormal area of the cervix. The procedure takes approximately 10-15 minutes.

Instructions after the LEEP procedure:

The treated cervix needs time to heal and be protected from trauma and infection. To do this, please follow these instructions: Activity: You may return to work and to your normal activities the day after your treatment. Vaginal Discharge: You may have some vaginal discharge. It may be pink, blood tinged or dark brown/black. You may have spotting or bleeding for 1 to 2 weeks after the treatment. You should call a doctor if your maxi pads last less than one hour. Discomfort/cramping: You may have mild to moderate discomfort similar to menstrual cramps. You may take a pain medicine such as Tylenol (acetaminophen) or Motrin (ibuprofen) as directed to relieve this discomfort. Do not have intercourse, douche or use tampons for 3 weeks. Do not lift greater than 25 pounds for one week ( a basket of wet laundry). You may take a tub bath or shower.

Please call the clinic (512) 304-0318 immediately if any of the following occurs: Fever above 100 degrees or 38 degrees centigrade. Heavy vaginal bleeding - soaking a maxi pad in one hour. Severe abdominal pain that is not relieved by pain medicine. Missed period.

Return Appointments:

You will need a Pap smear in 4 months after the LEEP procedure, then every 4 months after that for one year. In other words, you will need 3 PAP smears during the first year after treatment.

If these are all normal, you will need a PAP smear every 6 months for one year. If these Paps remain normal then yearly Pap’s are recommended.

Pap smears are not as accurate if you are having your period. If you are bleeding on the day you are scheduled for a Pap smear, please call the clinic to reschedule your appointment.