Dos and don'ts after gynae laparoscopic surgery

Posted By Dr. Deepti Asthana on 14-07-2021

Everyone's experience with laparoscopic surgery is different. Each of us will have a unique experience depending on our expectations, the complexity of the operation, the length of the surgery, the surgeon, the facility, the nursing staff, how we respond to pain, and a variety of other things. If you have a gynae issue that may require a surgical solution, call and book your appointment with Dr Deepti, one of the best gynae laparoscopic surgeons in Gurgaon.

When it comes to treatments, especially surgical, everyone heals differently. What applies to one person may not apply to another.

Because there are few resources that address laparoscopy from a patient's point of view, the following information was assembled to provide women with a better understanding of what is involved before and after laparoscopy.

Overview of the technique

Laparoscopy is typically performed under general anaesthesia. In most cases, a tiny incision at the belly button is made, and the abdomen is filled with CO₂ gas. This elevates the abdomen away from the internal organs, allowing the surgeon to see more clearly. After that, the illuminated laparoscope is placed into the abdomen. Two additional small incisions in the abdomen may be made so that additional surgical devices, such as a probe to move organs, can be utilised during the surgery. Many surgeons additionally use a video camera attached to the laparoscope to widen the view and allow the entire surgical team to witness the process.

The doctor examines the pelvic organs during the laparoscopy, looking for apparent and unusual endometriosis lesions, as well as endometriomas (endometriosis-filled cysts), adhesions, and scarring. Laparoscopy is the best diagnostic tool to confirm endometriosis. The doctor may also examine for fibroid tumours, ovarian cyst or other abnormalities based on your history and symptoms. Other procedures, such as a hysteroscopy (an examination of the uterus's interior), may also be performed additionally. Patency of your fallopian tubes could also be tested in cases of infertility.

Duration of stay

Laparoscopy is typically performed as an outpatient procedure, though an overnight stay may be necessary if the surgery is difficult or lengthy. It's a good idea to be mentally prepared for at least one night's stay.

Fears

Almost everyone is afraid of surgery in some way. We may be concerned about the risks, anaesthesia, pain, or what the surgeon may (or may not) discover. If you're terrified, it's a good idea to figure out what you're afraid of and then focus on reducing that fear. For example, if you are terrified of anaesthesia, address your concerns with your doctor and the anaesthesiologist before the surgery. If you're frightened of the pain, ask your doctor how it will be controlled.

Preparing the bowel

The surgeon frequently recommends a bowel prep the night before surgery. The procedure varies, but it usually includes a liquid diet and various bowel preparations. This is not a pleasant procedure but it is required if bowel dissection are expected.

Pain that occurs immediately after surgery

You may be in discomfort as you awaken from anaesthesia in the recovery room. If this is the case, make sure to speak out so that your pain can be properly controlled. You will feel cold after waking up from anaesthetic. If you're feeling cold, request more heated blankets. You may also experience a sore throat as a result of the tube that was inserted into your throat during surgery. Inform the nurse or doctor if any of the symptoms become troublesome. Most of the time, you will be given a prescription for pain medicine to use at home.

Shoulder ache

One of the most troubling aspects of laparoscopy is the accompanying shoulder ache. The CO₂ gas becomes trapped against the diaphragm, causing this. Heat and analgesics are frequently used to provide relief. You can be rest assured that time will heal all wounds.

Nausea

After a laparoscopy, it appears that the majority experiences nausea. There are numerous drugs available to aid with this. Some can be taken before, some during, and some after operation. Consult your doctor and/or anaesthesiologist ahead of time about the strategies they employ to reduce nausea. Many women find that lying down relieves their nausea. Some natural therapies, such as ginger tea, may also help. To be on a safe side, always consult your doctor before using any herbs or supplements.

Duration of recovery

Recover is usually smooth if extensive dissection has not been done. You would be required to follow post op instructions and prescribed medicines. During the first two weeks, you should rest.

Following a laparoscopy, your doctor may advise you not to drive for two weeks. Intercourse, tub bathing, douching, and swimming will be prohibited as well. For the first few days, don't put too much pressure on yourself. You will most likely be exhausted and require numerous naps. However, get up and move around as much as you can. Moving around will help you heal faster.

Post-op blues

Following surgery, most of us go through a time of emotional ups and downs. The blues might last for several weeks for some people. It is not uncommon for people to cry easily or to get uneasy, irritated, scared, or suspicious. Some of us have also had nightmares as a result of surgery. All of this will pass in time, and you will feel more in control. During your physical and mental rehabilitation, be nice and compassionate with yourself.

Numbness around the incision site

You may have a "pins and needles" feeling at the location of the incision. This is because the nerves have been severed. The nerves will mend and the sensation will fade with time. Contact your doctor if you experience any uncomfortable symptoms at the incision site, such as a knot, edema, or redness.

Loose clothing following surgery

Most of us have discovered that wearing comfortable clothes is really beneficial during the first few weeks following a laparoscopy. The incision site will be sore, and the abdomen will be bloated. As a result, you should avoid wearing anything that is too tight around the middle. If you don't have many loose-fitting clothes, you might wish to buy a couple before surgery.

Menstruation for the first time after surgery

The first menstrual cycle brings with it a wide range of emotions. Don't be alarmed if your period is more painful, longer, or heavier than normal. External healing is considerably faster than internal healing. As a result, the first few periods may be more uncomfortable. However, if you are concerned about the severity of your discomfort, or if it is severe, consult your doctor. Call and book your appointment with Dr Deepti Asthana, one of the Best gynae laparoscopic surgeon in Gurgaon. She is Senior Consultant in Fortis Hospital , Gurgaon and Director Kalosa Clinic.