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A fiber-optic telescope, called a laparoscope, is inserted into the female abdomen below the navel to find endometriosis, scarring, adhesions and other pelvic diseases. Laparoscopy is usually done under general anesthesia, even if you can stay awake if you have local or spinal anesthesia. A gynecologist or surgeon performs the procedure. For laparoscopy, the abdomen expands with gas (carbon dioxide or nitrous oxide). Gas, which is injected with a needle, pushing the abdominal wall away from the organs so the surgeon can see them clearly. The surgeon then inserts a laparoscopy through a small incision and examine internal organs. Additional incisions may be used to insert instruments to remove the internal organs and structures for better viewing.
At the time, the procedure is performed to find the cause of pelvic pain or infertility and is called "diagnostic" laparoscopy. Once the disease is identified, however, the surgeon must be able to do an "operation" laparoscopic, and actually treat the disease. Laparoscopic exploration is surgery to see the organs in your abdomen. Examples of these organs are the stomach, small and large intestine, liver and uterus (in women). During laparoscopy, a health care provider to find the cause of pain, bleeding, abnormal growth, or sickness in your stomach. Health care providers can also find and fix problems in your stomach. For example, health care providers can address hernia or remove adhesions (scar tissue) from the organs and tissues. They may improve blocked or damaged organs or taking tissue samples.
Apart from the treatment of very large fibroids, pelvic surgery that can best be done laparoscopically. Complications of surgery are rare but include: pelvic infection. Controlled bleeding that resulted in the need for an abdominal incision (laparotomy) to stop the bleeding. Scar tissue (adhesions) formation after surgery. Damage to the bladder, bowel or ureter (the tube that carries urine from the small kidney to the bladder). If your doctor recommends laparoscopy, it would be to: See the internal organs to look for signs of endometriosis and other possible problems. This is the only way that endometriosis can be diagnosed with certainty. But "no endometriosis" diagnosis is never certain. Growth (implants) can be tiny or hidden from the view of the surgeon. Remove any visible endometriosis implants and scar tissue that can cause pain or infertility. If the cyst is found growing in ovarian endometriosis (endometrioma), it is likely to be removed.