Laparoscopic Surgery for Chronic Pelvic Pain

Laparoscopic surgery for chronic pelvic pain is a procedure used to help diagnose and possibly treat a gynecological problem that is causing the symptom of pelvic pain. If your doctor finds a problem during the procedure, he or she will continue the surgery. Conditions such as adhesions may be removed with scissors or other instruments.

Chronic Pelvic Pain and Laparoscopic Surgery: An Introduction

If a person is suffering from chronic (long-term) pelvic pain, a healthcare provider may recommend a procedure called laparoscopy (also known as laparoscopic surgery). Chronic pelvic pain can be a puzzling and frustrating medical condition. It often results in pain that is long-lasting and disabling that affects your mood, as well as your physical activities. Laparoscopy can help diagnose and treat several gynecological problems that may produce the symptom of chronic pelvic pain. It is an effective and safe alternative to open abdominal surgery.
 

Preparing for Surgery

After your anesthesia takes effect, your abdomen (stomach) 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 laparoscopy begins.
 

The Surgery Itself

Your doctor will start the laparoscopic surgery for chronic pelvic pain by putting a speculum into your vagina so that the cervix may be seen clearly. A small instrument will be carefully put into the vagina and through the opening of your cervix. This makes it possible for your doctor to gently move the uterus into different positions. Moving the uterus helps the doctor see the pelvic structures through the laparoscope more clearly.
 
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.
 
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