Laparoscopy helps to see direct visualisation on the interior of the body and can make laparoscopy treatment.
We shall talk about laparoscopy and its relationship to infertility.
During a laparoscopy it is possible to see clearly internal genitals of the woman and to receive, owing to it, exhaustive information on their condition.
The laparoscopy is surgery during which the tool equipped by optics (one of the laparoscopy instruments) is put into abdominal cavity of patients. In cases of a diagnostic laparoscopy when the only purpose of a woman is to determine the reason and character of the barrenness, it is better than one small cut (5-7 mm) in the area of navel or a little below and away from it.
When besides the diagnostic purposes there is a problem of surgical intervention on tubes or on ovaries doctors should make one-two additional cut on 5-7 mm, as a rule at the right and at the left of the stomach bottom. In this case the laparoscopy turns into an operative one.
Both diagnostic, and an operative laparoscopy can be executed not on every patient. The basic contra-indication to it is a massive commissural process in the abdominal cavity, connected with greater cavitary operations which the patient has undergone in the past in occasion of a peritonitis, bowel obstruction, etc. In the case if there is a gut damage during a laparoscopy with heavy consequences for the patient, then a risk of danger for a life is great.
One more serious contra-indication to a laparoscopy is the expressed cardiac abnormalities since this operation is made in position of the patient head-down and at filling abdominal cavity by gas that can cause cardiac decompensation.
The diagnostic laparoscopy is carried out usually under local anesthesia, and operative - under a narcosis.
It is necessary to remember that the laparoscopy is additional, instead of the basic diagnostic method. It supplements instead of replaces x-ray research of organs of a small plavis.
The laparoscopy is conducted under precisely fulfilled and strictly observed scheme. Despite the external differences from classical cavitary operations, a laparoscopy is the same surgery which is carried out on all classical canons of surgery and according to all requirements and standards of surgery.
After the patient has fallen asleep in a narcosis and the anesthesiologist has authorized to begin surgery, start the first stage - "imposing of pneumoperitoneum". It means that carbonic gas (??2) is forced in an abdominal cavity through thin special cavitary needle. Carbonic gas has been chosen because it is absolutely safe. Gas moves until its pressure in an abdominal cavity does not reach 14-15 of mercury.
Pressure is defined by the same sensitive device it as injects gas and refers to endoflator. This device works during the whole surgery and constantly pumps up gas for constant level of pressure. This gas is necessary as it draws in internal organs protecting them from wound, and raises a forward abdominal wall, than the space for work (for laparoscopy treatment or for diagnostic laparoscopy) is created.
Laparoscopy treatment and diagnostic laparoscopy are very effective medical procedures. Laparoscopy treatment is considered to be a safer surgery than so-called "blind" surgery.