News | International
13 Jul 2024 3:55
NZCity News
NZCity CalculatorReturn to NZCity

  • Start Page
  • Personalise
  • Sport
  • Weather
  • Finance
  • Shopping
  • Jobs
  • Horoscopes
  • Lotto Results
  • Photo Gallery
  • Site Gallery
  • TVNow
  • Dating
  • SearchNZ
  • NZSearch
  • RugbyLeague
  • Make Home
  • About NZCity
  • Contact NZCity
  • Your Privacy
  • Advertising
  • Login
  • Join for Free

  •   Home > News > International

    What to expect before undergoing a laparoscopy for endometriosis

    It's understandable to feel nervous about having a laparoscopy for endometriosis. Knowing what is involved can help ease your mind.

    If you're scheduled to have a laparoscopy for the diagnosis or treatment of endometriosis, you might be wondering what is ahead.

    It's understandable to feel nervous about the procedure, especially if it's your first time, says Donna Ciccia, director and cofounder of Endometriosis Australia.

    Feeling prepared can help, so we asked Ms Ciccia and Dr Marilla Druitt, member of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, for their expertise and advice.

    What is a laparoscopy?

    A laparoscopy, also known as key-hole surgery, is a surgical procedure used to inspect, and operate on, the organs inside the abdomen and pelvis.

    It's known as 'minimally invasive' surgery with smaller cuts, less pain, and quicker recovery time than other types of surgery, so is less taxing on the body.

    Why laparoscopic surgery for endometriosis diagnosis and treatment?

    While recent advancements mean some specialised clinicians can "rule in" endometriosis with imaging, says Ms Ciccia, a laparoscopy remains the only way to confirm a diagnosis.

    If endometriosis can be seen during the laparoscopy, often it can be removed at the same time.

    Other conditions can also be ruled out or diagnosed.

    Dr Druitt says a sample of the endometriosis will often be sent for examination to confirm the diagnosis (unless on ovaries or places inappropriate to resect from).

    What happens during a laparoscopy for endometriosis?

    The operation takes place under general anaesthetic.

    A "skinny camera" (called a laparoscope) about 0.5 centimetres in diameter is put through small cuts in the abdomen, explains Dr Druitt.

    The abdomen is filled with carbon dioxide gas, which allows the surgeon to see the organs more clearly.

    "We can inspect the uterus, tubes, ovaries and peritoneal surfaces, and the outside of the bowel," she says.

    Surgeons are looking for abnormal deposits of endometrial tissue, scarring, or cysts.

    At the end of the laparoscopy, the laparoscope and instruments are removed, the gas is let out, and the incisions are closed with stiches or glue.

    The number of incisions made, how long it takes, and what is removed during the surgery — and where from — will all depend on your individual case, Dr Druitt says.

    It's usually a day procedure but some patients may stay overnight.

    How can you best prepare ahead of a laparoscopy?

    Listening to the advice of your doctor is important. 

    What they advise for the days leading up to the surgery, whether that's around diet or bowel preparation, for example, may differ depending on the surgeon and your case, says Ms Ciccia.

    "Have a chat to your doctor and your anaesthetist. If you're nervous, tell them that — they can help," she says.

    Ask questions if you aren't sure about something. If you're worried you will forget, write them down.

    In terms of pain management, Dr Druitt says the more things you can do to decrease your pain before the operation, "the less pain you will have after".

    Examples she shares include getting good sleep and regular exercise.

    Let work or university know you will likely need a week off, although some may feel up to usual tasks before that time, says Dr Druitt, while others may need six weeks to recover.

    Ms Ciccia says it's important to flag with your support network that you may need help with childcare and other duties while you are recovering.

    You will need someone to drive you home from hospital, for example.

    She recommends joining Endometriosis Australia's closed Facebook group where patients share their tips with each other.

    While most patients can go home the same day as surgery, it doesn't hurt to pack on overnight bag in case you need to stay.

    You should also have a follow-up appointment with your surgeon booked to discuss results in depth, and any further treatment plans.

    What is laparoscopy recovery like?

    Dr Druitt says it's safe to resume daily living activities when you feel OK to do so, usually a few days after surgery. She adds movement that feels achievable and comfortable can help you feel better.

    Ms Ciccia says to be kind to yourself, however, and don't be in a rush to "run a marathon".

    "I think it really depends [on your individual circumstances] on what recovery will look like — be gentle on yourself."

    Dr Druitt recommends small meals during the first few days of recovery, and foods that are easier on the digestive system.

    Items you might like to have prepared for recovery suggested by our experts include:

    • Panty liners to period underwear to manage light bleeding
    • Soft underwear and pants that don't dig into your stomach
    • Over-the-counter painkillers such as paracetamol and ibuprofen
    • Fresh sheets on the bed or a warm blanket on the couch where you will spend recovery, with water, snacks, and entertainment nearby.

    This is general information only. For detailed personal advice, you should see a qualified medical practitioner who knows your medical history.


    © 2024 ABC Australian Broadcasting Corporation. All rights reserved

     Other International News
     12 Jul: We made a spreadsheet to manage the mental load. It worked until our lives changed
     12 Jul: Seven stand-out moments from Joe Biden's high-pressure press conference
     12 Jul: Australian couple David Fisk and Lucita Cortez named as victims in Philippines suspected murder
     12 Jul: Why Shelley Duvall disappeared from Hollywood
     12 Jul: Joe Biden says 'there is no indication' of him slowing down after 'Trump' and 'Putin' gaffes — as it happened
     12 Jul: Court hears from witnesses on second day of Alec Baldwin's involuntary manslaughter trial in death of Halyna Hutchins on Rust set
     12 Jul: How a lost story of American slavery was found in Australia
     Top Stories

    The All Blacks are expecting an improved England side at Eden Park from the one that pushed them so close last week in Dunedin More...

    The retail sector may need to hang on just a little longer More...

     Today's News

    Living & Travel:
    Emergency services are at Wellington airport where there've been reports of a chemical smell inside a cockpit 21:57

    Stealers Wheel star Joe Egan has died 21:34

    Accident and Emergency:
    At least 60 people are believed to be missing in Nepal after two buses were swept off a highway by a landslide and into a swollen river 21:17

    We made a spreadsheet to manage the mental load. It worked until our lives changed 21:07

    Meagan Good's friends warned her not to date Jonathan Majors 21:04

    Rashida Jones was bitten by Michael Jackson's pet chimpanzee when she was a child 20:34

    JoJo Siwa's grandma encouraged her to "take a shot" on stage 20:04

    Seven stand-out moments from Joe Biden's high-pressure press conference 19:47

    Sharon Stone believes Kevin Spacey will never be allowed to mount a comeback because he "offended men" 19:34

    Ariana Grande has hit out at the double standards she's faced after being criticised for her changing voice 19:04

     News Search

    Power Search

    © 2024 New Zealand City Ltd