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What Happens During a Diagnostic Pelvic Laparoscopy?
MEDICAL ANIMATION TRANSCRIPT: Laparoscopic techniques require only tiny keyhole incisions or puncture wounds, and the recovery period is much shorter and more comfortable. Your surgeon will gain access to the interior of your pelvis by using a sharp instrument called a trocar to make a small half-inch opening, or port, just below your navel or umbilicus. Carbon dioxide gas will then be pumped through this umbilical port to puff up your abdomen so its contents can be viewed more easily. Next, your surgeon will insert the laparoscope through the umbilical port. Images from its camera are projected onto a video monitor in the operating room. Your surgeon will carefully examine your pelvic organs and tissues, looking for signs of disease that might explain your symptoms. He or she may create other ports through which instruments can be slipped. These additional instruments are used to move organs out of the way for better viewing, or to perform operative procedures, such as removing scar tissue, taking biopsies, or draining abnormal fluid. When the laparoscope and other instruments are removed, a special gas valve is left in place briefly to allow all the carbon dioxide to escape from the abdomen. The keyhole incisions are closed with just a few sutures, or staples, and then covered with bandages.

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