Laparoscopy for Investigating Pelvic Pain

What is laparoscopy?

Laparoscopy is a minimally invasive surgical procedure performed using a laparoscope, a thin fibre-optic instrument with camera and lens attached to it. It can be used for diagnosing and treating various conditions.

Why is it used in gynaecology?

Laparoscopy in gynaecology is used to check for any abnormalities in the uterus, ovaries, fallopian tubes, and other organs which are not evident by other diagnostic procedures such as X-rays and other scans. Laparoscopy is used to diagnose and treat the conditions of pelvic pain, infertility, fibroids, cysts, tumours, endometriosis, ectopic (tubal) pregnancies, pelvic inflammatory disease and other gynaecological problems.

What is pelvic pain?

Pelvic pain is one of the common gynaecological problems which may be caused by various conditions. Assessing the exact cause for pain is essential to treating the condition. The use of a laparoscope helps in assessing the exact cause of the pain, such as presence of scar tissue, infections, ovarian cysts, gastrointestinal problems, urinary problems, musculoskeletal problems and other conditions.

How is laparoscopy performed to assess pelvic pain?

During laparoscopy, your surgeon makes a small incision in the abdomen, usually at or below the belly button, and inserts a tube through which the laparoscope is introduced into the abdomen. The laparoscope helps in examining the pelvis and the images can be viewed on the large screen. A special contrast dye may also be injected before the procedure for better visualisation of the fallopian tubes. After the procedure, the incisions are closed with stitches and covered with bandages.

RANZCOGCalvary John James HospitalCanberra HospitalAustralian  National UniversityWomens HealthICS