Laparoscopy, also known as minimally invasive surgery, involves the use of a flexible endoscope tube with a light source and camera to enter the abdominal or pelvic cavity through one or more small incisions made in the patient’s abdomen. This procedure is divided into diagnostic and therapeutic types, allowing for proper diagnosis and treatment of various conditions.
Due to the ability of doctors to perform detailed examinations of the pelvic or abdominal organs through laparoscopy, it is widely used in gynecology in addition to its common applications in gastroenterology and urology. It enables more accurate diagnosis, identification of causes, and treatment of gynecological diseases such as ovarian cysts and endometriosis.
The doctor makes a small incision in the patient’s abdomen and inserts a tube with a light source and camera to directly examine organs such as the uterus, ovaries, fallopian tubes, liver, pancreas, and gallbladder. It is primarily used to investigate the causes of abdominal or pelvic pain, tissue tumors, diagnose endometriosis and pelvic inflammatory disease, check for tubal blockages, and identify the causes of infertility.
Through laparoscopic surgery, doctors can perform various procedures, including:
|Private Hospital / Medical Center||Fees|
|Hong Kong Sanatorium & Hospital|
|St. Paul’s Hospital|
|Hong Kong Adventist Hospital – Stubbs Road|
|Gleneagles Hospital Hong Kong|
|Matilda & War Memorial Hospital|
|Saint Teresa’s Hospital|
|Hong Kong Baptist Hospital|
|Precious Blood Hospital (Caritas)|
|Hong Kong Adventist Hospital – Tsuen Wan|
|CUHK Medical Centre|
Most laparoscopic surgeries are covered by voluntary health medical scheme. Bowtie’s voluntary health medical scheme fexi Plan allows customers to choose their coverage and only requires a monthly fee of $200 (uniform charge for all ages). By purchasing Bowtie’s Gleneagles Hospital Medical and Health Combo, designated surgeries or examinations can be fully compensated*. Some of the laparoscopic procedures covered include:
Most laparoscopic procedures are performed under general anesthesia. During the surgery, the patient is positioned with the head down and feet up to allow gravity to move the organs away from the pelvis, facilitating the laparoscopic procedure.
The surgeon will make one or two small incisions on the patient’s abdominal skin. The first incision (approximately 1 to 1.5 cm) is made below the navel, and through this incision, the surgeon will insert a cannula to introduce carbon dioxide into the abdominal cavity. This is mainly done to create space inside the abdominal cavity, allowing the surgeon to have a clear view of the internal organs and facilitating disease diagnosis or surgical treatment.
The second incision is usually used to insert the laparoscope, which is equipped with a light source and a camera. The location of this incision depends on the position of the organ being examined. Once the laparoscope is inserted, the surgeon directly examines the intended area using the images transmitted through the laparoscope or displayed on a TV monitor.
If a surgical treatment is required, the surgeon will make additional small incisions on the skin to insert the necessary surgical instruments. For example, in the case of appendix removal, the surgeon may need to make a third small incision in the abdomen to guide the instruments for the removal procedure, guided by the images from the laparoscope.
After the completion of the entire laparoscopic procedure, the surgeon will remove all instruments, release the carbon dioxide gas from the abdomen through the laparoscope, and then suture all incisions, applying appropriate dressings.
Laparoscopic examination or surgery is a lower risk medical procedure, but there may be potential side effects: