o The anaesthesiologist may ask questions about the patients health, discuss the procedure and explain 
   what to expect from the anaesthesia.
o Before the surgery, an intravenous line, which consist of a small flexible plastic tube, may be inserted
   into a vein in the patients arm or hand. It is used to give medications and fluids during the operation. Sometimes intravenous medication is administered
   before surgery to help the patient relax.
o The small incisions are stitched with self absorbing sutures which do not have to be removed. So you
   will only have a dressing on the incisions.
o If you have had hysteroscopic myomectomy you will not have any scars on the abdomen, but may
   have bleeding which may last few days.

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What to Expect after the Surgery :

The effects of general anaesthesia make most people feel groggy at first, but they quickly become more alert. Some people experience nausea for a short time after awakening from a general anesthesia. In the recovery room, the individual first rests in bed, then gradually sits up, stands and walks as balance and mobility are regained.
Some laparscopic procedure require an overnight hospital stay.

What problems can occur after Surgery?

Complications after laparoscopic surgery are rare. Most people recover quickly and resume their normal activities without problem. However, the risk of infections or other problems exists as with any kind of surgery.

1. There may be some soreness near the incisions, especially when twisting or stretching the body.
2. There may be discomfort in the abdomen, upper chest, shoulders, and neck area but this disappears
    quickly. You may notice a change in bowel habits for a few days.
3. You may stay in the hospital 1 to 3 days to recover from the surgery. You are started on liquid diet the next day after surgery and gradually shifted
    to soft and later full diet.
4. You can resume your normal routine activity within a couple of days.
5. You should avoid heavy strenuous activity.
6. You are expected to come back for a follow up after one week.

Recovery at Home:

What Self –Care is necessary after returning home?

Individuals who have laparoscopic surgery should carefully follow their doctor’s instructions after going home. The exact kind of care needed depends on the type of surgery, the individual’s age and general health, and other factors. In general, people recovering from Laparoscopic surgery should care for their incision as directed by the doctor, be cautious about certain activities, and watch for any of the warning signs. You should report to the hospital in case of any change in health. There is a doctor on call 24 hrs.

Following laparoscopy on the abdomen or pelvic areas, it is most likely that one will :

o Leave the adhesive bandage or dressing on the incision till your next visit. The bandage is waterproof so
   you can have a shower with it on.
o In case the bandage comes out, please wash the area with soap water, dry it and apply a water
   proof Band-Aid.

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How long will it take for full recovery?

Recovery time depends on the kind of procedure, the patient’s age, and health before the procedure. The following is a normal timetable for recovery from minimum invasive surgery on the abdomen.

o The groggy feeling from the anesthetic disappears the day after surgery and the individuals is fully
   alert once again.
o Any pain in the shoulders or neck are usually goes away after a few days.
o Soreness in the incisions disappears within a few days and the incisions heal after about five days.

o The bloated feeling after abdominal or pelvic laparoscopy goes away within a few days.

When can I go back to work?

Depending on the procedure most people feel well enough to return to work or normal daily activities three to five days after laparoscopy, although some people may need a week or more of rest.

Looking towards the future

New developments in minimally invasive surgery should result in operations that are even easier on the patient and the treatment of a wider range of diseases. In the future, minimally invasive surgery will:

o Use even smaller incisions that heal faster with almost invisible scars. The standard laparoscope is
   about one-half inch in diameter. Newer micro-laparoscopes are about one-tenth of an inch in diameter
   so that some procedures can be performed through small hollow needles.
o Be done for more and more disease. Researchers are developing minimally invasive methods for
   many types of surgery that currently require larger “Open” incisions.

Use computerized technology developed to run industrial robots. A doctor located hundred or thousands of mile from the operating room may perform laparoscopic surgery. The doctor may use an image transmitted over the internet, and move surgical instruments by remote control


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