Laparoscopy (keyhole surgery)

Laparoscopy is a type of keyhole surgery used to diagnose and treat conditions. It allows a surgeon to use only small cuts and a camera for procedures inside the tummy or pelvis.

A laparoscopy can be used to diagnose conditions such as appendicitis, pelvic inflammatory disease, endometriosis and some cancers, such as liver cancer and ovarian cancer.

It's also used for surgery to treat conditions, such as:

removing organs such as the appendix or gallbladder
repairing hernias or burst or bleeding stomach ulcers
removing organs affected by cancer, such as the ovaries, prostate or liver
treating an ectopic pregnancy
removing the womb (hysterectomy) or fibroids
weight loss surgery

A laparoscopy is often recommended because the recovery time is faster than other types of surgery.

The hospital will give you information about how to prepare for a laparoscopy.

Depending on why you're having a laparoscopy, you may be asked to do certain things, such as:

not eating or drinking
stop taking certain medicines, such as anticoagulants
stop smoking

You cannot drive after having a laparoscopy, so you'll need to organise for someone to drive you home.

Find out more about how to prepare before having surgery.

If you're having a laparoscopy to diagnose a condition, it usually takes between 30 and 60 minutes. It'll be longer if you're having surgery to treat a condition.

A laparoscopy is done under general anaesthetic, so you'll be asleep during the operation and will not feel any pain.

The surgeon will make a small cut, usually near your belly button.
Air is pumped into your tummy through the cut so the surgeon can see inside your tummy more easily.
A thin, flexible tube with a camera inside (a laparoscope) is then put into the cut so video images of the inside of your tummy can be shown on a screen.
If you're having surgery, more small cuts may need to be made in your tummy for the surgeon to pass their tools through.
When it's finished, the air is let out of your tummy and the cuts are closed with stitches or clips, and a dressing is placed on top.

After the operation

You'll spend some time in the recovery room and have medicine to help with pain and swelling.

After the operation, you may:

feel sick or be sick
feel more tired than normal
have a sore throat
have bloating, cramps or pain and discomfort in your tummy
get shoulder pain
have bruises around your wounds

Most people can leave hospital either on the same day or the day after.

How long it takes to recover from a laparoscopy varies.

It usually takes up to 5 days if you had it to diagnose a condition, or up to 6 to 8 weeks to fully recover if you've had surgery.

There are things you can do to help your recovery.

Do

take paracetamol or ibuprofen to help with any pain
make sure you drink lots of fluids and have a healthy diet
wear compression stockings if you've been given some
move around as much as you can
do foot and leg exercises, such as moving your ankles in circles, while you're resting
keep your wound dry for the first 24 hours – you can shower after this, but make sure the water is not too hot, as it can make the wounds bleed

Don't

do not have a bath for the first 2 weeks, or until the wound has healed
do not drive for 48 hours or until you can do an emergency stop (but check with your insurer first)
do not fly for 48 hours after having a laparoscopy
do not drink alcohol for 48 hours
do not smoke as it can take your body longer to heal

A laparoscopy is a common procedure.

Complications are rare, but can include:

needing to have open surgery with a larger cut
a hernia
damage to an organ, such as your bladder
damage to a blood vessel
a serious allergic reaction (anaphylaxis) to the general anaesthetic
blood clots, such as a DVT (deep vein thrombosis) or pulmonary embolism

Ask for an urgent GP appointment or get help from NHS 111 if:

You recently had a laparoscopy and:

you have a high temperature or are getting chills
you have severe or continuous vomiting
your tummy pain is getting worse
your tummy is bloated
there's pain, swelling, bleeding or pus or redness around your wounds – the redness may be more difficult to see on brown or black skin
you have any unusual bleeding or discharge from your vagina, penis or bottom
you have pain and swelling in 1 of your legs
you're coughing up blood
you have difficulty breathing – you may be more short of breath than usual

You can call 111 or get help from 111 online.

Call 999 or go to A&E if: