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Diagnostic Laparoscopy
A diagnostic laparoscopy is keyhole surgery that uses a thin camera passed through a small cut in the abdomen to look inside at the organs.
Quick answer
Diagnostic Laparoscopy: what it is and what the results mean
A laparoscopy is a procedure in which a laparoscope — a thin tube with a light and camera — is inserted through a small cut, usually near the navel, to view the inside of the abdomen or pelvis. Gas is used to create space to see clearly.
- Why it is done: It is used to investigate abdominal or pelvic pain, endometriosis, fertility problems, unexplained findings on scans, and to take biopsies.
- Understanding results: The surgeon can usually explain what was found soon after you wake up, with biopsy results following later.
What it is
A laparoscopy is a procedure in which a laparoscope — a thin tube with a light and camera — is inserted through a small cut, usually near the navel, to view the inside of the abdomen or pelvis. Gas is used to create space to see clearly.
Why it is done
It is used to investigate abdominal or pelvic pain, endometriosis, fertility problems, unexplained findings on scans, and to take biopsies. It can also be the first step of an operation, allowing treatment through the same keyhole approach.
What to expect
It is done under general anaesthetic. The surgeon makes one or more small cuts, inflates the abdomen with gas and inserts the camera and instruments. A diagnostic procedure often takes 30–60 minutes, and many people go home the same day.
Understanding the results
The surgeon can usually explain what was found soon after you wake up, with biopsy results following later. Findings guide diagnosis and any further treatment, which is sometimes carried out during the same procedure.
Good to know
Risks and limitations
As an operation under anaesthetic, it carries small risks including bleeding, infection, damage to nearby organs and shoulder-tip pain from the gas. Occasionally it needs to be converted to open surgery.
Education and reference only. This explains the test in general terms and is not medical advice. Always follow the specific instructions from the team arranging your test, and discuss your results with your clinician.
Answers
Diagnostic Laparoscopy: frequently asked questions
Why do I get shoulder pain after a laparoscopy?
The gas used to inflate the abdomen can irritate the diaphragm, causing referred pain in the shoulder tip. It usually settles within a day or two as the gas is absorbed; gentle movement helps.
How long is recovery after keyhole surgery?
Recovery from a diagnostic laparoscopy is usually quicker than open surgery — often a few days to a week — though this depends on what was done. Your team will give specific advice.
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Sources
Where this is drawn from
- NHS — Tests and treatments
- NICE — diagnostic guidance
- Relevant royal college / professional body
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