In this video, we will discuss that Diagnostic laparoscopy is a minimally invasive surgical procedure that allows direct visualization of the intra-abdominal and pelvic organs. It serves as a valuable tool for diagnosing a wide range of conditions that are often difficult to assess through non-invasive methods such as ultrasound, CT, or MRI. In this video, titled "Demonstration of Diagnostic Laparoscopy: A Key Tool in Evaluating Abdominal and Pelvic Pathologies," viewers are taken through the essential steps of performing this procedure with precision and care.

Overview of the Procedure

Diagnostic laparoscopy is performed under general anesthesia and involves the introduction of a laparoscope (telescope) into the abdominal cavity through a small incision, usually at the umbilicus. The cavity is insufflated with CO₂ gas to create a pneumoperitoneum, allowing clear space for visual inspection and manipulation.

Key Steps Demonstrated in the Video

Patient Positioning and Preparation

The patient is placed in supine or lithotomy position depending on the indication.
Aseptic technique is followed with proper skin preparation and sterile draping.

Creation of Pneumoperitoneum

A Veress needle or open (Hasson) technique is used to insufflate the abdomen to 12–15 mmHg pressure with carbon dioxide.

Trocar Insertion and Scope Entry

A primary 10mm trocar is inserted through the umbilicus for the laparoscope, followed by accessory ports as needed based on exploration goals.

Systematic Abdominal and Pelvic Survey

The laparoscope is navigated to examine structures including the liver, gallbladder, stomach, spleen, small and large bowel, uterus, fallopian tubes, and ovaries.

Pathological findings such as adhesions, endometriosis, internal bleeding, cysts, tumors, or perforations are highlighted.

Biopsy or Minor Interventions (If Indicated)

In some cases, a laparoscopic biopsy or minor therapeutic procedure (e.g., adhesiolysis) may be performed based on findings.

Closure and Recovery

CO₂ is evacuated, trocars are removed, and incisions are closed with minimal suturing, allowing for faster healing and reduced postoperative discomfort.

Clinical Applications of Diagnostic Laparoscopy

Unexplained abdominal or pelvic pain
Evaluation of infertility
Suspected appendicitis or ectopic pregnancy
Assessment of abdominal masses or malignancies
Staging of gynecological or gastrointestinal cancers

Conclusion

This demonstration underscores the role of diagnostic laparoscopy as a powerful tool for accurate diagnosis and decision-making in both emergency and elective surgical settings. With its high visual clarity, minimal invasiveness, and rapid recovery time, diagnostic laparoscopy continues to be a cornerstone in modern surgical practice.

Watch the full video to understand how this procedure is performed and how it supports accurate, real-time assessment of intra-abdominal and pelvic conditions. Don’t forget to like, comment, and subscribe for more surgical demonstrations and educational content.