Operative laparoscopy · Marrakech
When surgical treatment is needed, operating through small incisions rather than a large opening is often possible. In Marrakech, Dr Oussama Rachid, an obstetrician-gynaecologist, sets the indication at consultation, explains the procedure, its benefits, risks and the alternatives, and supports you before and after. This page is informational and does not replace a consultation.
Under general anaesthesia, the abdomen is slightly inflated with gas. A small camera is passed through an incision near the navel, and two or three other small incisions allow fine instruments to be passed. The surgeon operates while watching the image on a screen.
Depending on the indication, operative laparoscopy may allow:
The detail of the procedure suited to your situation is set out at consultation.
Compared with a large incision, laparoscopy generally causes less pain, smaller scars, quicker healing, a shorter stay and a quicker return to activities. It is not always possible or suitable, however: the approach depends on the lesion, its size and your history, and the surgeon may need to move to a wider opening if safety requires. This is explained before the procedure.
A consultation lets the indication be set, the procedure explained and your written agreement obtained. An anaesthesia consultation is needed. The doctor goes through your treatments (especially blood thinners), allergies and history, orders the necessary tests and gives fasting instructions. Plan to be accompanied and to free up time for recovery.
You arrive fasting. The procedure generally lasts from thirty minutes to a few hours depending on the procedure. You are monitored until you wake up and resume eating. You go home the same day or the next, sometimes later depending on the procedure. You receive written instructions and the number to call with any questions.
Discomfort in the abdomen, bloating and pain in the shoulder (due to the gas) are common and go away in a few days. Activities resume gradually, depending on the procedure.
Consult without delay for fever, increasing pain, vomiting, heavy bleeding, marked swelling of the abdomen or difficulty passing urine. A check-up is planned, with an explanation of the analysis result of any samples.
Like any procedure, laparoscopy carries rare risks: infection, bleeding, injury to a neighbouring organ, the need to move to surgery through a larger incision, complications linked to anaesthesia. The doctor details them before the procedure. Depending on the condition, medical treatment or monitoring may be an alternative: it is presented to you.
No procedure is offered without a clear indication, and a second opinion is gladly accepted.
When surgery is considered in a woman who wants a pregnancy, the aim is to treat while protecting ovarian reserve and tube function as far as possible. The doctor discusses the value and timing of the procedure according to your plans for pregnancy, and avoids any unnecessary surgery.
The procedures and examinations linked to this care. Each is offered after a consultation, according to your situation.
Operative laparoscopy
Treating a cyst, endometriosis, a fibroid or adhesions through small incisions.
Yes, small scars of about one centimetre, which fade with time.
Often one day, sometimes less or more depending on the procedure and your condition. The doctor tells you the expected duration.
Often after a few days to two weeks, depending on the procedure. The doctor gives precise instructions.
In most cases yes. The doctor tells you the advised delay according to the procedure.
Informational content: it does not replace a consultation. No outcome can be guaranteed.
