Diagnostic laparoscopy is a surgical procedure wherein minor surgery is performed in order to make a diagnosis in uncertain and difficult-to-diagnose cases. Nowadays it has come to replace the completely invasive laparotomy “cut it open and see what you can find" tactic. The big difference is that in laparoscopy diagnostic, the patient barely feels a thing and fully recovers within a week, while recovery from a laparotomy is comparable to that of major abdominal surgery. Very often it can take more than a month. Another benefit is that very often diagnostic laparoscopy leads directly to an operation by which the established problem is solved. Then recovery is proportionate to the problem that was discovered.
Symptoms that may necessitate a diagnostic laparoscopy are many and varied. Because this diversity usually does not point to a specific problem, it is therefore necessary to find out what is going on and what is tormenting a patient via an invasive method.
In the majority of cases, we manage to arrive at a diagnosis during diagnostic laparoscopy. But there are cases in which, although an operation is performed, a diagnosis still cannot be made. However, taking into account the fact that no other method or means of diagnosis can help, sometimes it is really the only viable option. During a diagnostic laparoscopy, if you do not receive an accurate diagnosis, at least you gain information about the reasons for your ailments or type of disease and whether solutions include possible surgery or more conservative options.
The good thing about diagnostic laparoscopy is that as soon as the problem is found, it can turn into a healing laparoscopic surgery or into an open surgery. There have been cases in my practice where we found a solution in five minutes to a problem that had been tormenting the patient for a long time.
If there is a need for diagnostic laparoscopy, we will explain the pros and cons and the steps to be taken. I will focus on the findings and at the same time the options available to resolve them. I will need your prior consent to carry out several different by size and by perspective operations. Otherwise, the alternative is to find the problem in the first diagnostic laparoscopy operation, complete the operation, wait until the patient regains consciousness, explain the problem and the possible solutions, and at a later stage, for example, the next day, perform another operation to resolve it. Since that is not reasonable as per accepted surgical best practices, I will ask for prior consent in order to create the best case scenario for the patient. You can always count on my sole purpose being to provide the patient with the solution that works best for him. If I find that there is a problem that another specialist or second opinion can solve better than I can, I will not hesitate to search for assistance.