How long does it take to recover after NDVH?
You will need to stay in the hospital for 2 days. After your hospital stay, you will be able to go back home without requiring support. “You can resume your daily chores, walk or climb stairs as usual.” NDVH surgery complications include risks of bleeding or infection that can be expected with any other surgery.

How do I prepare for NDVH?
1. Get a pre-anesthetic check up by meeting the anesthetist with all your reports
2. Take medicine as advised by your surgeon and anesthesiologist
3. Avoid milk or food 8 hours prior to the scheduled time of surgery/procedure. You may drink water till 3 hours prior to the surgery/procedure.
4. Contact your doctor immediately if you have a cough, cold, nasal congestion, fever, vomiting, and/or any other discomfort before admission.
5. Ensure you bathe with soap and water, and wash your hair with shampoo before admission. Cut your finger and toe nails.
6. On the day of the surgery, avoid wearing any jewellery/make up like nail paint, eye liner
7. Bring the necessary documents on the day of admission as recommended by hospital staff.

Laparoscopic procedures - in gynecology utilize small incisions and a laparoscope (a thin, lighted tube with a camera) to visualize and perform surgery on the pelvic organs. This minimally invasive approach offers benefits like less pain, fewer complications, and faster recovery compared to traditional open surgery. Common Laparoscopic Procedures in Gynecology:
• Hysterectomy: Removal of the uterus, either with or without the cervix.
• Myomectomy: Removal of uterine fibroids.
• Ovarian Cystectomy: Removal of cysts from the ovaries.
• Tubal Ligation: Sterilization by blocking or removing the fallopian tubes.
• Endometriosis Treatment: Removal of endometrial tissue and adhesions.
• Ectopic Pregnancy Management: Removal of a pregnancy outside the uterus.
• Pelvic Floor Procedures: Repair of prolapse or incontinence.
Tubal Re-anastomosis: Reversal of tubal ligation.

Advantages of Laparoscopic Surgery:
1. Minimally Invasive: Smaller incisions lead to less pain, scarring, and blood loss.
2. Faster Recovery: Patients often experience a shorter hospital stay and a quicker return to normal activities.
3. Reduced Complications: Fewer infections and other complications compared to open surgery.
4. Cosmetic Benefits: Smaller incisions result in less visible scarring.
5. Improved Visualization: The laparoscope provides a magnified view of the pelvic organs.

How should I prepare for a laparoscopy or laparoscopic surgery?
Follow these guidelines before the procedure or surgery:
Don’t eat, drink (including water) or smoke after midnight the day before your procedure or surgery. Wear loose-fitting clothing. You’ll have some abdominal tenderness and cramping. Wear low-heeled shoes on the day of surgery. You might be drowsy from the anesthesia and unsteady on your feet. Don’t wear any jewelry. (You can wear your wedding ring.) Remove any nail polish before the procedure. Arrange for someone to drive you home after the surgery.

What happens during a laparoscopy or laparoscopic surgery?
You’ll lay on the operating table slightly tilted with your head lower than your feet. Your anesthesiologist will give you general anesthesia to relax your muscles and prevent you from feeling pain during surgery. Your surgeon will then make a small cut near your belly button or under your rib cage. They’ll insert a gas tube into this incision to fill your belly with gas. Pumping the area with gas makes your organs easier to see on the monitor. After removing the gas tube, your surgeon inserts the laparoscope. They may insert surgical instruments through incisions nearby to take tissue samples or perform surgical procedures. Your surgeon will let the gas out of your body once the procedure is over and close your incisions. A diagnostic laparoscopy usually takes from 30 minutes to one hour. Laparoscopic surgery can take from one to three hours, depending on how complicated your condition is. If the surgeon can’t safely complete the operation using laparoscopically, they may need to switch to a traditional open procedure with a larger incision.

What happens right after the procedure?
After surgery, you’ll usually stay in a recovery room for about one hour while providers monitor your vital signs until you wake up.

Will I be in pain when I wake up?
You may have pain after surgery from small amounts of gas left in your body, as well as internal pain from the surgery or around your incisions. It’s also common to have shoulder pain. Your provider will give you pain medication to make you more comfortable. Before leaving the hospital, schedule your follow-up appointment so your healthcare provider can check your healing progress.

Risks / Benefits

What are the advantages of laparoscopic surgery?
The advantages of having laparoscopic surgery include:
Less trauma to the insides of your belly. Less blood loss and a lower risk of hemorrhage. Smaller scars. Less risk of infection. A shorter hospital stay, which means you’ll be able to recover more comfortably at home. Less time in the hospital is also less expensive. Faster recovery time and return to your usual activities. Less pain during healing, so you won’t need as much pain medication.

What are the possible risks or complications of laparoscopic surgery?
Laparoscopy is a very safe procedure. But healthcare providers still consider it a major surgery. Recovery and Outlook

What should I do when I get home?
After you get home from laparoscopic surgery, you’ll want to take it easy for at least a day or two. You should follow these steps: Don’t drink alcohol for at least 24 hours after surgery. Keep the incisions clean and dry. Follow the instructions on how to bathe that your healthcare provider gives you. If you have glue on your incisions, leave the glue until it falls off. Pat dry after a shower. Don’t worry if your urine (pee) is green. Your surgeon might have used a blue dye to check if your fallopian tubes are open. It may take a few days before you can poop as usual.

How soon can I go back to work?
You can usually return to work three days after surgery, but check with your healthcare provider to be sure. If you need a doctor’s letter excusing you from work, please ask for one at your preoperative appointment.

When can I start exercising again?
Usually, you can start exercising again about a week after laparoscopy. But the type of surgery you have will also make a difference. Check with your healthcare provider to be sure.

When can I start having sex again?
When you can start having sex after laparoscopy depends on the type of laparoscopic procedure you have. It’s always best to check with your healthcare provider first.