Diagnostic Laparoscopy

When a patient experiences chronic abdominal pain or symptoms that cannot be identified through traditional imaging—such as X-rays, Ultrasounds, or CT scans—a Diagnostic Laparoscopy may be the most effective way to find the cause.

At Advanced Bariatric & Surgical Specialists, Dr. Craig Chang uses this minimally invasive surgical technique to visualize the organs inside the abdomen and pelvis directly. This “look-and-see” approach often provides the definitive diagnosis needed to begin an effective treatment plan.

Why is a Diagnostic Laparoscopy Performed?

While modern imaging is powerful, it doesn’t always show the full picture. Dr. Chang may recommend a diagnostic laparoscopy to investigate:

• Unexplained Abdominal or Pelvic Pain: Identifying the source of chronic pain that hasn’t responded to other treatments.
• Internal Scar Tissue (Adhesions): Scar tissue from previous surgeries can bind organs together, causing pain or blockages that are often invisible on CT scans.
• Endometriosis: A common cause of pelvic pain in women that can only be definitively diagnosed through direct visualization.
• Abdominal Masses: Evaluating a lump or mass that appeared on an imaging test but requires a closer look or a biopsy.
• Fluid Buildup (Ascites): Determining why fluid is accumulating in the abdominal cavity.
• Organ Evaluation: Checking for signs of disease in the liver, pancreas, gallbladder, or spleen.

The Procedure: What to Expect

Diagnostic laparoscopy is typically an outpatient procedure performed under general anesthesia.

1. The Incision: Dr. Chang makes 1–2 tiny incisions (usually less than half an inch) near the belly button or the site of pain.
2. The Laparoscope: A thin tube with a high-definition camera (laparoscope) is inserted. The abdomen is gently inflated with carbon dioxide gas to create space and provide a clear view of the organs.
3. Visualization: Dr. Chang views the abdominal cavity on a high-resolution monitor. He can move the camera to inspect the liver, stomach, intestines, and other structures.
4. Immediate Action: If a problem is found—such as an adhesion that needs to be cut or a small growth that needs to be removed—Dr. Chang can often treat the issue right then and there during the same procedure.

Benefits of a Laparoscopic Approach

Because this is a minimally invasive procedure, it offers significant advantages over traditional “open” exploratory surgery:

• Accuracy: Provides a direct, real-time view of the anatomy.
• Minimal Recovery: Most patients return home the same day and can resume light activities within 24–48 hours.
• Tiny Scars: The small incisions require only a few stitches or surgical adhesive.
• Lower Risk: Less trauma to the body means a lower risk of infection and post-operative complications.

Recovery and Results

Recovery is generally quick. You may feel some mild bloating or shoulder pain for a day or two due to the gas used during the procedure, but this dissipates quickly with walking.
Dr. Chang will discuss his findings with you shortly after you wake up. If biopsies were taken, the results are typically available within a few days, at which point our team will guide you through the next steps of your treatment.

Find the Answers You Need

If you have been suffering from abdominal symptoms without a clear diagnosis, a diagnostic laparoscopy may be the key to your recovery. Contact our Victoria or Corpus Christi office today to schedule a consultation.