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box border --></div> <div class="box-right-border-persist"><!-- right sticky box border --></div> </div><!-- box-sticky --> </div> </div> </div> </div><!-- header --><div class="hl" id="hl"> <div class="container c"> <div class="hl-loading-mask"> <div aria-hidden="true" class="hl-loading-mask-spinner hl-icon-spinner spinner--steps"></div> </div> <div class="overlay-simple overlay-sharebar" id="overlaySharebar"> <div class="overlay-content"> </div> <div class="overlay-footer"> <div class="overlay-close">Cancel</div> </div> </div> <header class="hl-title-area"> <div class="article-header" itemprop="headline"> <h1>Gynecologic Laparoscopy</h1> </div> <p class="attribution" id="byline"> Written by Teresa Bergen | Published on <meta content="2012-05-29" itemprop="datePublished"/>May 29, 2012<br/>Medically Reviewed by <a href="http://www.healthline.com/health/medical-board">George Krucik, MD</a> </p> <div class="hl-widget-sharebar c"></div> <div class="sharebarContainer"><a class="link-sharebar" href="#overlaySharebar" id="sharebarLink" rel="#overlaySharebar"></a></div> </header> <nav class="hl-tab-navigation"> <div class="hl-arrow-tabnav hl-left-arrow-tabnav hl-icon-left-arrow"></div> <div class="hl-lpipe-tabnav"></div> <div class="hl-tabs-tabnav"> <ul> <li><a href="#Overview"> Overview</a></li> <li><a href="#Reasons"> Reasons</a></li> <li><a href="#Preparation"> Preparation</a></li> <li><a href="#Procedure"> Procedure</a></li> <li><a href="#Advances"> Advances</a></li> <li><a href="#Recovery"> Recovery</a></li> <li><a href="#Risks"> Risks</a></li> <li><a href="#Outcomes"> Outcomes</a></li> </ul></div> <div class="hl-rpipe-tabnav"></div> <div class="hl-arrow-tabnav hl-right-arrow-tabnav hl-icon-right-arrow"></div> </nav> <div class="grid648"> <div id="fb-root"></div> <script>window.fbAsyncInit = function() { FB.init({ appId : '1529595680591919', xfbml : true, version : 'v2.1' }); }; (function(d, s, id){ var js, fjs = d.getElementsByTagName(s)[0]; if (d.getElementById(id)) {return;} js = d.createElement(s); js.id = id; js.src = "//connect.facebook.net/en_US/sdk.js"; fjs.parentNode.insertBefore(js, fjs); }(document, 'script', 'facebook-jssdk'));</script> <div class="container-article" itemscope="" itemtype="http://schema.org/Article"> <article class="hl-article-toc"> <h2 class="content_head" id="TOC_TITLE_HDR_1"><a name="Overview"></a>Gynecologic Laparoscopy </h2><div class="content_body" id="TOC_TITLE_1"> <p>Gynecologic laparoscopy is an alternative to open surgery. It uses a laparoscope to look inside your pelvic area. Open surgery often requires a large incision. </p> <p>A laparoscope is a slender, lighted telescope. It allows a doctor to see inside your body. Diagnostic laparoscopy can determine whether you have conditions such as <A id="hllink14" class="hllink hllink-auto" href="http://www.healthline.com/health/endometriosis">endometriosis</A> or <A id="hllink22" class="hllink hllink-auto" href="http://www.healthline.com/health/uterine-fibroids">fibroids</A>. It can also be a form of treatment. With miniaturized instruments, your doctor can perform a variety of surgeries. These include:</p> <ul type="disc"> <li>ovarian cyst removal</li> <li>tubal ligation (surgical contraception)</li> <li>hysterectomy</li> </ul> <p>Laparoscopy generally has a shorter healing time than open surgery. It also leaves smaller scars. A gynecologist, general surgeon, or other specialist may perform this procedure. </p> </div> <h2 class="content_head" id="TOC_TITLE_HDR_2"><a name="Reasons"></a>Reasons for Gynecologic Laparoscopy </h2> <div class="content_body" id="TOC_TITLE_2"> <p>Laparoscopy can be used for diagnosis, treatment, or both. A diagnostic procedure can turn into treatment. </p> <p>Some reasons for diagnostic laparoscopy are:</p> <ul> <li>unexplained pelvic pain</li> <li>unexplained infertility</li> <li>history of pelvic infection</li> </ul> <p>Conditions that might be diagnosed include:</p> <ul> <li>endometriosis</li> <li>uterine fibroids</li> <li><A id="hllink61" class="hllink hllink-auto" href="http://www.healthline.com/health/ovarian-cysts">ovarian cysts</A> or tumors</li> <li><A id="hllink63" class="hllink hllink-auto" href="http://www.healthline.com/health/pregnancy/ectopic-pregnancy">ectopic pregnancy</A> </li> <li>pelvic abscess (pus)</li> <li><A id="hllink8" class="hllink hllink-auto" href="http://www.healthline.com/health/pelvic-laparoscopy">pelvic</A> adhesions (painful scar tissue)</li> <li>infertility</li> <li><A id="hllink73" class="hllink hllink-auto" href="http://www.healthline.com/health/pelvic-inflammatory-disease-pid">pelvic inflammatory disease</A> </li> <li>reproductive cancers</li> </ul> <p>Some types of laparoscopic treatment include:</p> <ul> <li><A id="hllink76" class="hllink hllink-auto" href="http://www.healthline.com/health/hysterectomy">hysterectomy</A> (removal of the uterus)</li> <li>removal of the ovaries</li> <li>removal of ovarian cysts</li> <li>removal of fibroids</li> <li>blocking blood flow to fibroids </li> <li>endometrial <A id="hllink71" class="hllink hllink-auto" href="http://www.healthline.com/health/breast-reconstruction-natural-tissue">tissue</A> ablation (endometriosis treatment)</li> <li>adhesion removal </li> <li>reversal of tubal ligation (<A id="hllink104" class="hllink hllink-auto" href="http://www.healthline.com/health/healthy-sex-contraceptive-options">contraceptive</A> surgery)</li> <li>burch procedure for incontinence<strong></strong></li> <li><a href="http://www.gynesurgery.com/lapro_vault.html">vault suspension</a> to treat prolapse </li> </ul> </div> <h2 class="content_head" id="TOC_TITLE_HDR_3"><a name="Preparation"></a>Preparing for Gynecologic Laparoscopy </h2> <div class="content_body" id="TOC_TITLE_3"> <p>Preparation depends on the type of surgery. You may need imaging tests. Your doctor might order fasting or an enema.</p><p> Tell your doctor about any medication you take. This includes over-the-counter drugs and supplements. You may need to stop them before the procedure.</p><p> Plan to have someone drive you home after surgery. A friend can pick you up or you can schedule a car service. You will not be allowed to drive yourself. </p> </div> <h2 class="content_head" id="TOC_TITLE_HDR_4"><a name="Procedure"></a>Procedure </h2> <div class="content_body" id="TOC_TITLE_4"> <p>Laparoscopy is almost always performed under general anesthesia. This means you will be <A id="hllink125" class="hllink hllink-auto" href="http://www.healthline.com/health/unconsciousness-first-aid">unconscious</A> for the procedure. However, you may still be able to go home the same day. </p><p> Once you are asleep, a small tube called a catheter will be inserted. This collects your urine. Then your <A id="hllink133" class="hllink hllink-auto" href="http://www.healthline.com/human-body-maps/female-abdomen">abdomen</A> will be filled with carbon dioxide gas. This is done with a small needle. The gas keeps the abdominal wall away from your organs. It reduces the risk of injury. </p><p> The surgeon will make a small cut in your navel. The laparoscope will be inserted. It transmits images to a screen. This gives your doctor a clear view of your organs. </p><p> What happens next depends on the type of procedure. For diagnosis, your doctor might take a look and then be done. If you need surgery, other incisions will be made. Instruments will be inserted through these holes. Then surgery is performed using the laparoscope as a guide.</p><p> Once the procedure is over, all instruments are removed. Incisions are closed with stitches. Then you will be bandaged and sent to recovery. </p> </div> <h2 class="content_head" id="TOC_TITLE_HDR_5"><a name="Advances"></a>Advances in Laparoscopy </h2> <div class="content_body" id="TOC_TITLE_5"> <p><strong>Robotic surgery</strong> is sometimes used for gynecological laparoscopy. Robotic <A id="hllink174" class="hllink hllink-auto" href="http://www.healthline.com/human-body-maps/arm">arms</A> are steadier than human <A id="hllink175" class="hllink hllink-auto" href="http://www.healthline.com/human-body-maps/hand">hands</A>. They may also be better at fine manipulations. </p><p> <strong>Microlaparoscopy</strong> is a newer approach. It uses even smaller scopes. This procedure can be done with local anesthesia in your doctor’s office. You won’t be completely unconscious.</p> </div> <h2 class="content_head" id="TOC_TITLE_HDR_6"><a name="Recovery"></a>Recovery After Laparoscopy </h2> <div class="content_body" id="TOC_TITLE_6"> <p>Once the procedure is over, nurses will monitor your vital signs. You will stay in recovery until the effects of anesthesia fade. You will not be released until you can urinate on your own. Difficulty urinating is a possible side effect of catheter use. </p> <p>Recovery time varies. It depends on what procedure was performed. You may be free to go home a few hours after surgery. You might also have to stay in the hospital for one or more nights. </p> <p>After surgery, your belly button might be tender. There may be <A id="hllink230" class="hllink hllink-auto" href="http://www.healthline.com/health/bruise">bruises</A> on your <A id="hllink234" class="hllink hllink-auto" href="http://www.healthline.com/human-body-maps/stomach">stomach</A>. The gas inside you can make your <A id="hllink236" class="hllink hllink-auto" href="http://www.healthline.com/human-body-maps/chest">chest</A>, middle, and shoulders ache. There is a chance that you will feel nauseated for the rest of the day.</p> <p>Before you go home, your doctor will give you instructions regarding medication and side effects. Your doctor may prescribe pain medication. You may also receive antibiotics to prevent infection. </p> <p>Depending on the surgery, you may be told to rest for a few days or weeks. It may take a month or more to return to normal activities.</p> <p>Serious complications of laparoscopy are rare. However, you should call your doctor if you experience:</p> <ul type="disc"> <li>serious <A id="hllink263" class="hllink hllink-auto" href="http://www.healthline.com/health/abdominal-pain">abdominal pain</A></li> <li>prolonged nausea and vomiting</li> <li><A id="hllink266" class="hllink hllink-auto" href="http://www.healthline.com/health/fever">fever</A> of 101 degrees F or higher</li> <li>pus or significant <A id="hllink268" class="hllink hllink-auto" href="http://www.healthline.com/health/bleeding">bleeding</A> at your incision</li> <li>pain during urination or bowel movements</li> </ul> </div> <h2 class="content_head" id="TOC_TITLE_HDR_7"><a name="Risks"></a>Risks of Laparoscopy </h2> <div class="content_body" id="TOC_TITLE_7"> <p>Skin irritation and bladder infection are common side effects of this procedure. </p><p> More serious complications are rare. However, they include</p> <ul> <li>damage to the abdominal blood vessel, <A id="hllink296" class="hllink hllink-auto" href="http://www.healthline.com/human-body-maps/bladder">bladder</A>, bowel, <A id="hllink81" class="hllink hllink-auto" href="http://www.healthline.com/human-body-maps/uterus">uterus</A>, and other pelvic structures</li> <li>nerve damage</li> <li>allergic reactions</li> <li>blood clots </li> <li>problems urinating</li> </ul> <p>Conditions that increase your risk of complications include:</p> <ul> <li>previous abdominal surgery</li> <li>obesity</li> <li>being very thin</li> <li>extreme endometriosis</li> <li>pelvic infection</li> <li>chronic bowel disease</li> </ul> <p>The gas used to fill the abdominal cavity can also cause complications, if it enters a blood vessel. </p><p> Pay close attention during the recovery period. Write down any complications and discuss them with your doctor. </p> </div> <h2 class="content_head" id="TOC_TITLE_HDR_8"><a name="Outcomes"></a>Outcomes of Laparoscopy </h2> <div class="content_body" id="TOC_TITLE_8"> <p>The results of these procedures are usually good. This technology allows the surgeon to easily see and diagnose many problems. Recovery time is also shorter compared to open surgery.</p> </div></article> <div class="span12 box-share-help-feedback"> <div class="span5"> <div class="box-article-helpful"> <div class="box-helpful-question"> Was this article helpful? <span class="helpful-option-yes">Yes</span> <span class="helpful-option-no">No</span> </div> <div class="box-helpful-confirmation"></div> </div> </div> <div class="span3"> <div class="box-link-feedback"> <span class="icon-email"></span> <a class="link-feedback" href="#feedbackOverlay" id="feedbackLink" rel="#feedbackOverlay">Feedback?</a> </div> <div class="overlay-simple overlay-feedback" id="feedbackOverlay"> <div class="overlay-content"> <div class="box-form-feedback" id="feedbackformdiv"> <form action="/v2/widgetemail" id="feedbackform"> <input name="to" type="hidden" value="hrl"></input> <input id="urlfield" name="urlfield" type="hidden" value=""></input> <h2>Send us your feedback</h2> <p class="box-message">We are unable to respond directly to questions, but your feedback is greatly appreciated, and will be taken into account in our ongoing review of our Health Reference Library.<br/></p> <p> <label>Your Name:</label><br/> <input class="field-name" id="nametext" name="nametext" placeholder="Name Here" type="text"></input> <span class="box-msg-error" id="box-msg-name"><span class="icon-error">✖</span> <span id="errorMsgName">Please enter your name</span></span> </p> <p> <label>Your Email:</label><br/> <input class="field-email-address" id="feedbackemail" name="emailaddress" placeholder="name@example.com" type="email"></input> <span class="box-msg-error" id="box-msg-email"><span class="icon-error">✖</span> <span id="errorMsgEmail">Please enter your email</span></span> </p> <p> <input id="copy" name="copy" type="checkbox"></input> <label>Send me a copy</label> </p> <p class="box-textarea"> <textarea class="field-message" cols="60" id="feedbacktextarea" name="messagetext" rows="4"></textarea> </p> <div class="textarea-char-count" id="charcount">0</div> <p class="box-buttons"> <button class="btn-cancel" name="feedbackcancelbutton" type="button">Cancel</button> <button class="btn-send-msg">Send Message</button> <span class="box-loading"><img alt="" src="http://www.healthline.com/resources/base/images/ajax-loader.gif"/></span> </p> </form> <p class="box-privacy"><span class="icon-lock"></span> Email addresses will not be shared with 3rd parties. See <a href="http://www.healthline.com/health/privacy-policy" target="_blank">privacy policy</a></p> </div> <div class="box-thankyou" id="thankyou"> <h2><span class="icon-green-checkmark"></span> Thank you.</h2> <p>Your message has been sent.</p> </div> <div class="box-submit-error" id="submissionerror"> <h2>We're sorry, an error occurred.</h2> <p>We are unable to collect your feedback at this time. However, your feedback is important to us. Please try again later.</p> </div> </div><div class="overlay-footer"> <div class="overlay-close">Close</div> </div> </div> </div> </div> <div class="row12"> <div class="span12 hl-article-references"> <div class="hl-article-source"> <hr class="hl-references-line" style="width:100%;"/> <p class="hl-references-title"><a href="#"><span class="view-references-title">Show</span> Sources</a> <span class="hl-hide-show-icon hl-icon-down-arrow"></span></p> <div class="hl-references-body"> <div class="basesources"> <ul> <li>Laparoscopic Surgery. (n.d.). <em>Center for Advanced Gynecological Surgery</em>. Retrieved May 28, 2012, from <a href="http://www.gynesurgery.com/laproscopy.html">http://www.gynesurgery.com/laproscopy.html</a> </li> </ul> <p> </p> <ul> <li>Laparoscopy and Hysteroscopy. (2012). <em>American Society of Reproductive Medicine (ASRM)</em>.  Retrieved May 28, 2012, from <a href="http://www.asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/laparoscopy.pdf">http://www.asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/laparoscopy.pdf</a>  </li> </ul> <p> </p> <ul> <li>Stovall, T.G., & Mann, W.J. (n.d.). <em>Laparoscopy International Society for Gynecologic Endoscopy. </em>Retrieved May 28, 2012, from <a href="http://www.isge.org/women/1969/63/laparoscopy">http://www.isge.org/women/1969/63/laparoscopy</a></li> </ul></div> </div> </div><!-- end of article source block --> </div> </div><!-- row12 --> <div class="toc-content-promotion"> <!--hl-linking-ignore-start--> <div class="overlay-content-promotion"> <div class="content-promotion-header"> <div class="triangle"></div> <div class="content-promotion-title"> <p class="content-promotion-title-text">Trending Now</p> </div> <div class="content-promotion-close"><a class="link-close-overlay-content-promotion" href="#"></a></div> </div> <div class="content-promotion-stories"> <div class="content-promotion-story click-link" data="/health-slideshow/lifestyle-changes-help-manage-copd"> <div class="content-promotion-title">Lifestyle Changes to Help Manage COPD</div> <div class="content-promotion-image"> <a href="http://www.healthline.com/health-slideshow/lifestyle-changes-help-manage-copd" title="Lifestyle Changes to Help Manage COPD"><img alt="Lifestyle Changes to Help Manage COPD" src="http://www.healthline.com/hlcmsresource/images/slideshow/Lifestyle-changes-help-manage-copd/194x105_Lifestyle-Changes-to-Help-Manage-COPD.jpg"/></a> </div> <div class="content-promotion-text"> <div class="content-promotion-disclaimer">Leading a healthy lifestyle can make a big difference in your COPD symptoms. 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Healthline is for informational purposes and should not be considered medical advice, diagnosis or treatment recommendations. <a href="http://www.healthline.com/health/terms-of-use" rel="nofollow">Terms of Use</a> | <a href="http://www.healthline.com/health/privacy-policy" rel="nofollow">Privacy Policy</a></p></div> </div> </div> </div> </div> </div> </div><!-- hl-main-content --> </div><!-- hl-page --> <!-- Synvisc_HL_Survey --> <script type="text/javascript">// <![CDATA[ var ord = window.ord || Math.floor(Math.random() * 1e16); document.write('<script type="text/javascript" src="http://ad.doubleclick.net/N4788/adj/Synvisc_HL_Survey;sz=1x1;ord=' + ord + '?"><\/script>'); // ]]></script> <noscript> <a href="http://ad.doubleclick.net/N4788/jump/Synvisc_HL_Survey;sz=1x1;ord=[timestamp]?"> <img height="1" src="http://ad.doubleclick.net/N4788/ad/Synvisc_HL_Survey;sz=1x1;ord=[timestamp]?" width="1"/> </a> </noscript> <!-- Comscore Survey Script --> <script src="//siterecruit.comscore.com/sr/healthline/broker.js"></script> <!-- Insight Tracking Tag --> <div id="ttdUniversalPixelTagab5d2702cb4346dfbe31c5c61e126b4a"> <script src="https://js.adsrvr.org/up_loader.1.1.0.js" type="text/javascript"></script> <script type="text/javascript"> (function(global) { var universalPixelApi = new TTDUniversalPixelApi(); universalPixelApi.init("fcovtha", ["ihyjpsl"], "https://insight.adsrvr.org/track/up", "ttdUniversalPixelTagab5d2702cb4346dfbe31c5c61e126b4a"); })(this); </script> </div> <script> // are these global variables needed? // do they need to be global variables? microsoft_adunit_keywordhints = "Gynecologic Laparoscopy"; u_microsoft_adunit_channelids = ""; microsoft_adunit_channelids = ""; // is this input field needed? document.write('<input id="msftChannelIds1" name="msftChannelIds1" type="hidden" value="'+microsoft_adunit_channelids+'">'); require(["jquery","base/dfpmanager","base/responsive-ads","matchmedia"],function($,AppDfpmanager,AppResponsiveAds){ // default - show LB ad on page load var isAdOnPageLoad = true; var breakpointsToHideAd = []; var breakpointsToHideAdByPageType = []; breakpointsToHideAdByPageType = ['768','600']; isAdOnPageLoad = AppResponsiveAds.getShowAdOnPageLoad("LB",breakpointsToHideAd,breakpointsToHideAdByPageType); var cfgDfpManager = { isAdOnPageLoad: isAdOnPageLoad, adshost : 'http://ads.healthline.com', logged_in : 'false', dfpAdSite : 'hn.us.hl.lc.x.x.x', btk1 : '', btk2 : '', kw : 'otherwomenshealth,gynecological_laparoscopy,8129927', k1 : 'otherwomenshealth', k2 : 'femalehealth', k3 : 'health', pos : 'lb', ugc : 'false', ac : '', uac : '', akh : 'Gynecologic Laparoscopy', aks : '5000', env : '', msiteID : '', adTagPageUrl : encodeURIComponent('/health/gynecologic-laparoscopy'), partner : 'www', pg_dart_site : 'hn.us.hl.lc.x.x.x', pg_dart_zone : 'otherwomenshealth', pg_k2 : 'femalehealth', pHLID : '8129927', HLID : '8129927', visit_type : 'HCviewer', yeildex : 'true', targetsrc : '' }; AppDfpmanager.lbIframeInit(cfgDfpManager); }); </script> <script> require(["healthline/header"], function(header){ header.setOptions({ isNews: false, isNewsChecked: false }); }); </script> <script> require(["jquery"], function( $ ){ $(document).ready(function() { $( '#box-health-tools' ).on( 'click', 'a', function(){ if( $( this ).text() == 'Doctor Search' ){ _gaq.push( [ 'hl._link', $( this ).attr( 'href' ) ] ); return !window._gat; } return true; }); }); }); </script> <script> require([ "base/loading-mask" ], function( WidgetLoadingMask ){ WidgetLoadingMask.initialize(); }); </script> <script> require([ 'jquery', 'base/util/sharebar' ],function( $ ) { // todo: need to // - fix bug regarding HTML encoding, apostrophes, double quotes and question mark characters with page title data that is passed to facebook via the name parameter // - in FE, decode any HTML encoding in title data // - in FE, escape the page title data // - verify four uses cases: // - html encoding // - single quote // - double quote // - question mark $(document).ready(function() { var page_image; var customWidgets = new Array(); var stringWidget = "facebook,twitter,googleplus,email,print"; var isPrintFriendly = false; if( (typeof stringWidget) == "string" && stringWidget.length > 0) { customWidgets = stringWidget.split(','); } else{ customWidgets = stringWidget; } ShareBar.init({ iconSize: "medium", widgets: customWidgets, containerId: ".hl-widget-sharebar", facebookApiKey: "239371929577489", facebookRedirect: "http://www.healthline.com/v2/windowclose", page_url: HLSHAREBAR.page_url, page_title: HLSHAREBAR.page_title, isPrintFriendly: isPrintFriendly, page_description: (HLSHAREBAR.page_description ? HLSHAREBAR.page_description : ''), email_page_url: HLSHAREBAR.email_page_url, email_page_title: HLSHAREBAR.email_page_title //page_image: page_image }); }); }); </script> <script> require([ "base/title-area", "base/overlay" ], function( WidgetTitleArea, AppOverlay ){ WidgetTitleArea.initialize(); var onBeforeLoadFunc = function() { $('.hl-main-content').css('z-index','auto'); }; var cfgOverlay = { maskColor: '#555555', maskLoadSpeed: 200, maskOpacity: 0.5, maskZindex: 9999999, top: "center", left: "center", close: ".overlay-close", onBeforeLoad: onBeforeLoadFunc }; AppOverlay.initialize( cfgOverlay ); }); require([ "base/rwd/title-area" ], function( WidgetTitleAreaResponsive ){ WidgetTitleAreaResponsive.initialize({ pubDateExists: true, medReviewDateExists: false, medReviewedBy: '', reviewDate: '' }); }); </script> <script> require([ "base/tab-navigation" ], function( WidgetTabNavigation ){ var promoTitle = "", partnerId = 28, adRefresh = false, cfg, sponsorDisclaimerOffset = 0, mr1RefreshTime = 4000, isLargeLandscapeImage = false; promoTitle = "Trending Now"; partnerId = 28; adRefresh = true; if ( $( ".hl-sponsor-disclaimer" ).length ) { sponsorDisclaimerOffset = 78; } cfg = { promoTitle: promoTitle, partnerId: partnerId, contentPromoOffset: 70, sponsorDisclaimerOffset: sponsorDisclaimerOffset, adRefresh: adRefresh, mr1RefreshTime: mr1RefreshTime, isLargeLandscapeImage: isLargeLandscapeImage } WidgetTabNavigation.initialize(cfg); }); </script> <script> require([ 'jquery' ], function( $ ){ // activate toggle for hide/show FB comments $(window).load(function() { if( $('.fb-view-comments-bar').length ) { $('.fb-view-comments-bar').click(function() { $('.fb-view-comments-bar').toggleClass( 'open' ); if( $('.fb-view-comments-bar').hasClass( 'open' ) ) { $('.fb-view-comments-bar span.fb-view-comments-arrow').removeClass( "hl-icon-right-solid-arrow" ).addClass('hl-icon-down-arrow'); $('#fb-view-count').hide(); } else { $('.fb-view-comments-bar span.fb-view-comments-arrow').removeClass( "hl-icon-down-arrow" ).addClass('hl-icon-right-solid-arrow'); $('#fb-view-count').show(); } if($('#fb-view-count').html() == ' ()') $('#fb-view-count').hide(); }); } }); }); </script> <script> require(["jquery","base/overlay","base/feedback"],function($,AppOverlay){ var onBeforeLoadFunc = function() { $('.hl-main-content').css('z-index','auto'); $('#feedbackformdiv').show(); }; var cfgOverlay = { selectorValue: 'feedbackOverlay', maskColor: '#555555', maskLoadSpeed: 200, maskOpacity: 0.5, maskZindex: 9999999, top: "center", left: "center", close: ".overlay-close", onBeforeLoad: onBeforeLoadFunc }; AppOverlay.initialize(cfgOverlay); }); </script> <script> require(['jquery', 'base/content-promotion-widget'],function($, AppContentPromotion){ var config = { contentPromotionParam: '', platformPageType: 'articleTOC' }; AppContentPromotion.initialize(config); }); </script> <script> u_microsoft_adunit_channelids = "" microsoft_adunit_channelids = ""; document.write('<input id="msftChannelIds1" name="msftChannelIds1" type="hidden" value="'+microsoft_adunit_channelids+'">'); require(['jquery',"base/dfpmanager","base/responsive-ads","matchmedia"],function($,AppDfpmanager,AppResponsiveAds){ // determine if mr1 ad is shown on page load var isAdOnPageLoad = true; var breakpointsToHideAd = []; var breakpointsToHideAdByPageType = []; breakpointsToHideAdByPageType = ['768','600','480','320']; isAdOnPageLoad = AppResponsiveAds.getShowAdOnPageLoad("MR1",breakpointsToHideAd,breakpointsToHideAdByPageType); var adSize = '300x250,300x600'; if(matchMedia('only screen and (max-width: 600px)').matches) { adSize = '300x50,300x250'; } var cfgDfpManager = { isAdOnPageLoad: isAdOnPageLoad, adshost : 'http://ads.healthline.com', adSize: adSize, dfpAdSite : 'hn.us.hl.lc.x.x.x', btk1 : '', btk2 : '', kw : 'otherwomenshealth,gynecological_laparoscopy,8129927', k1 : 'otherwomenshealth', k2 : 'femalehealth', k3 : 'health', pos : 'mr1', ugc : 'false', ac : '', uac : '', akh : 'Gynecologic Laparoscopy', aks : '5000', env : '', msiteID : '', adTagPageUrl : encodeURIComponent('/health/gynecologic-laparoscopy'), yeildex : 'true', targetsrc : '' }; var mr1timeout = setTimeout(function() { AppDfpmanager.mr1IframeInit(cfgDfpManager); }, 300); }); </script> <script> require(["jquery","base/dfpmanager","base/responsive-ads","matchmedia"],function($,AppDfpmanager,AppResponsiveAds){ $(function() { // determine if mr2 ad is shown on page load var isAdOnPageLoad = true; var breakpointsToHideAd = []; var breakpointsToHideAdByPageType = []; breakpointsToHideAd = ['997','768','600','480','320']; var isAdOnPageLoad = AppResponsiveAds.getShowAdOnPageLoad("MR2",breakpointsToHideAd,breakpointsToHideAdByPageType); var cfgDfpManager = { isAdOnPageLoad: isAdOnPageLoad, adshost : 'http://ads.healthline.com', dfpAdSite : 'hn.us.hl.lc.x.x.x', btk1 : '', btk2 : '', kw : 'otherwomenshealth,gynecological_laparoscopy,8129927', k1 : 'otherwomenshealth', k2 : 'femalehealth', k3 : 'health', pos : 'mr2', ugc : 'false', ac : '', uac : '', env : '', msiteID : '', adTagPageUrl : encodeURIComponent('/health/gynecologic-laparoscopy'), yeildex : 'true' , targetsrc : '' }; AppDfpmanager.mr2IframeInit(cfgDfpManager); }); // dom ready }); </script> <script> var isWslAdDisplayed = false; // check if adPositionsToHide from Config file is not empty for current partner // if true, then get values // then compare values to this page adPositionsToHide // - add new ones from config file to this page var configAdPositionsToHide; var addAdPosition = true; var pageAdPositionsToHide = ['wsr']; // page type specific ads to hide if( !isWslAdDisplayed ) { pageAdPositionsToHide.push('wsl'); } var rightRailNotSticky = false, isBackToTop = false; rightRailNotSticky = false; require([ 'base/article-toc', 'base/article-common' ], function( AppArticleToc, AppArticleTocCommon ){ AppArticleToc.initialize({ isWslAdDisplayed: isWslAdDisplayed, isArticleHelpful: false, partnerId: 28, titleAreaTop: '60px', tabNavigationTop: '85px', isBackToTop: isBackToTop, tabNavMaxWidth: '1008px', rightRailNotSticky: rightRailNotSticky, tabArticleWidth: 978, stickyTitlePaddingAuto: false, isFbCommentsOn: false, rightRailNotSticky: rightRailNotSticky }); AppArticleTocCommon.initialize(); }); var isMsiteId = false; var isMoveMr2 = true; require([ "base/rwd/article-toc" ], function( AppArticleTocRwd ){ AppArticleTocRwd.initialize({ isMsiteId: isMsiteId, adRBTimeDelay: 300, isMoveMr2: isMoveMr2 }); }); require([ "base/rwd/sharebar-mobile" ], function( AppSharebarMobile ){ AppSharebarMobile.initialize(); }); </script> <script> require(['jquery',"base/dfpmanager","base/responsive-ads","matchmedia"],function($,AppDfpmanager,AppResponsiveAds){ $(function() { // determine if pb ad is shown on page load var isAdOnPageLoad = true; var breakpointsToHideAd = []; var breakpointsToHideAdByPageType = []; breakpointsToHideAd = ['600','480','320']; var isAdOnPageLoad = AppResponsiveAds.getShowAdOnPageLoad("PB",breakpointsToHideAd,breakpointsToHideAdByPageType); var cfgDfpManager = { isAdOnPageLoad: isAdOnPageLoad, adshost : 'http://ads.healthline.com', logged_in : 'false', dfpAdSite : 'hn.us.hl.lc.x.x.x', btk1 : '', btk2 : '', kw : 'otherwomenshealth,gynecological_laparoscopy,8129927', k1 : 'otherwomenshealth', k2 : 'femalehealth', k3 : 'health', pos : 'lb', ugc : 'false', ac : '', uac : '', akh : '', aks : '5000', env : '', msiteID : '', adTagPageUrl : encodeURIComponent('/health/gynecologic-laparoscopy'), partner : 'healthline', pg_dart_site : 'hn.us.hl.lc.x.x.x', pg_dart_zone : 'otherwomenshealth', pg_k2 : 'femalehealth', pHLID : '8129927', HLID : '8129927', visit_type : 'HCviewer', yeildex : 'true', targetsrc : '' }; var pbtimeout = setTimeout(function() { AppDfpmanager.pbIframeInit(cfgDfpManager); }, 300); }); // dom ready }); </script> <script> var HL_adBlankMonitor = function(cfg) { if(cfg.adBlankCodes.length > 0) { for(var i = 0; i < cfg.adBlankCodes.length; i++) { if (typeof HL_ga_sendTrackEvent === 'function') { HL_ga_sendTrackEvent({ gaEventCategory : 'Ad Display', gaEventAction : 'Blank Ad', gaEventLabel : 'adBlankCode=' + cfg.adBlankCodes[i] + '&adspot=' + cfg.adPosition + '&pageUrl=' + window.location.pathname }); } } } }; require(["base/util/visit-tracker"],function(AppVisitTracker){ AppVisitTracker.initialize(); }); </script> <script> require([ 'healthline/newsletter-signup' ], function( newsletterSignup ){ newsletterSignup.setConfig({ newsletterHost: 'newsletter.healthline.com' }); }); </script> <script> /* load module */ require(["healthline/footer"]); </script> </name>gynecologi>