LAPAROSCOPIC SURGERIES

LAPAROSCOPIC SURGERIES

Basic and Advanced Laparoscopic Surgeries :

Laparoscopy is a technique of performing surgery through small incisions with the help of camera which is inserted through one of these incision. It is also called as key-hole surgery.

Laparoscopy has many advantages over traditional open surgery like :

  • Minimum stay in hospital
  • Very less pain
  • Cosmetically better as small scar
  • Minimum post op rest period and faster recovery.

Almost all gynec surgeries can be performed Laparoscopically like:

  • Removing of uterus :- Laparoscopic hysterectomy
  • Removing of fibroids:- laparoscopic myomectomy
  • Laparoscopy tubal ligation..... family planning operation
  • Laparoscopy excision of ectopic pregnancy
  • Laparoscopic removal of endometriomas & other ovarian cysts.
  • Laparoscopy & fertility:-
    Many cases with different conditions in which a surgery is required to restore fertility e.g. fibroids, ovarian endometrioma etc.

    Fibroids:-
    In case of large fibroids which cause pressure on endometrium myomectomy may be required

    Ovarian Endometrioma / cysts:-
    Endometriosis is a complex condition where treatment may be required both surgically and medically to restore fertility. Endometriomas or chocolate cysts if more than 3cm, need removal & may required post-op GnRH agonist to suppress the disease

    Diagnostic laparoscopy:-
    In case of infertility to find on exact cause of infertility & for tubal testing

    Hysteroscopy:-
    This is a procedure where the uterine cavity is examined from inside through the cervix

    Indication:

    • For diagnostic purpose in infertility management
    • For post menopausal bleeding

    Hysteroscopic surgeries that are done:

    • Septal resection
    • Poly removal
    • Sub-mucous fibroid removal
    • Metroplasty

    Laparoscopic hysterectomy :-

    • Removal of uterus through a key hole incision
    • Even large uterus with multiple fibroids can be safely removed laparoscopically.