What is Gynaec- Laparoscopy? |
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What is Gynaec- Laparoscopy?

What is Gynaec- Laparoscopy?

Dr-HeenaParasBliss
by: Dr. Heena Chawla
Consultant- Gynec-Oncology & Endoscopic Surgeon - Paras Bliss, Panchkula

Laparoscopy is a surgical procedure performed through very small incisions in the abdomen using specialised instruments. This type of surgery is called ‘minimal access’ because of the very small incisions used. Yet major procedures can now be performed using this technique.

laparoscopic-surgery

What are the advantages of laparoscopy?

  • Excellent cosmetic results
  • Minimal pain
  • Minimal blood loss
  • Shorter hospital stay and early return to routine activity
  • Less chances of hernia formation
  • No adhesion formation as compared to open surgery

What Gynaec Surgeries can be performed laparoscopically?

Almost all surgeries being done in open surgery related to the Female Genital Organs can be performed laparoscopically.

Laparoscopic Surgeries on Uterus

  • Hysterectomy(removal of uterus)
  • Myomectomy(removal of fibroids & preserving the uterus)

Lap Surgeries on Ovaries

  • Ovarian Cyst removal/aspiration
  • Tubo- ovarian mass
  • Endometriosis
  • Dermoid Cyst
  • Ovarian Tumours(biopsy/removal)
  • Twisted Ovarian cyst

Lap Surgeries on Fallopian Tubes

  • Tubal Ligation
  • Tubal Recanalisation (reversal of contraceptive surgery)
  • Ectopic Pregnancy ( Ruptured/ Un ruptured)
  • Tubal Patency

Lap Surgeries related to Infertiity

  • Diagnostic Laparoscopy
  • Tubal Patency
  • Tubal Reconstruction
  • PCOD Drilling
  • Adhesiolysis (lysis of adhesions)

Lap surgeries related to ONCOLOGY-

  • Staging of cervical, endometrial and ovarian cancer .
  • Radical Hysterectomy and lymph node dissection and omentectomy

What kind of anaesthesia is used for laparoscopy?

Diagnostic laparoscopy and other operative procedures will require general anesthesia.

If the skin incisions are so small the how is the uterus or big fibroids or tumours removed?

After hysterectomy uterus can be removed from the vagina. For big tumours specialised instrument called morcellator is used which cuts it into smaller pieces and it can be removed through the same tiny skin incisions.

How long do I have to stay in hospital ?
You will be admitted on the day of surgery or the previous day. Following a laparoscopic procedure they can be discharged on the next day but for more advanced procedures your doctor shall advice you accordingly.

When can I get back to work?
Usually a weeks rest from the day of surgery should suffice. But it would be advisable for the surgeon to advice based on your progress.

Is it more expensive than open surgery?
The equipment, maintenance and procedure are more expensive but as the hospital stay and the intake of drugs is reduced it is actually the same if not less than open surgery.

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