Laparoscopy

Laparoscopy

Laparoscopy is a minimally invasive, endoscopic gynecological procedure, in which through 3 or 4 small incisions on the skin of the abdomen we can examine the organs of the abdomen such as the uterus, its ligaments, the fallopian tubes, the ovaries, the liver, the small and large intestine.

How is it performed?

Under general anesthesia and through a small 1 cm cut below the navel, a needle (veress) is carefully passed, through which the abdomen is stretched using a gas (carbon dioxide). As the tummy is inflated a 5-10mm tube (trocar) is safely inserted. Through this, the laparoscope enters, which is connected to a camera and transmits the image from the inside of the abdomen to a screen.

Then, through 2 or 3 additional small 1 cm incisions in the lower abdomen, auxiliary trocars are inserted to allow for auxiliary laparoscopic instruments to be used, necessary for the operation to be carried out. After the completion of the operation, which lasts 1/2-2 hours or more depending on its complexity, the abdomen ‘deflates’, the skin incisions are sutured with stitches, dressings are applied and you are led to the recovery area. You will remain there for about an hour until the effects of anaesthesia wear off before you are transferred to your room.

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Indications

Laparoscopy can be diagnostic or operative if pathology is identified. The following gynecological conditions can be investigated and treated laparoscopically:

  • Infertility
  • Endometriosis
  • Ovarian cysts / tumors
  • Fibromyomas
  • Tubal patency test
  • Ectopic pregnancy
  • Chronic pelvic pain
  • Urogynecological conditions-uterine prolapse
  • Gynecological cancer, under certain conditions
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How does it outperform the classic open method?

• Minimally invasive
• Better aesthetic result thanks to the small skin incisions
• Reduced blood loss and less chance of postoperative adhesions that could affect your future fertility
• Rapid mobilization, reducing the risk of venous thrombosis and other complications
• Reduced postoperative pain and the possibility of postoperative hernia formation
• Quick recovery and return to your daily activities

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Postoperative instructions

Post operatively, you are expected to remain in hospital for 1 to 2 days. You will be mobilized, start eating and drinking on the same day. Feeling a mild shoulder pain is common, due to diaphragm irritation due to small amount of gas still remaining in the abdomen. This is expected to be absorbed in the next few days and can be easily treated with mild analgesics. The sutures are usually absorbable, otherwise they will be removed by your doctor in 7-10d Postoperatively it would be wise to avoid lifting weight (> 3kg) and having sexual contact for the next 2-4 weeks depending on the type and severity of the operation.

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