What is Laparoscopic Surgery?
In Laparoscopic surgery we make 3-4 small incisions for trocars through which we introduce operative instruments. Through the naval port (umbilicus) we put 10 mm & 5 mm laparoscope attached to camera systems and monitor, now the surgeon can see the whole abdomen and pelvis on the screen. All the organs are seen magnified and precisely than in open surgery or Direct Visualization.
Laparoscopic surgery is also called minimally invasive surgery. It is a modern surgical technique in which operations are performed far from their location through small incisions.
Due to improved patient outcomes, in the last two decades, laparoscopic surgery has been adopted by various surgical sub-specialties including gastrointestinal surgery (including bariatric procedures for morbid obesity), gynaecologic surgery and urology.
What is Laparoscopic Surgery?
Tubal pregnancy : This occurs when an embryo implants in a fallopian tube. Untreated, the tube can rupture and bleed.
A fibroid(lump of uterine muscle tissue) : This can cause pain and bleeding. These can also be diagnosed with ultrasound.
A blocked or damaged fallopian tube : This can cause trouble in conception.
Endometriosis(growth of uterine tissue outside the uterus) : This can cause pain, bleeding, and trouble getting pregnant.
Adhesions(scar tissue) : These can cause pain and infertility.
An ovarian cyst (fluid-filled sac) or tumor (abnormal growth) : Pain irregular cycles.
Pelvic organ prolapse : This is when the female organs drop into or out of the vagina.
Urinary Incontinence : This is when urine leaks involuntarily.
Why Laparoscopic surgeries have become so popular?
Laparoscopic surgeries have become very popular in short span of time, infact they have replaced all traditional abdominal surgeries. Their popularity is due to the immense advantages and they have got over traditional surgeries.
ADVANTAGES AND BENEFITS OF LAPAROSCOPY :
- Less pain
- Patient recovers faster (24 – 48 hrs.) and can resume to work within few days.
- No post operative rest required
- No/Small scars on the abdomen
- No chances of wound infection
- No chances of post operative hernias and adhesions
- Apart from these benefits, patients also will have immense long term benefits.
In an approach to further reduce the invasiveness of surgery and hence morbidity to the patient, single incision laparoscopy surgery (scarless surgery) and 3D laparoscopy have been developed at DR. RAMESH HOSPITAL.
Almost all gynecological laparoscopic surgeries are performed here
- Diagnostic laparoscopy
- Laparoscopic sterilisation (family planning) – both postpartum and interval
- Laparoscopic ovarian drilling (for polycystic ovaries)
- Laparoscopic adhesiolysis
- Laparoscopic myomectomy (Fibroid removal) – upto 34 wks pregnant uterine size
- Laparoscopic Hysterectomy (Uterus removal) – LAVH, TLH – upto 34 wks pregnant uterine size
- Laparoscopy for ovarian cyst removal (lap cystectomy)
- Laparoscopic surgery for endometriosis (operative lap for endometriosis) – all stages of endometriosis, recurrent endometriosis
- Laparoscopic surgery for adnexal mass, tubo – ovarian abscess
- Laparoscopy for chronic pelvic pain
- Laparoscopic uterine nerve ablation (LUNA)
- Laparoscopic presacral neurectomy
- Laparoscopic surgery for tubal recanalisation (reversal of tubal sterilisation)
- Laparoscopic surgeries during pregnancy ex: Appendicectomy, Twisted Ovarian cyst
- Laparoscopic Cervicopexy, Round Ligament plication, mosco witz
- Laparoscopic sacrospinous Colpopexy/cervicopexy, Sacrocolpopexy/sacrocervicopexy(for uterine prolapse, post hysterectomy vault prolapse)
- Laproscopic Burch colposuspension and paravaginal repair for stress Urinary incontinence
- Laparoscopic sling surgeries (prolapse in young, nulliparous women)
- Laproscopic varicocele ligation
- Laproscopic assisted neovaginoplasty (creation of new vagina)
- Laparoscopy for all gynaecological malignancies (cancer of ovary, uterus, cervix) with lymphadenectomy
- Laparoscopic cervical encirclage
- Laparoscopic unification surgery (bicornuate or didelphic uterus (double))
- Laproscopic repair of vesico – vaginal fistula (abnormal communication between bladder and vagina leading to continuous dribbling of urine)
- Laproscopic appendicectomy
- Laparoscopic cholecystectomy