Laparoscopic Gynecological surgery- Key hole surgery
ALSO CALLED “MINIMALLY INVASIVE SURGERY”, “MINIMAL ACCESS
SURGERY”, “OPERATIVE ENDOSCOPY”.
What is keyhole surgery?
It was also often wrongly called "Laser Surgery" because the early users
emphasized the use of lasers (more fashionable and high tech then) rather than
the small size of the laparoscopic technique. Laparoscopic surgery is now firmly
established as the operation of choice or Gold standard for treatment of most
gynecological problems needing surgery.
This is a surgical technique to visualize the abdominal cavity without opening
the cavity. A laparoscope is introduced through the umbilicus with 10mm hole
and the cavity is visualized to look for problems. The laparoscope is attached to a
camera and video monitor that helps us see. To perform surgeries two to three
small holes of 5mm are made through which instruments to operate are passed
and surgery is performed.
Benefits of laparoscopic Surgery
- Less post operative pain since the incisions are much smaller
- Quicker recovery time & earlier return to full activities
- Shorter hospital stays
- Smaller scars
- Less internal scarring when the procedures are performed in a minimally invasive fashion compared to standard open surgery.
Gynecological Surgeries done by laparoscopy
- Hysterectomy for conditions like fibroids, adenomyosis, heavy menstrual flow, endometriosis
2. Myomectomy- Removal of fibroids
3. Endometriosis Excision surgery
4. Ovarian cystectomy or Removal of ovaries or chocolate cysts
5. Surgery for Infertility – To improve fertility outcomes
6. Adhesiolysis
7. Surgery for urinary incontinence
8. Ectopic pregnancy
9. To relive Chronic pelvic pain
10.Prolapse surgery