Laparoscopic surgery is a surgical modality where a small telescope is inserted in your abdomen through a small incision on your tummy. This telescope is attached to a camera and a monitor to see your abdominal organs. Gas is filled in your abdomen to distend it. You may require other 2 to 3 incisions depending on the extent of surgery required.
Diagnostic laparoscopy is primarily used in infertility cases, in chronic pelvic pain or prior to other major surgeries. In this, all the major organs are visualized like the uterus, tube, ovaries etc. It can help to diagnose the cause of infertility, diagnose ovarian cysts, adhesions etc.
LAPAROSCOPIC OVARIAN CYSTECTOMY
Most ovarian cysts are treated by laparoscopic surgery. The ovarian cyst can be enucleated or aspirated.
LAPAROSCOPIC ECTOPIC PREGNANCY
Sometimes pregnancy is outside the uterus like in the fallopian tube. Some of these pregnancies require surgical intervention. Laparoscopy is an excellent way to deal with ectopic pregnancy. Either the tube is excised or a part of the tube is excised. Sometimes a salpingotomy is done where the tube is opened and the products are taken out.
LAPAROSCOPIC TUBAL LIGATION
This surgery is done as a family planning surgery. In this, both the fallopian tubes are closed so that the patient cannot get pregnant again.
Myomectomy is the surgery where the fibroids are removed. This can be done either by open surgery or laparoscopic surgery. The mode of surgery depends on various factors like size, number of fibroids, previous surgeries etc.
In laparoscopic myomectomy the fibroids are enucleated, that is they are peeled off from their capsule. The fibroid bed is then stitched up properly. The fibroids are removed by breaking them into very small pieces with the help of a morcellator.
LAPAROSCOPIC TUBAL RECANALISATION
Some patients want a reversal of family planning surgery because of various reasons. In laparoscopic tubal recanalization, the edges of the fallopian tube are freshened and resutured to make them a patent.
Hysterectomy is the removal of the uterus. This can be done by either open surgery, by laparoscopic surgery or through vaginal surgery. The route of hysterectomy is decided based on various factors like the presenting complaint of the patient, size of the uterus, previous surgeries, any medical conditions etc.
In laparoscopic hysterectomy, the uterus is detached from its various attachments and then removed either vaginally or is morcellated.
ADVANTAGES OF LAPAROSCOPIC SURGERY
- Faster recovery
- Shorter hospital stay
- Smaller incisions
- Lesser chances of infection
- Lesser blood loss