Laparoscopy in gynecology
A minimally invasive surgical procedure that is performed through small punctures in the anterior abdominal wall using a laparoscope equipped with a high-resolution video camera.
Laparoscopy is a method of diagnosis and treatment of gynecological diseases: endometriosis, uterine fibroids, ovarian cysts, ectopic pregnancy, adhesions in the pelvis, infertility, oncological diseases.
During laparoscopy, surgical instruments and a laparoscope are inserted through small punctures on the abdominal wall, which allows the surgeon to see the pelvic cavity on the screen in an enlarged form. The wide view of the video camera allows you to look into any “corner" of the abdominal cavity. By introducing gas into the abdominal cavity, a space is created for safe manipulation, which reduces the risk of damage to surrounding organs. Laparoscopy has a diagnostic accuracy close to 100%, which makes it not only a therapeutic, but also a diagnostic method capable of revealing hidden pathologies that are inaccessible to other research methods.
Ultrasound of the pelvic organs to assess the condition of the uterus, tubes and ovaries. General blood test, coagulogram, biochemical blood test. Electrocardiogram (ECG) and consultation with an anesthesiologist to choose the method of anesthesia. Tests for infectious diseases to exclude contraindications to surgery.
The procedure is performed under general anesthesia. Surgical instruments and a laparoscope with a camera are inserted into the abdominal cavity through several small punctures, allowing the surgeon to accurately control his actions. Depending on the indications, laparoscopy may include various surgical procedures, such as removal of ovarian cysts, fibroids, restoration of patency of the fallopian tubes or treatment of endometriosis.
Laparoscopes with a high-resolution camera for visualization of pelvic organs. Surgical instruments for minimally invasive manipulations through small incisions. Gas systems to create free space in the abdominal cavity. Electrosurgical units for low-traumatic and bloodless work on organs.
After laparoscopy, recovery is much faster than after abdominal surgery. The patient can be discharged from the clinic in 24 hours, and full recovery takes about 1-2 weeks. It is recommended to avoid physical activity and sexual intercourse during this time. Pain after surgery is minimal and does not require taking strong painkillers. A full return to active life is possible after 2-4 weeks, depending on the amount of intervention.
Benefits
Minimal injury
Laparoscopy does not require large incisions, which reduces the risk of adhesions and shortens the recovery period.
High diagnostic accuracy
Laparoscopic imaging allows you to detect pathologies with an accuracy of up to 100%.
A short period of rehabilitation
Patients can return to normal life within 1-2 weeks after surgery.
Preservation of reproductive function
Laparoscopy allows you to perform organ-preserving operations, which is important for women planning pregnancy.
Frequently Asked Questions
What are the indications for laparoscopy in gynecology?
Can laparoscopy improve the chances of pregnancy?
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Doctor of the highest category, surgical obstetrician-gynaecologist specialising in anti-age and bioregenerative medicine, oncologist
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