Laparoscopic surgery is a surgical modality where a small telescope is inserted in patient’s abdomen through a small incision on abdomen. This telescope is attached to a camera and a monitor to see the abdominal organs. Gas is filled in the abdomen to distend it. Laparoscopic surgery usually requires 2 to 3 incisions in total.
Diagnostic laparoscopy is primarily used in infertility cases, chronic pelvic pain etc. In this, all the major organs are visualized like the uterus, Fallopian tubes, ovaries etc. It can help to diagnose the cause of infertility, check the patency of Fallopian tubes diagnose ovarian cysts, adhesions,,PCOD etc
LAPAROSCOPIC OVARIAN CYSTECTOMY
Most simple ovarian cysts are amenable to treatment by laparoscopic surgery. The ovarian cyst is enucleated, cyst wall is excised and ovarian surface reconstruction is done.
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 permanent method of family planning after the family is completed. In this, both the fallopian tubes are ligated 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 patent again.
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
Dr Himani Gupta, Gynaecologist & Obstetrician at Kharghar Navi Mumbai who practices at Mother ‘n’ Care Clinic provides excellent Laparoscopy care to her patients through various attachment hospitals.