23 Oct What is laparoscopic surgery?

What is a laparoscopy ?

Laparoscopy is a procedure to look inside the abdomen by using a high definition ,
thin telescope called laparoscope. It is used to light up and magnify the structures inside the abdomen. A laparoscope is passed into the abdomen through a small incision in the abdomen. A laparoscopy may be done to find the cause of symptoms such as infertility or abdominal / pelvic pain . Or, it may be done if a previous test
such as an X-ray or ultrasound scan has identified a problem within the abdomen or pelvis. A laparoscopy enables a doctor to see clearly inside the abdomen and perform the treatment at the same time in many cases.

What is laparoscopic surgery?

In addition to simply looking inside, a doctor can use fine instruments, which are
passed into the abdomen through small incisions in the abdomen. These instruments are used to cut or trim tissues, perform sample taking (biopsies), grasp organs, etc, inside the abdomen. The laparoscopic surgery is also sometimes called ‘keyhole surgery’ or ‘minimally invasive surgery’. This surgery is usually done under general anesthesia

Laparoscopic surgery generally has a shorter healing time as compared to a conventional open surgery. It requires shorter hospitalization, is less painful, leaves smaller scars and has a faster and better recovery.

Some commonly performed laparoscopic gynaecologic operations include:

•  Ovarian cyst removal
•  Surgery for endometriosis (removal of endometrioma, ablation of endometriotic spots)
•  Tubal ligation ( surgical contraception )
•  Hysterectomy ( removal of uterus)
•  Myomectomy ( removal of fibroids from the uterus)
•  Treating ectopic pregnancy
•  Fertility enhancing surgeries like releasing adhesions, removal of blocks in the fallopian tube
• Polycystic ovarian drilling
•  Surgery for treatment of genital prolapse – vault suspension
•  Burch procedure for urinary incontinence
•  Surgery for gynaecologic cancers

Advances in Laparoscopy

• Robotic surgery is sometimes used for gynecological laparoscopy. Robotic arms are steadier than human hands. They may also be better at fine manipulations.
• Micro laparoscopy is a newer approach. It uses even smaller scopes. This procedure can be done with local anesthesia in your gynecologists’ clinic. You won’t be completely unconscious.

Dr Anjali Kumar is a well known gynaecological endoscopic surgeon in Gurgaon, having done certificate course and training from World Association of Laparoscopic Surgeons and Ethicon endosurgery Institute New Delhi. She has had almost 15 yrs of experience in gynaecologic
laparoscopic surgeries and has performed many tramadol. Her area of expertise includes laparoscopic hysterectomies, laparoscopic myomectomies, laparoscopic management of ectopic pregnancies (tubal conservation surgeries), laparoscopic treatment of ovarian cysts, laparoscopic fertility enhancing surgeries, laparoscopic surgery for endometriosis , tubal ligations and many more.