Gynecologic laparoscopy is an alternative to open surgery. It uses a laparoscope to look inside your pelvic area. Open surgery often requires a large incision. Diagnostic laparoscopy can determine whether you have conditions such as endometriosis or fibroids. For many procedures, like the removal of ectopic pregnancies and treatment of endometriosis the cost-to-benefit ratio for laparoscopy is well settled particularly in terms of expense and safety. For other procedures including laparoscopically assisted hysterectomy and staging of gynecologic cancers, the ultimate utility of this approach remains to be clearly defined.
How is laparoscopic surgery performed?
A laparoscope is a telescope which can be inserted into the abdominal cavity through a small incision. A powerful light source and TV camera allow the doctor to see the abdominal and pelvic organs more clearly. The video camera is linked to a high-resolution viewing screen to optimize vision time of the operation. The doctor can then manipulate the laparoscope and other instruments outer of the patient’s body to perform most gynecological operations. Because the image is magnified the surgeon can see areas of disease focus more clearly and can more easily prevent the bleeding time of surgery. Recovery is based on a large number of factors the most important of which is the type of operation performed.
Laparoscopic surgery can be diagnostic like for infertility or pelvic pain. It can also be used in therapeutic options to perform most gynecological operations instead of the same operation through a large incision. The alternative to laparoscopic surgery is the open or open technique using a larger incision.
Advantages of Laparoscopic surgery
- Less pain postoperatively
- Smaller cuts (like 5mm)
- Faster recovery and discharge from hospital
- Quicker return to normal activity and lifestyle