Last two decades has witnessed a sea change in the field of Laparoscopy, what was once used for visualization and diagnostic purpose is today used as advanced abdominal operations. This was possible because of advances in the field of instrument manufacturing, Biotechnology, Anesthesia, techniques of surgery, Suture materials and various Gadgets.
What is Laparoscopic Surgery?
In Laparoscopic surgery we make 3-4 small incisions for trocars through which we introduce operative instruments. Through the naval port (umbilicus) we put 10mm (1cm) laparoscope attached to camera systems and monitor, now the surgeon can see the whole abdomen and pelvis on the screen.
All the organs are seen magnified and precisely than in open surgery or Direct Visualization.
Why Laparoscopic surgeries have become so popular?
Laparoscopic surgeries have become very popular in short span of time, infact they have replaced all traditional abdominal surgeries. Their popularity is due to the immense advantages they have got over traditional surgeries. The advantages and benefits to the patients are
- less pain
- Patient recovers very fast (24-48 hrs.) and can resume to work within few days.
- No post operative rest required
- No/ small scars on the abdomen
- No chances of wound infection
- No chances of post operative hernias and adhesions
- Apart from these benefits, patients also will have immense long term benefits.
In an approach to further reduce the invasiveness of surgery and hence morbidity to the patient, single incision laparoscopy surgery ( scarless surgery) and 3-D laproscopy have been developed, both being available at DR. RAMESH HOSPITAL
Almost all gynecological laparoscopic surgeries are performed at our instituition
- Diagnostic laparoscopy
- Laparoscopic sterilisation (family planning)- both postpartum and interval
- Laparoscopic ovarian drilling ( for polycystic ovaries)
- Laparoscopic adhesiolysis
- Laparoscopic myomectomy (Fibroid removal)- upto 34 wks pregnant uterine size
- Laparoscopic Hysterectomy (Uterus removal)- LAVH, TLH- upto 34 wks pregnant uterine size
- Laparoscopy for ovarian cyst removal (lap cystectomy)
- Laparoscopic surgery for endometriosis (operative lap for endometriosis)- all stages of endometriosis, recurrent endometriosis
- Laparoscopic surgery for adnexal mass, tubo- ovarian abscess
- Laparoscopy for chronic pelvic pain
- Laparoscopic uterine nerve ablation (LUNA)
- Laparoscopic presacral neurectomy
- Laparoscopic surgery for tubal recanalisation (reversal of tubal sterilisation)
- Laparoscopic surgeries during pregnancy ex: Appendicectomy, Twisted Ovarian cyst.
- Laparoscopic Cervicopexy, Round Ligament plication, mosco witz,
- Laparoscopic sacrospinous Colpopexy/ cervicopexy, Sacrocolpopexy/ sacrocervicopexy ( for uterine prolapse, post hysterectomy vault prolapse
- Laproscopic Burch colposuspension and paravaginal repair for stress Urinary incontinence.
- Laparoscopic sling surgeries ( prolapse in young, nulliparous women)
- Laproscopic varicocele ligation
- Laproscopic assisted neovaginoplasty ( creation of new vagina )
- Laparoscopy for all gynaecological malignancies ( cancer of ovary, uterus, cervix) with lymphadenectomy
- Laparoscopic cervical encirclage
- Laparoscopic unification surgery ( bicornuate or didelphic uterus (double))
- Laproscopic repair of vesico-vaginal fistula ( abnormal communication between bladder and vagina leading to continuous dribbling of urine)
- Laproscopic appendicectomy
- Laparoscopic cholecystectomy