Laparoscopy, also known as closed surgery among the public, is an alternative surgical method to open surgery that has been used in gynecology for the last 30 years. Day by day, almost all operations that can be performed with open surgery can now be performed laparoscopically. It is a surgery method performed with a camera placed through a 1 cm incision made in the belly button and 1-3 tubes of 0.5-1 cm diameter, which we call throcar, placed from different parts of the abdomen.
SITUATIONS WHERE LAPAROSCOPY IS PERFORMED.
Laparoscopy can be used for both diagnostic and therapeutic purposes
Fields where laparoscopy is used:
Diagnostic:
- Unexplained pelvic pain
- Unexplained infertility
Treatment Purpose:
-Ovarian cysts and tumors
-Myoma uteri
-Ectopic (EXTERNAL) pregnancy
-Infertility
-Gynecological cancers
LAPAROSCOPIC SURGERY
Laparoscopic hysterectomy (uterus removal)
Laparoscopic oophorectomy (ovarian removal)
Laparoscopic salpingectomy (tubes removal)
Laparoscopic myomectomy (removal of fibroids)
Laparoscopic tubal ligation (tying the tubes)
Laparoscopic uterosacral nerve ablation (LUNA )
Laparoscopic radical hysterectomy
Laparoscopic sacrocolpopexy
Laparoscopic lymphadenectomy
LAPAROSCOPY RISKS
The risk of serious complications is low, but the following situations may occur very rarely
-Large vessel injuries
-Intestinal injuries
-Bladder and ureter injuries
SITUATIONS THAT LIMIT LAPAROSCOPY OR MAY CAUSE COMPLICATIONS
There is no such thing as a definitive statement that laparoscopy should not be performed. However, in some cases, laparoscopy may cause serious complications for the patient. this is ri The scars should be known well and patient selection should be made carefully accordingly.
-Previous abdominal surgeries:
After some major abdominal surgeries, there may be serious bowel and omentum adhesions in the abdomen. Since laparoscopy requires blunt insertion of sharp-tipped instruments into the abdomen, these adhesions may increase the risk of serious complications during laparoscopy. One of the ways to reduce this risk is to perform l aparoscopy with open technique
-Advanced age and the presence of serious systemic diseases:
The presence of systemic cardiovascular-pulmonary diseases that will complicate the surgery in older patients; It may be a problem for laparoscopy surgery as it requires an upside-down position and respiratory functions may be negatively affected.
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