Laparoscopy is a surgery performed under general anesthesia and allows visualization of the abdominal organs by inserting a thin telescope into the abdomen through the belly button. With laparoscopy, it is possible to directly observe diseases or problems related to the uterus, ovaries and tubes and perform surgical intervention with instruments inserted through 3 - 5 mm holes opened in the lower abdomen. Ovarian cysts, ectopic pregnancies, myomas, tubal surgery that increases pregnancy and endometriosis can be treated laparoscopically.
Features of Laparoscopy :
It is entered through a millimeter hole opened under the belly button. As a result of the closed method treatment, much less painkillers are needed after the surgery, the patient does not leave a surgical scar, does not require hospitalization, the risk of infection is reduced, the time for returning to normal life is shortened, and infertility is prevented by obstructing the oviducts. Most patients can return to their normal lives within 3 - 4 days. Another advantage of laparoscopy is that complications due to abdominal incision (infection, wound dehiscence and hernia) are avoided. The closed method, which is used in the treatment of many gynecological diseases, also reduces the risk of infertility in women after surgery. Many methods can be used to cut tissues and stop bleeding during laparoscopic surgery. Mechanical cutting (knife and scissors) and ligation, electrosurgery and laser are the most important of these.
Application Areas of Laparoscopy :
Modern surgery, popularly known as bloodless or closed surgery. surgical method Laparoscopy; It is most commonly performed in infertility research to investigate whether there is a problem that would prevent infertile patients from getting pregnant during their follow-up and treatment. If the woman has previously had an inflammatory disease related to the ovaries or uterus or has had any surgery in the abdominal area, laparoscopy may be performed to evaluate the condition of the fallopian tubes. The most common operations are ovarian cysts, chocolate cysts, myomas and operations related to the fallopian tubes. Chronic groin pain with unknown cause when necessary Laparoscopy is used to investigate and treat the cause of infertility in certain patients. Today, the limits of laparoscopy have expanded considerably; Removal of the uterus (hysterectomy), cancer surgeries, uterine prolapse and even urinary incontinence operations can also be performed. Laparoscopy, for diagnostic purposes (Diagnostic Laparoscopy); It can be done by examining whether the tubes are open or not, the general appearance of the ovary and whether there is any adhesion, the tube-ovary relationship, the general appearance of the uterus, or it can be applied for treatment purposes (Operative Laparoscopy).
Endometriosis Diagnosis
When laparoscopy is applied to patients who complain of very serious menstrual pains or groin pain that has been going on for years, endometriosis, which is extremely insidious and cannot be detected by examination, can be revealed and treated. With laparoscopic surgery, endometriosis foci can be completely removed or destroyed, and then the patient's chance of pregnancy increases.
Performing Necessary Operations while Preserving Fertility
Ovarian cysts, myomas, ovarian cysts or Adhesions around it can affect fertility. With laparoscopic surgery, cysts can be removed while preserving the ovaries, obstructions and adhesions in the fallopian tubes can be removed, and only fibroids can be removed while preserving the uterus. Thus, the chance of having children can be increased by preserving fertility.
Laparoscopic Hysterectomy
Removal of the uterus is possible laparoscopically. Laparoscopic hysterectomy is an alternative to hysterectomy performed by opening the abdomen. After a part of the uterus is released laparoscopically, it is removed vaginally. The patient is hospitalized for 1 - 2 days and then discharged.
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