Solutions to gynecological problems without a scalpel
Explaining that the procedures in gynecological endoscopic surgery can be defined as laparoscopy and hysteroscopy, Op. Dr. Uysal, “While procedures performed to identify intra-abdominal organs are described as laparoscopic surgery, hysteroscopy is performed to evaluate the intrauterine area. During laparoscopic procedures, gas is injected into the abdominal cavity at appropriate pressure, a camera is placed into the abdomen at the level of the belly button, and the organs are viewed. Auxiliary tools to be used during the procedure are placed through 3-4 5-10 mm holes made on the anterior abdominal wall. "Most patients are suitable for endoscopic surgery, except those with severe respiratory or heart diseases," he said.
Underlining that technical competence, experienced surgeon and team are important in gynecological endoscopic surgery practices, Op. Dr. Uysal listed the areas where gynecological endoscopic surgical interventions are frequently used as follows:
“Tubal sterilization, biopsy, endometriosis surgery, ovarian cyst surgery, polycystic ovary syndrome surgery, myomectomy, gynecological suspension surgeries, incontinence surgery (urinary surgery). abduction operations), hysterectomy surgeries, diagnosis and surgery in infertility, female cancers, ectopic pregnancy, abscess treatment in ovarian and tube infections and ovarian torsion surgery.”
TECHNICAL QUALIFICATION IS IMPORTANT
Op also emphasized that laparoscopic surgery has many advantages over open surgery. Dr. Uysal said:
“Laparoscopic operations are conservative surgical methods that cause less damage to tissues and organs. When the abdomen is not opened in the classical sense, wound infection and operation-related adhesions are less common. Post-operative pain is much less. It is ideal in terms of aesthetics. Since the intra-abdominal organs are enlarged and observed, surgical dominance is greater. The hospital stay after surgery is very short. Returning to normal life takes a short time. The possibility of abdominal hernia is less. As with any surgical procedure, complications may occur during laparoscopic surgery. Surgical experience, technical competence and team coordination are very important factors. Usually complications arise from camera v. It may occur during the insertion of auxiliary devices into the abdomen. Injuries to large vessels, ureters, intestines and bladder may occur. Intervention for these complications sometimes requires simultaneous open surgery. Before laparoscopic gynecological surgery, the operation should be planned by evaluating conditions that may increase the possibility of complications, such as a history of previous abdominal surgery or the presence of multiple and large myomas. /p> Op. Dr. Uysal reminded that hysterectomy (removal of the uterus), which is frequently performed among gynecological operations, can also be performed laparoscopically. "Laparoscopic hysterectomy is very advantageous for the patient in terms of post-operative pain and recovery. "Wound infection and aesthetic problems are very rare after laparoscopic hysterectomy," said Op. Dr. Uysal, “Laparoscopic surgery is frequently performed in the evaluation of tubal and ovarian factors. Endoscopic surgery is also used in the diagnosis and treatment of endometriosis. Laparoscopic endoscopic operations are ideal methods under suitable conditions for the patient. It is satisfactory in terms of both the health and comfort of the patient. “Technical competence, an experienced surgeon, a coordinated team and a well-evaluated patient before surgery will yield ideal results,” he concluded.
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