What is laparoscopy?
Laparoscopy is a modern, safe and reliable procedure that today can solve many gynecological conditions that once required large, open operations that involve a long and painful recovery. Laparoscopy allows us to directly visualize the organs in the abdomen and small pelvis.
Unlike the method of open surgery, laparoscopy is based on making several smaller incisions (usually three) 0.5 to 1 cm long, through which special instruments diagnose and operate on changes in the pelvis. The operation is performed using special current-based instruments, lasers or ultrasonic knife.
Laparoscopy is performed by making an incision through the navel, then blowing three to five liters of carbon dioxide, to raise the abdominal wall a little and to create enough space for the safe insertion of surgical instruments. The further course of the procedure depends on the indication and the findings during the operation itself.
In the field of gynecology, almost all operations that were once performed by the open method can now be performed by laparoscopy.
In which cases is laparoscopy performed?
The most common reasons for laparoscopy today are examination and possible elimination of some of the causes of sterility, unclear abdominal pain, diagnosis and / or surgical removal of endometriosis, ectopic pregnancy, cysts and tumors.
Laparoscopy allows us to:
- Examine the organs of the small pelvis and notice any irregularities;
- Remove existing growths in the small pelvis if they are found during surgery;
- Do a biopsy (take a tissue sample) that we want to examine;
- Removal of existing cysts or tumors on the ovaries;
- Removal of ectopic pregnancy, which is one of the emergencies in gynecology
- Diagnose the degree and form of endometriosis and surgical treatment
- Removal of uterine fibroids: external fibroids and uterine wall fibroids (subserous and intramural)
- Uterine removal operation with / without ovaries - hysterectomy
How long does recovery take?
The duration of laparoscopic surgery is shorter than open abdominal surgery.
Recovery is faster and hospital stay is shorter, ie most operated patients leave the hospital the day after laparoscopic surgery.
After the operation, 2 to 4 incisions below the navel up to two centimetres in size remain visible, in which tubes can be placed to remove the watery, pink discharge from the abdomen. The tubes are removed in less than 24 hours.
Recovery takes about 7 days due to incision wounds.