Laparoscopic gynecological surgery

Laparoscopy is a surgical method performed through several small punctures instead of a large abdominal incision. A camera transmits the internal organs to a screen magnified 10–20 times, so the surgeon can work precisely even in areas that are hard to reach in open surgery. The scope of the operation itself is the same as in open surgery — the difference is only in the trauma to the body.

When laparoscopy is performed

• removal of the uterus (hysterectomy);
• removal of ovarian cysts;
• removal of fibroids (myomectomy);
• diagnosis and surgical treatment of infertility;
• treatment of ectopic (tubal) pregnancy or preservation of the tube (tubotomy);
• treatment of polycystic ovary syndrome (ovarian drilling);
• removal of endometriosis lesions;
• surgical repair of pelvic organ prolapse.

Advantages

Because the minimally invasive method causes less tissue damage, there is less bleeding during surgery, less pain and a shorter hospital stay.

• faster recovery and return to daily life;
• less blood loss and less risk of anaemia after surgery;
• only small punctures on the skin — an excellent cosmetic result;
• fewer abdominal wall infections;
• fewer adhesions.

Who it is not recommended for

Laparoscopy can be performed on most patients in good general health. Because the patient lies with the head tilted down during surgery, it may not be chosen for people with severe shortness of breath or serious heart conditions. For women with very large and multiple fibroids, open surgery is more suitable. The decision is made individually based on the examination results.

Preparation

Before surgery a doctor's examination, ultrasound and laboratory tests are required. The doctor decides on which day of the menstrual cycle the procedure will take place. At your appointment, be sure to mention any medication you take, previous operations and chronic illnesses.