Laparoscopy in gynecology: nuances you need to know about

Are you having a gynecological operation and want to avoid cutting your abdomen and creating unattractive scars on your skin? This means that you need to learn more about laparoscopy.

Laparoscopy – what is it?
Laparoscopy is one of the methods of operative gynecology (and surgery in general), which allows you to do without a layer-by-layer incision of the abdominal wall. To access the operated organs, the doctor makes small punctures no more than 5-7 millimeters in size, which heal quickly enough after the intervention. During the operation, a special device is introduced into the problem area – a laparoscope, which is a flexible tube equipped with a lens system and a video camera.

Benefits of laparoscopy
The video camera displays an image enlarged 40 times on the monitor, which allows the surgeon to examine the reproductive organs that are inaccessible during a routine gynecological examination. With the help of a clear image on the monitor, the specialist gets the opportunity to identify violations and carry out surgical treatment.

Before the invention of the laparoscope, surgeons had to operate through a large and long-lasting incision in order to examine the problem area in detail. And now, thanks to gynecological laparoscopy, the patient most often gets the opportunity to return home the next day after the operation – in most cases, there is no need for long-term hospitalization.

Types of laparoscopy
Diagnostic laparoscopy is used to clarify the diagnosis and develop treatment tactics. With the help of a laparoscope, you can notice abnormalities that are not always visible during an ultrasound scan. There is also a therapeutic or therapeutic and diagnostic laparoscopy, when a doctor simultaneously assesses the condition of the internal reproductive organs and conducts surgical treatment.

What do you need to know?
If a planned laparoscopy is possible, the patient can choose a clinic and a doctor she trusts in advance. If an emergency operation is necessary, the situation is different: the intervention is performed as quickly as possible and most often – in the first clinic that comes across. Therefore, if there are indications for gynecological surgery, it is better not to waste time and not expect self-healing, but to take care of choosing a clinic and a doctor in advance.

Remember: laparoscopy in gynecology is a rather serious intervention that requires high qualifications of the operating surgeon and anesthesiologist, as well as modern equipment for the operating room. Many state and little-known private clinics employ specialists who do not have sufficient experience in conducting laparoscopic interventions. They also do not have the opportunity to use high-quality laparoscopes. All this often leads to the fact that the operation, which was originally planned as a laparoscopic, becomes a general cavity during the process, when the doctor cannot cope with the laparoscope and is forced to make large incisions in the abdominal cavity.

If you do not want to risk your health and strive for the laparoscopic operation to be successful and not require long-term rehabilitation, contact only reliable clinics that have been on the market for many years and during this time have managed to win the trust of patients.

Indications for laparoscopy in gynecology
Most often, laparoscopy is prescribed for the diagnosis and treatment of the following diseases and conditions:

anomalies in the development of the reproductive organs;
uterine fibroids;
obstruction of the fallopian tubes;
tumor neoplasms, including cysts;
ovarian diseases, including polycystic disease;
emergency gynecological pathology (ectopic pregnancy, cyst rupture);
inflammation of the appendages;
infertility of unknown origin.
Also, laparoscopy is required before planning IVF (in vitro fertilization), with chronic pelvic pain, if it is necessary to conduct a biopsy of the ovaries and uterus, as well as to monitor the results of previous treatment. In all possible cases, organ-preserving operations are performed, after which a woman can have children.

Preparation and performance of laparoscopy in gynecology
Before laparoscopy, it is necessary to pass a number of laboratory tests and studies, including ECG, ultrasound of the small pelvis, urine and blood tests, a smear from the vagina.

A few days before the operation, it is necessary to limit the use of foods that cause increased gas formation. On the eve of the intervention, it is necessary to make a cleansing enema.

During the operation, after the application and the beginning of the action of anesthesia, the doctor makes small punctures in the navel area and above the pubis, and then inserts a laparoscope there. Previously, carbon dioxide is injected into the abdominal cavity, which is harmless to the body and allows you to better see the internal organs. Further, the specialist conducts diagnostics and surgical treatment. After that, the punctures on the skin are sutured with cosmetic sutures.

Correctly performed gynecological laparoscopy is accompanied by minimal blood loss (no more than 15 ml), leaves almost invisible puncture sites after their healing and does not disrupt the functions of the reproductive organs.