How a Gynaecological Laparoscopic Surgeon Works?
Gynaecologic laparoscopy serves as a less invasive option compared to open surgery, utilizing a slender, illuminated telescope known as a laparoscope to explore the pelvic region.
This procedure provides insight into your body, allowing for both diagnosis and treatment.
Diagnostic laparoscopy can identify conditions like endometriosis or fibroids, while miniaturized instruments enable various surgeries, including ovarian cyst removal, tubal ligation for contraception, and hysterectomy.
Laparoscopy typically offers a swifter recovery and leaves more minor scars than open surgery. A gynaecologist, general surgeon, or other specialized medical professional may perform this procedure.
How does a Gynae laparoscopic surgeon do it?
The gynaecological laparoscopic surgeon is a gynaecologist who uses a camera (laparoscope) for the assessment of female issues. A laparoscope is a hysteroscope inserted into the pelvis to diagnose various gynaecological disorders.
While using a laparoscope, instead of using a light, carbon dioxide is introduced into the cavity to make sure the internal organs are seen correctly. In this type of surgery, a gyne laparoscopic surgeon uses the camera attached to the tip to capture the images of the organs and document the images for various findings.
Reasons for gynecologic laparoscopy
Reasons for gynecologic laparoscopy include diagnostic laparoscopy for infertility, unexplained pelvic pain, and infection in the pelvis. This could be due to
- Uterine fibroids
- Endometriosis
- Ectopic pregnancy
- Ovarian cysts or tumors
- Reproductive cancers
- Pelvic abscess, or pus
- Pelvic adhesions, or painful scar tissue
- Pelvic inflammatory disease
Some types of laparoscopic treatment include:
- Laparoscopy hysteroscopy
- Laparoscopy for uterus removal
- Ovary removal
- Reversal of a contraceptive surgery called tubal ligation
- Adhesion removal
- Removal of fibroids
- Vault suspension to treat a prolapsed uterus
- Removal of ovarian cysts
- Burch procedure for incontinence
- Blocking blood flow to fibroids
- Restricting blood flow to fibroids.
- Endometrial tissue ablation
Preparing for gynecologic laparoscopy
Preparation requirements vary based on the specific surgery you’re undergoing. Your doctor may request imaging tests, recommend fasting, or suggest an enema.
It’s crucial to inform your doctor about all medications, including over-the-counter drugs and supplements, as you may be advised to discontinue them before the procedure.
Arrange for transportation after the surgery; either ask a friend to pick you up or schedule a car service, as you won’t be permitted to drive yourself.
Procedure
Laparoscopy is typically conducted under general anesthesia, rendering you unconscious throughout the procedure. Despite this, you may still be discharged on the same day.
Once under anesthesia, a catheter is inserted to collect urine, and a small needle introduces carbon dioxide gas into the abdomen. This gas creates space between the abdominal wall and organs, minimizing the risk of injury.
The surgeon makes a small incision in the navel and inserts the laparoscope, which transmits images to a screen for a clear view of the organs. Depending on the nature of the procedure, the doctor may perform diagnostics or make additional incisions for surgical instruments guided by the laparoscope.
Upon completion, all instruments are removed, incisions closed with stitches, and you are bandaged before being transferred to the recovery area.
Risks of laparoscopy
- Bladder infection
- Skin irritation
- Allergic reaction
- Blood clotting
- Urinating problem
- Abdominal blood vessel damage
- Chronic bowel disease
Recovery after laparoscopy
Post-procedure, nurses will carefully monitor your vital signs and observe you in the recovery area until the effects of anesthesia subside. The release is contingent upon your ability to urinate independently, as catheter use may cause temporary difficulty.
Recovery duration varies based on the specific procedure, ranging from a few hours to potential overnight hospital stays.
Following surgery, you may experience tenderness around the belly button, stomach bruises, and aches in the chest, middle, and shoulders due to residual gas. Nausea may also be present on the day of the surgery.
Before leaving, your doctor will provide instructions for managing potential side effects prescribing pain medication or antibiotics as needed. Depending on the surgery, you may be advised to rest for a few days or weeks, with a total return to normal activities taking a month or more.
Fortunately, the outcomes of these procedures are generally positive. The technology enables efficient diagnosis, and the shorter recovery time compared to open surgery is a notable advantage.
When and how can a laparoscopic surgeon help?
Over the past five decades, laparoscopic surgery has undergone a transformative journey, from its initial role in limited gynecological procedures for diagnosis and tubal ligations to becoming a pivotal tool for a diverse range of gynecological and non-gynecological conditions.
Procedures like the removal of ectopic pregnancies, treatment of endometriosis, and ovarian cystectomy highlight the effectiveness of laparoscopy, offering a superior alternative with shorter post-surgery recovery periods compared to traditional abdominal surgeries involving larger incisions.
The widespread use of laparoscopy in gynaecological cases, both for diagnostic and operative purposes, continues to expand, establishing it as the most prevalent endoscopic procedure.
This approach is valued not only for its diagnostic capabilities in conditions such as infertility and chronic pelvic pain but also for its role as a treatment method that minimizes postoperative discomfort.
The significance of laparoscopic procedures lies in their effectiveness and timely intervention, addressing potential challenges that could pose significant risks to a woman’s well-being.
Choose Dr. Sandesh Kade for laparoscopic gynaecology treatment in Dubai
Dr. Sandesh Kade, a renowned Gynaec Laparoscopic Surgeon, boasts 22 years of expertise in India and abroad.
With proficiency in minimally invasive laparoscopic, endometriosis, and pelvic floor repair surgeries, he has successfully conducted over 10,000 surgeries.
Dr. Sandesh has contributed his skills to hospitals in India, France, Nigeria, and the UAE, earning recognition as a distinguished gynaecological surgeon.
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