The advantages of this method are shared by the gynaecologist of our clinic - Anton Babushkin.
Up to 90% of gynaecological operations are performed laparoscopically
Laparoscopic surgery is a surgical procedure performed under general anaesthesia through small incisions in the abdomen. These procedures ensure reduced pain during the recovery period. Initially, in gynaecology, the method was used only to diagnose obstruction of the fallopian tubes. Now, depending on the pathology and qualifications of the doctor, it is used in 90% of all gynaecological operations, including for the treatment of infertility. For example, a very large myoma (30-40 centimetres) cannot be operated laparoscopically: due to the fact that it takes up a lot of space in the abdominal cavity and it is difficult to "approach" it with minimally invasive instruments.
At the same time, laparoscopy is excellent for removing adhesions in the abdominal cavity, ovarian cysts, fibroids, foci of endometriosis, uterus, ovaries and fallopian tubes. The method is also used for malignant gynaecological diseases. Laparoscopy allows to examine the abdominal organs in order to detect pathologies, carry out operations (both planned and urgent), and take tissue samples for research.
With a classic incision (laparotomy), a large area of the abdominal cavity is affected and all tissue layers are opened, while laparoscopy is performed through 1-4 small incisions in the anterior wall of the peritoneum. Optical instruments are inserted into the desired area, and a camera is inserted through an incision near the navel, which transmits an image from the abdominal cavity to a monitor. This allows to monitor the progress of the operation at a high magnification. Carbon dioxide (CO2) is injected into the abdomen to create space.
Thanks to this approach, adjacent tissues are not damaged during the operation, the internal environment of the abdominal cavity is not disturbed, which guarantees the best result. The advantages of laparoscopy also include the minimum number of complications and a short recovery period.
Indications for laparoscopy in gynaecology:
- Ovarian neoplasms;
- Endometriosis of the peritoneum and uterine appendages;
- Uterine fibroids (benign tumour of smooth muscle tissue);
- Adhesion process in the pelvic cavity;
- Tubal infertility;
- Syndrome of chronic pelvic pain;
- Acute inflammation of the uterine appendages (oophoritis, salpingitis, tubo-ovarian abscess);
- Polycystic ovary syndrome