Laparoscopy is an operation performed under general anesthesia and a thin telescope is inserted into the abdomen through the belly button to view the intra-abdominal organs. With laparoscopy, it is possible to directly observe diseases or problems related to the uterus, ovaries and tubes and to perform surgical intervention with instruments inserted through 3 – 5 mm holes opened in the lower abdomen. Ovarian cysts, ectopic pregnancies, fibroids, tube surgery that increases fertility, and endometriosis can be treated laparoscopically.
Features of Laparoscopy:
As a result of the closed method treatment, which is applied by entering through a millimeter hole opened under the navel, less painkillers are needed after the operation, there is no surgical scar, no hospitalization is required, the risk of infection is reduced, the return to normal life is shortened and the ovarian ducts are blocked and infertility is prevented. is done. Most patients can return to their normal lives within 3-4 days. Another advantage of laparoscopy is to avoid complications (infection, wound dehiscence and hernia) related to abdominal incision. The closed method, which is used in the treatment of many gynecological diseases, also reduces the risk of infertility in women after surgery. Many methods can be used to cut tissues and stop bleeding during laparoscopic surgery. Mechanical cutting (knife and scissors) and binding, electrosurgery and laser are the most important of these.
Application Areas of Laparoscopy:
Laparoscopy, a modern surgical method known as bloodless or closed surgery among the people; most commonly in infertility studies, those who have difficulty conceiving of infertile patients It is done to investigate whether there is a problem that will prevent them from getting pregnant during their follow-up and treatment. If the woman has had an inflammatory disease of the ovaries or uterus before, or if she has had any surgery in the abdomen, laparoscopy can be performed to evaluate the condition in the ovaries.
The most common operations are operations related to ovarian cysts, chocolate cysts, uterine fibroids and ovarian ducts. When necessary, laparoscopy is applied in the investigation and treatment of chronic inguinal pain of unknown cause or infertility in certain patients. Today, the limits of laparoscopy have expanded considerably; removal of the uterus (hysterectomy), cancer surgeries, uterine prolapse and even urinary incontinence operations can also be performed. Laparoscopy, for diagnostic purposes ( Diagnostic Laparoscopy ) aspect; It can be in the form of examining whether the tubes are open, the general appearance of the ovary and whether there is adhesion, the tube-ovary relationship, the general appearance of the uterus, as well as for treatment purposes ( Operative Laparoscopy) can be applied.
When laparoscopy is applied to patients with severe menstrual cramps or groin pain that have been going on for years, endometriosis, which is extremely insidious and cannot be detected by examination, can be revealed and treated. With laparoscopic surgery, endometriosis foci can be completely removed or destroyed, and then the patient’s chance of pregnancy increases.
Performing Necessary Operations While Preserving Fertility
Ovarian cysts, fibroids, adhesions in or around the ovary can affect fertility. With laparoscopic surgery, the ovaries can be preserved and cysts can be removed, obstructions and adhesions in the ovaries can be removed, and only fibroids can be removed by preserving the uterus. In this way, fertility can be preserved and the chance of having a child can be increased.
Removal of the uterus is possible laparoscopically. Laparoscopic hysterectomy is an alternative to hysterectomy performed by opening the abdomen. After part of the uterus is released laparoscopically, it is removed vaginally. The patient is hospitalized for 1-2 days in the hospital and then discharged.