Laparoscopy in Gynecology

Know more about Laparoscopy in Gynecology


In comparison to the conventional surgical procedure laparoscopic surgery is preferred by patients for the reason that surgical scar is minimal, better healing time, shorter hospital stay and faster recovery to normal life. The invention of Laparoscope has been one of the key advances in surgery, making much of minimally invasive surgery today possible. A laparoscope is a thin, fiber-optic tube that has a tiny video camera at its tip. The laparoscope is inserted through a small incision, generally but not always, in the navel, and guided to the problem area. The surgeon then inserts tiny surgical instruments through other small incisions to perform a procedure.


How Laparoscopic Surgery works?


After the incision is made and the laparoscope inserted, the surgeon looks at the images being captured by the laparoscope on a monitor similar to a television screen. This enables the surgeon to check the organ and surrounding tissues, take samples for examination under a microscope or even remove a tumor (instruments for cutting and removing tissue are part of the procedure).


Advantages of Laparoscopic Surgery


The major benefit of laparoscopic surgery is that it only requires a few small incisions. This means less pain and external scarring and healing may be faster than traditional, open surgery.

Another advantage is that the images created by the laparoscope are magnified when they appear on the monitor. This gives the surgeon more detail about the tissues than might be available using traditional surgery.


Gynecologic conditions that can be treated with Laparoscopic Surgery


Laparoscopic surgery at Aster Hospital treats


  • Uterine fibroids
  • Heavy menstrual bleeding (abnormal menstrual bleeding)
  • Ovarian cysts/benign tumors
  • Structural abnormalities of the uterus/vagina
  • Pelvic organ prolapse and urinary incontinence
  • Endometriosis
  • Pelvic pain
  • Pelvic adhesions
  • Ectopic pregnancy
  • Cervical cancer
  • Tumors
  • Uterine cancer


Hysteroscopy In Gynecology


Hysteroscopy is done with a thin telescope that is inserted through the cervix — the opening at the lower end of the uterus — into the uterus. This telescope is called a hysteroscopy. The hysteroscopy is attached to a video camera and lights so the doctor can see as he or she works. Some types of hysteroscopy are designed so that tiny instruments can be placed inside the scope to remove tissue samples for biopsies or to remove fibroids or tumors.


Hysteroscopy can be used to diagnose a condition of the uterus or to treat it. Hysteroscopy can be used to treat fibroids (myomas), polyps in the uterus, abnormal bleeding, uterine malformations and other gynecologic conditions.


How Hysteroscopy is performed?


The doctor will numb the cervix before inserting the hysteroscopy into the uterus. The uterus is then filled with a liquid such as saline solution so the doctor can see inside. This may cause minor cramping.

If hysteroscopy is done to try to find the cause of a problem, the doctor will observe the inside of the uterus. The physician may take a sample of tissue from the wall of the uterus. This sample is then examined under a microscope (a biopsy). The procedure is usually only mildly uncomfortable. Simple procedures done with a hysteroscopy can be done in the doctor’s office. A woman can usually return to her normal activities as soon as the procedure is finished. More complicated hysteroscopy are done in an operating room.

Sometimes a type of hysteroscopy called a resectscope is used for treatment of gynecological conditions. The resectoscope is designed with a wire loop attached. The loop uses high-frequency electrical current to cut or coagulate tissue. This allows the doctor to remove polyps or fibroids, or to perform other procedures


The benefits of Hysteroscopy


With hysteroscopy, surgery is done from within the uterus. There is no need to cut through the muscles of the abdomen or to cut through the uterus itself. There is less pain and little external scarring. Because the body is not exposed to the outside world as it is in traditional surgery, there is less risk of infection or other complications. Healing after a hysteroscopy is usually much faster and involves less pain than with traditional surgery on the uterus.


Gynecologic conditions that can be diagnosed or treated with Hysteroscopy

At the Center for Minimally Invasive Gynecological Surgery, hysteroscopy is used to diagnose or treat certain conditions such as:

  • Structural Abnormal uterine bleeding
  • Causes of repeated miscarriages
  • Fibroids
  • Infertility
  • Polyps
  • Structural abnormalities of the uterus

Gynecology procedures and surgeries through laparoscope has become the first choice for its ease, less pain and minimal external scarring.