Laparoscopy means surgery in the abdominal cavity using thin long tubular rods like instruments called Teloscope, which are introduced into the abdomen via tiny incisions on the abdomen.
To the end of the Teloscope is attached a camera which allows us to view, magnify and record the image on a monitor. This is minimally invasive or Band-Aid surgery, since very small incisions are made.
For minimally invasive operations on the abdomen, incisions may be only half an inch long, compared to four to six inches for traditional "open" surgery also termed as Laparotomy.
Laparoscopy is a type of surgical procedure that
allows a doctor to observe a woman's uterus, ovaries
and fallopian tube. It is often used to detect
ovarian cysts, fibroids, scar tissue, and diagnose
pelvic or abdominal pain, endometriosis,ectopic
pregnancy, or blocked fallopian tubes.
Laparoscopies are usually done as an outpatient procedure under general anesthesia. The viewing tube (called the laparoscope)--which is equipped with a small camera on the eyepiece--is inserted through a small incision in the navel. The doctor can then examine the abdominal and pelvic organs on a video monitor connected to the tube. Other small incisions can be made to insert instruments to perform a variety of procedures. Laparoscopy is less invasive than regular open abdominal surgery (laparotomy).
Laparoscopy was first used by gynecologists to
diagnose and treat conditions relating to the
female reproductive organs: uterus, fallopian
tubes, and ovaries. It is now used for a wider
range of procedures, including operations that
in the past required open surgery, such as removal
of fibroids, cysts, uterus, tubal pregnancy and
to find out the cause of infertility. Laparoscopy
can also be used to examine the appendix, gallbladder,
or liver.
Dr. Mala is an expert in Total Laparoscopic Hysterectomy which requires great skill and expertise as entire uterus is removed laproscopically along with suturing which is also done laproscopically. There are tremendous benefits to the patient by doing entire surgery laproscopically compared to hybrid surgery laproscopic assisted vaginal hysteroscopy where half the surgery is done laproscopically and remaining half is done vaginally.
The advantages of Total Laparoscopic Hysterectomy are
- Pain is less as nerve fibre are not disturbed and the patient recovery is very fast
- She is out of the bed the very next day and is ready to get back home
- The change of urinary incontinents (leakage of urine), vault prolapsed (hernia of intestine) is less and the depth of vagina is also maintained
- The patient return to normal activities within a week and working women can get back to work in 2 weeks time
During Total Laparoscopic Hysterectomy, we believe in not removing the ovarian unless it is diseased as the ovaries produce a hormone ‘antrogent’ even after Hysterectomy which is important for her normal sexual functioning.