Laparoscopic Surgeries

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What is Laparoscopic Surgery?

Laparoscopy is a type of surgery that uses smaller cuts than you might expect.

The process takes its name from the laparoscope, a slender tool that has a tiny video camera and light on the end. When a surgeon inserts it through a small cut and into your body, they can look at a video monitor and see what’s happening inside you.

Without those tools, they’d have to make a much larger opening. Thanks to special instruments, your surgeon won’t have to reach into your body, either. That also means less cutting.

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Have you heard people talk about “minimally invasive” surgery? Laparoscopic surgery is one kind. Doctors first used it for gallbladder surgery and gynecology operations. Then it came in play for the intestines, liver, and other organs.

What is Laparoscopy?

Laparoscopy refers to a kind of surgery that involves minimally invasive incisions when it comes to surgical operations. It is usually done in the area of the abdomen or in a woman’s reproductive system.

Laparoscopic surgeries usually involve a thin tube called a laparoscope. It is inserted into the abdomen area through a small incision. An incision is basically a small cut made through the skin tissue during an operation. The tube that is inserted via the incision has the camera attached to it. The camera then sends the images to a video monitor.

This, in turn, allows a surgeon to view the body organs without any deep cuts or incisions or without any major trauma to the patient.

The reasons why people mostly opt for laparoscopic treatments at the hospital are shorter hospital stays, speedy recovery, less pain and smaller scars than the traditional or open surgery. The other names for laparoscopy are Diagnostic Laparoscopy or Laparoscopic Surgery.

Following are some of the medical problems for which laparoscopy is widely used:

  • Fibroids : These are growths that form inside or outside the uterus of a woman. Most fibroids are noncancerous in nature.

  • Ovarian Cysts : These are basically fluid-filled sacs that form inside or on the surface of an ovary of a woman.

  • Endometriosis : It refers to a condition in which tissue that normally lines the uterus grows outside of it in a woman.

  • Pelvic prolapse : It is a condition in which the reproductive organs drop into or out of the vagina of a woman.

  • Ectopic Pregnancy : This is kind of a pregnancy that grows outside the uterus in a woman. A fertilized egg can not survive an ectopic pregnancy. It can be life-threatening for a pregnant woman.

  • Hysterectomy : It refers to the removal of the uterus. A hysterectomy may be done to treat cancer, abnormal bleeding, or other disorders.

  • Tubal ligation : It is a procedure used to prevent pregnancy by blocking a woman's fallopian tubes.

  • Infertility : laparoscopy surgeries can be used to check the patency of both the Fallopian tubes . It can also help in treating endometriosis leading to infertility.

Cancer Surgery


Ovarian cancer is a growth of cells that forms in the ovaries. The cells multiply quickly and can invade and destroy healthy body tissue.
The female reproductive system contains two ovaries, one on each side of the uterus. The ovaries — each about the size of an almond — produce eggs (ova) as well as the hormones estrogen and progesterone.
Ovarian cancer treatment usually involves surgery and chemotherapy.

Symptoms

When ovarian cancer first develops, it might not cause any noticeable symptoms. When ovarian cancer symptoms happen, they're usually attributed to other, more common conditions.

Signs and symptoms of ovarian cancer may include:

Abdominal bloating or swelling
Quickly feeling full when eating
Weight loss
Discomfort in the pelvic area
Fatigue
Back pain
Changes in bowel habits, such as constipation
A frequent need to urinate

Laparoscopy allows for completion of an operative procedure through multiple small incisions as opposed to larger incision. Over the last 30 years, laparoscopic procedures have been developed, tested, and validated for a number of surgical interventions. Laparoscopic hysterectomy was first performed in the early 1990s. For women undergoing hysterectomy for benign gynecologic diseases, the procedure has been shown to be safe and is associated with improved perioperative outcomes compared with abdominal hysterectomy performed via laparotomy. Despite the apparent benefits of laparoscopic hysterectomy, adoption into practice has been relatively slow.
Surgery is often the main treatment for endometrial cancer and consists of a hysterectomy, often along with a salpingo-oophorectomy, and removal of lymph nodes. In some cases, pelvic washings are done, the omentum is removed, and/or peritoneal biopsies are done. If the cancer has spread throughout the pelvis and abdomen (belly), a debulking procedure (removing as much cancer as possible) may be done. These are discussed in detail below.

Objective:

Total laparoscopic radical hysterectomy (TLRH) makes it difficult to resect adequate vaginal cuff according to tumor size and to avoid tumor spread after opening the vagina. Laparoscopic-assisted radical vaginal hysterectomy (LARVH) is associated with higher risk for urologic complications.

Methods:

The vaginal-assisted laparoscopic radical hysterectomy (VALRH) technique comprises 3 steps:
comprehensive laparoscopic staging, creation of a tumor-adapted vaginal cuff, and laparoscopic transsection of parametria. We retrospectively analyzed data of 122 patients who underwent VALRH for early stage cervical cancer (n=110) or stage II endometrial cancer (n=12) between January 2007 and December 2009 at Charité University Berlin.

Conclusion:

VALRH is a valid alternative to abdominal radical hysterectomy and LARVH in patients with early-stage cervical cancer and endometrial cancer stage II with minimal intraoperative complications and identical oncologic outcomes.

Objective:

Total laparoscopic radical hysterectomy (TLRH) makes it difficult to resect adequate vaginal cuff according to tumor size and to avoid tumor spread after opening the vagina. Laparoscopic-assisted radical vaginal hysterectomy (LARVH) is associated with higher risk for urologic complications.

Methods:

The vaginal-assisted laparoscopic radical hysterectomy (VALRH) technique comprises 3 steps:
comprehensive laparoscopic staging, creation of a tumor-adapted vaginal cuff, and laparoscopic transsection of parametria. We retrospectively analyzed data of 122 patients who underwent VALRH for early stage cervical cancer (n=110) or stage II endometrial cancer (n=12) between January 2007 and December 2009 at Charité University Berlin.

Conclusion:

VALRH is a valid alternative to abdominal radical hysterectomy and LARVH in patients with early-stage cervical cancer and endometrial cancer stage II with minimal intraoperative complications and identical oncologic outcomes.

Prolapse Surgery

For many women, prolapse can include descent of the uterus, vagina, bladder and/or rectum resulting in a "bulging" sensation within the vagina. In some cases, frank protrusion of these organs can occur. Pelvic organ prolapse can result in symptoms including urinary leakage, constipation, and difficulty with intercourse.