Laparoscopic Surgery

Diagnostic laparoscopy is when surgery done through one or more small incisions, using small tubes and tiny video cameras and surgical instruments under general anaesthesia.  This is usually a day case procedure. 

The aim of this procedure is to allow a thorough assessment of the pelvic organs and diagnose conditions such as endometriosis, adhesion, pelvic inflammatory disease. 

With prior discussion and consent Miss Lo can proceed to a therapeutic laparoscopy and treat some of these conditions at the same procedure thus allowing a ‘see and treat’ setting resolving the root cause of your gynaecological problems.

The indications for laparoscopy in gynaecology include:
Endometriosis [diagnosis & treatment]
Ovarian cysts [oophorectomy and cystectomy]
Fibroids [myomectomy]
Pelvic pain [diagnosis and treatment]
Vault & uterine prolapse [sacrocolpopexy & hysteropexy]

These are pictures taken at laparoscopy:

Normal uterus


Normal appendix


 Pelvic adhesion from Pelvic Inflammatory Disease

Frozen pelvis from severe endometriosis -  ‘kissing ovaries’ with endometriomata adherent to the uterus on top and large bowel underneath.

Patient with 2 left ovaries

 

Laparoscopic surgery has many advantages:
Shorter hospital stay & quicker recovery
Reduced bleeding and tissue handling thus less risk of adhesion formation 
Smaller incisions for patients
Less post-operative pain
Better visualization and access for surgeon
Reduced risk of infection and thrombo-embolism [blood clots in legs and lungs]
Early return to normal activity and work

Complications
Like any operative procedure, laparoscopic surgery is not without risks. Common risks are bleeding, haematoma [collection of blood], infection, injury to intra-abdominal structures including bowel, bladder and ureters.  There is a risk of conversion to laparotomy [open operation].