Advanced Laparoscopic & Hysteroscopic Surgery
With modern advances in surgery techniques and new equipment available, it is now possible to perform major surgery like a hysterectomy using very small instruments placed through the abdominal wall when a patient is asleep. Most of these surgeries like a hysterectomy can be performed at an outpatient center and the patient can go home immediately after the surgery.
Gynecologic or female advanced techniques involve correcting problems either through the abdomen, or laparoscopic or
hysteroscopic surgeries; which are performed through the vagina and into the cervix to treat problems inside the uterus.
With laparoscopic surgery small incisions are placed in the abdominal wall that are about 1/3 an inch or the length of a staple and instruments are carefully place through these. The doctor and an assistant control the instruments with their hands while watching what they are doing with a camera that is connected to one of the instruments. The camera allows the procedure to be displayed on a big screen TV so that everyone can see what they are doing.
Common uses of laparoscopic surgery include evaluating causes of pain and infertility. Causes of pain whether it is due to
endometriosis or fibroids or ovarian cysts are all easily taken care of with laparoscopic surgery. In addition, removing cysts and fibroids, and performing hysterectomies; are just some of the surgeries a trained gynecologist might perform using laparoscopic surgery.
da Vinci Robot
When a da Vinci Robot is being used, the instruments are inserted in a similar fashion, but the robot arms are attached to the instruments. The doctor goes over to a control center and using his or her fingers and wrists and foot pedals, controls the movement of the robot arms and the jaws of the instruments to perform the surgery with greater dexterity and control. Either way, the surgery is performed and the equipment removed and the incisions closed. The patient has had no large incision so there is less pain and a faster recovery. More
Hysteroscopic surgery is performed using small instruments also, but with this technique the surgery is done with a speculum. This is the same instrument that is used to do a pap smear, which allows the doctor to see the cervix; which is the lower part of the uterus. The instruments are carefully inserted through the cervix, which is the natural opening into the uterus, so no incisions need to be made.
These small instruments have a camera so that the images inside the uterus are shown on a big screen in the operating room to the whole operating team. The doctor performs the
necessary surgery and removes the equipment. The patient is able to go home shortly after the procedure is done.
The most common use of hysteroscopic surgery is to remove fibroids and polyps. Stopping bleeding problems and helping women become pregnant are also common procedures. The real beauty is how quickly women recover because there are usually no incisions.