Laparoscopy
What is it?
Laparoscopy is an endoscopic technique under general anaesthesia. Through a small incision near the navel it is introduced the laparoscope, an appropriate tool with rod lens and light source connected to a video camera. The surgeon focuses directly on pelvic organs, while monitoring the findings on a screen connected with the laparoscope and may effectuate surgeries without surgical incision at the abdomen.
Laparoscopy – Applications
Diagnostic laparoscopy
- Morphology of uterus, Fallopian tubes, ovaries
- Check of the permeability of the Fallopian tubes – introduction of contrast dye from the cervix, appearance of the contrast dye from the openings of the Fallopian tubes
Operative laparoscopy in assisted reproduction
- Correction of uterine anatomical abnormalities
- Operation for unblocking Fallopian tubes or salpingectomy for hydrosalpinges
- Treatment of endometriosis – cauterisation of outbreaks
- Adhesiolysis
- Myomectomy
- Removal of ovarian cysts
Operative laparoscopy in gynaecology
- Uterine and cervical cancer
- Total laparoscopic hysterectomy (TLH)
- Ectopic pregnancy
Laparoscopy – Advantages
- Minimum surgical incision
- Reduction of the effect of creation of postoperative adhesions
- Reduction of the postoperative pain
- Quick recovery and discharge from hospital
- Quick comeback to work
Hysteroscopy
What is it?
Hysteroscopy is an imaging test of the interior of the cervix and the uterus. It is performed with the introduction of hysteroscope by which the uterine cavity is inspected.
Hysteroscopy – Stages
- Check of the morphology of the uterine cavity and the cervix and correction of any morphological anatomical abnormalities of the uterus
- Adhesiolysis
- Uterine polypectomy
- Uterine myomectomy
- Biopsy of the endometrium and check for other uterine malignancies