Dr Hugo Fernandes
Keyhole Surgery Solutions
Don’t be afraid of gynaecological procedures – we can perform surgery and diagnose many gynaecological problems with extremely small incisions.
What is a Laparoscopy?
How does it work, exactly? Laparoscopies are relatively straightforward. A laparoscope, which is a thin fibre optic instrument built like a slender tube, is inserted into the patient’s abdomen. The cut made to allow for this insertion is extremely small, usually about 5-10mm in length. The laparoscope is fitted with a video camera and light source, allowing your surgeon to gain a better visualisation of your body through a video monitor. Photographs can also be taken in this process, and other surgical instruments can be inserted through that same small incision to perform a full surgical procedure.
A gynaecologist can often perform laparoscopic surgery as a day procedure, typically using general anaesthesia. In more serious cases where more extensive surgery is required, overnight stays at the hospital may be necessary.
When is Laparoscopy Performed?
- Abdominal pain
- Pelvic pain
- Period problems
Laparoscopic surgeries aren’t only diagnostic procedures, however. This surgery can be operative, where a surgeon uses the same tiny incision to treat or remove a variety of other growths and conditions. The structure of the procedure will be the same, with a patient going under general anaesthetic for a minimally invasive operation, though the surgery will be built to provide treatment solutions. These conditions can include:
- Ovarian cysts
- Tubal ectopic pregnancy
- Uterus removal (hysterectomy)
- Sterilisation procedures
Benefits of Laparoscopy
- Reduced pain post-surgery
- Lower risk of infection
- Lower risk of bleeding
- Minimised scarring
- Same-day discharge
- Faster recovery, allowing you to get back to regular work and life as quickly as possible
Potential Risks and Side Effects
Less than 1 in 100 laparoscopies have complications of any severity, while major complications are even rare. Still, it is important to be informed about all the complications that could come with your surgery. This includes bleeding, infection, blood clots, and pain. Some other side effects are:
- Nausea and vomiting
- Hernia at incision sites
- Damage to internal organs such as major blood vessels, ovaries, bladder, ureters, and bowel