Last two decades has witnessed a sea change in the field of Laparoscopy, what was once used for visualization and diagnostic purpose is today used as advanced abdominal operations. This was possible because of advances in the field of instrument manufacturing, Biotechnology, Anesthesia, techniques of surgery, Suture materials and various Gadgets.
What is Laparoscopic Surgery?
In Laparoscopic surgery we make 3-4 small incisions for trocars through which we introduce operative instruments. Through the naval port (umbilicus) we put 10mm (1cm) laparoscope attached to camera systems and monitor, now the surgeon can see the whole abdomen and pelvis on the screen. All the organs are seen magnified and precisely than in open surgery or Direct Visualization.
Why Laparoscopic surgeries have become so popular?
Laparoscopic surgeries have become very popular in short span of time, infact they have replaced all traditional abdominal surgeries. Their popularity is due to the immense advantages they have got over traditional surgeries. The advantages and benefits to the patients are
Patient recovers faster (24-48 hrs.) and can resume to work within few days.
No post operative rest required
No/ small scars on the abdomen
No chances of wound infection
No chances of post operative hernias and adhesions
Apart from these benefits, patients also will have immense long term benefits.
In an approach to further reduce the invasiveness of surgery and hence morbidity to the patient, single incision laparoscopy surgery ( scarless surgery) and 3-D laparoscopy have been developed at Belle Vue’s Cambridge Hospital
Almost all gynaecological laparoscopic surgeries are performed here
Laparoscopic sterilisation (family planning)- both postpartum and interval
Laparoscopic ovarian drilling ( for polycystic ovaries)
Laparoscopic myomectomy (Fibroid removal)- upto 34 wks pregnant uterine size
Laparoscopic Hysterectomy (Uterus removal)- LAVH, TLH- upto 34 wks pregnant uterine size
Laparoscopy for ovarian cyst removal (lap cystectomy)
Laparoscopic surgery for endometriosis (operative lap for endometriosis)- all stages of endometriosis, recurrent endometriosis
Laparoscopic surgery for adnexal mass, tubo- ovarian abscess
Laparoscopy for chronic pelvic pain
Laparoscopic uterine nerve ablation (LUNA)
Laparoscopic presacral neurectomy
Laparoscopic surgery for tubal recanalisation (reversal of tubal sterilisation)
Laparoscopic surgeries during pregnancy ex: Appendicectomy, Twisted Ovarian cyst.
Laparoscopic Cervicopexy, Round Ligament plication, mosco witz,
Laparoscopic sacrospinous Colpopexy/ cervicopexy, Sacrocolpopexy/ sacrocervicopexy ( for uterine prolapse, post hysterectomy vault prolapse
Laproscopic Burch colposuspension and paravaginal repair for stress Urinary incontinence.
Laparoscopic sling surgeries ( prolapse in young, nulliparous women)
Laproscopic varicocele ligation
Laproscopic assisted neovaginoplasty ( creation of new vagina )
Laparoscopy for all gynaecological malignancies ( cancer of ovary, uterus, cervix) with lymphadenectomy
Laparoscopic cervical encirclage
Laparoscopic unification surgery ( bicornuate or didelphic uterus (double))
Laproscopic repair of vesico-vaginal fistula ( abnormal communication between bladder and vagina leading to continuous dribbling of urine)
Professional Operative Laparoscopy
Treatment of severe endometriosis
Total Laparoscopic Hysterectomy
Laparoscopic radical hysterectomy and pelvic lymphadenectomy
Laparoscopic vesico vaginal fistula repair.
Laparoscopic tubal recanalization.
Pioneer in single port laparoscopic surgeries in gynaecology
Removal of submucous fibroids
Specialized in urinary incontinence treatment
SUI surgeries like TOT,TVT,mini ARC
Anterior prolift, posterior prolift.
Vaginal vesicovaginal fistula repair.
Laparoscopic sacrocolpopexy for vault prolapsed.
Sacrospinous fixation, Ileococcygeal fixation.