Why laparoscopy?

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

mother1Less pain

mother1Patient recovers faster (24-48 hrs.) and can resume to work within few days.

mother1No post operative rest required

mother1No/ small scars on the abdomen

mother1No chances of wound infection

mother1No 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

mother1Diagnostic laparoscopy

mother1Laparoscopic sterilisation (family planning)- both postpartum and interval

mother1Laparoscopic ovarian drilling ( for polycystic ovaries)

mother1Laparoscopic adhesiolysis

mother1Laparoscopic myomectomy (Fibroid removal)- upto 34 wks pregnant uterine size

mother1Laparoscopic Hysterectomy (Uterus removal)- LAVH, TLH- upto 34 wks pregnant uterine size

mother1Laparoscopy for ovarian cyst removal (lap cystectomy)

mother1Laparoscopic surgery for endometriosis (operative lap for endometriosis)- all stages of endometriosis, recurrent endometriosis

mother1Laparoscopic surgery for adnexal mass, tubo- ovarian abscess

mother1Laparoscopy for chronic pelvic pain

mother1Laparoscopic uterine nerve ablation (LUNA)

mother1Laparoscopic presacral neurectomy

mother1Laparoscopic surgery for tubal recanalisation (reversal of tubal sterilisation)

mother1Laparoscopic surgeries during pregnancy ex: Appendicectomy, Twisted Ovarian cyst.

mother1Laparoscopic Cervicopexy, Round Ligament plication, mosco witz,

mother1Laparoscopic sacrospinous Colpopexy/ cervicopexy, Sacrocolpopexy/ sacrocervicopexy ( for uterine prolapse, post hysterectomy vault prolapse

mother1Laproscopic Burch colposuspension and paravaginal repair for stress Urinary incontinence.

mother1Laparoscopic sling surgeries ( prolapse in young, nulliparous women)

mother1Laproscopic varicocele ligation

mother1Laproscopic assisted neovaginoplasty ( creation of new vagina )

mother1Laparoscopy for all gynaecological malignancies ( cancer of ovary, uterus, cervix) with lymphadenectomy

mother1Laparoscopic cervical encirclage

mother1Laparoscopic unification surgery ( bicornuate or didelphic uterus (double))

mother1Laproscopic repair of vesico-vaginal fistula ( abnormal communication between bladder and vagina leading to continuous dribbling of urine)

mother1Laproscopic appendicectomy

mother1Laparoscopic cholecystectomy

Professional Operative Laparoscopy

mother1Treatment of severe endometriosis

mother1Total Laparoscopic Hysterectomy

mother1Laparoscopic radical hysterectomy and pelvic lymphadenectomy

mother1Laparoscopic vesico vaginal fistula repair.

mother1Laparoscopic tubal recanalization.

mother1Pioneer in single port laparoscopic surgeries in gynaecology

Operative Hysteroscopy

mother1Removal of submucous fibroids

mother1Septum resection,TCRE

mother1Hysteroscopic adhesiolysis.

Urogynaecology

mother1Specialized in urinary incontinence treatment

mother1SUI surgeries like TOT,TVT,mini ARC

mother1Anterior prolift, posterior prolift.

mother1Vaginal vesicovaginal fistula repair.

mother1Laparoscopic sacrocolpopexy for vault prolapsed.

mother1Sacrospinous fixation, Ileococcygeal fixation.