Prof. Dr. Ali EKİZ

Prof. Dr. Ali EKİZ

Gynecology and Perinatology (Risky Pregnancy) Specialist

With over 15 years of professional experience, dozens of national and international research articles, and most importantly, his smiling face, Gynecology and Perinatology Specialist Prof. Dr. Ali EKİZ is with you.

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What is Gynecological Laparoscopy? How to Apply?

What is Gynecological Laparoscopy? How to Apply?

With the development of technology in recent years, important steps have been taken in the field of health. Almost all gynecological surgeries, which could be performed openly in the past, can now be operated laparoscopically, that is, by closed methods. In this way, various advantages such as less pain, lower risk of infection and faster recovery can be achieved. In this article, we have compiled answers to questions such as what is gynecological laparoscopy and how it is applied.

What is Laparoscopic (Closed Method) Surgery?

Closed surgery, also known as laparoscopic surgery, is a surgical technique that involves entering the abdomen through 1 cm incisions through tubes called trocars, and then using optical devices and surgical instruments.

In gynecological laparoscopy; It is known as the most frequently used surgical method by gynecologists, provided that it is technically suitable.

In Which Situations Is Gynecological Laparoscopy Preferred?

Gynecological Laparoscopy is generally performed for diagnosis and treatment purposes. In the diagnostic field, it is applied gynecologically in cases of infertility. We can list the diseases for which laparoscopy is performed as follows:

• Infertility: The inability to have a baby naturally is called infertility. It can also be defined as the inability to become pregnant after 12 months of regular intercourse, usually without using any birth control method. Thanks to gynecological laparoscopy, it can be both diagnostic and therapeutic in many cases such as checking the tubes, examining ovarian functions and intra-abdominal adhesions.

• Endometriosis: It is a benign, often painful chronic disease that is generally seen in young women. Endometriosis, which is one of the areas where gynecological laparoscopy is most frequently performed, can cause chocolate cysts and cause infertility. Chocolate cysts can be treated with laparoscopy.

• Ovarian Cysts: Cysts seen in almost every woman are generally known as benign. Cysts are called fluid-filled sacs that emerge from the tissue inside the eggs. These cysts can be treated using gynecological laparoscopy. Some of them may be malignant, and sometimes it may only be possible to detect this during surgery.

• Ectopic pregnancy: Ectopic pregnancy is the name given to the situation in which the embryo formed as a result of the union of sperm and egg cells is placed in a different place outside the uterus. If ectopic pregnancy is diagnosed early, the chance of treatment is quite high. Gynecological laparoscopy is a very successful operation in ectopic pregnancies.

• Removal of the uterus and myoma: It refers to the removal of the uterus or myoma in various diseases such as cancer, uterine prolapse, abnormal bleeding, long-lasting pain, endometriosis and myomas. The uterus and myomas can be removed with gynecological laparoscopy.

• Tubal ligation: Tubal ligation, which is a surgical procedure, is the most successful method for those who want to avoid pregnancy. Since it is a very easy surgery, it does not cause any problems in sexual intercourse. This procedure can also be performed with gynecological laparoscopy.

• Adhesion, infection, abscess in the abdomen: This adhesion, which usually occurs due to previous surgery, must be cleared surgically. It is possible to perform this procedure laparoscopically. Sometimes, in cases of intra-abdominal infection and abscess, it may be necessary to treat it laparoscopically.

• Additionally, in cases where a diagnosis cannot be made, laparoscopy may be used for diagnostic purposes only.

How is Gynecological Laparoscopy Performed?

Lung tests, ECG and blood tests are performed as a general routine before surgery. If the patient has other diseases, it must be determined whether there is any obstacle to the operation and anesthesia. Measures can be taken according to the results. Following these procedures, surgery is approved and the patient is sent for anesthesia consultation before the day of surgery. Solid or liquid food intake must be stopped for 6 hours before surgery.

We can list the application steps of laparoscopy surgery as follows:

• This method, applied under operating room conditions, begins with the administration of general anesthesia.

• Then, a necessary 1 cm incision is made from the belly button.

• The procedure is continued by applying a Verres needle.

• After the injection, carbon dioxide gas is injected into the abdomen to inflate it.

• After the procedure, a trocar procedure is applied and the camera is placed into the abdomen.

• Depending on the type of surgery to be performed and the need for assistance, two to three more ports are opened and the surgery is performed with special tools sent through these holes.

• Finally, the gas in the abdomen is evacuated and the incisions are closed with stitches.

What are the Benefits of Gynecological Laparoscopy?

We can list the various benefits of gynecological laparoscopy as follows:

• Aesthetically, it leaves smaller scars than larger incisions.

• The hospitalization period after the surgery is quite short, no adverse events occurred.

• There is very little pain and a very short recovery period. In this way, transition to routine life is achieved as soon as possible.

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