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Laparoscopic Surgery

Written and reviewed by
DNB (Obstetrics and Gynecology), Diploma Gynaecological Endoscopy, Kiel, Diploma In Advanced Laparoscopic Surgery
Gynaecologist, Mumbai  •  23 years experience
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What is laparoscopic surgery?

Laparoscopic surgery is basically a keyhole surgery whereby instead of opening up the entire hand inside the abdomen to operate what we are preferring to do it is to put a fiber optic cable inside through a small puncture. The fiber optic cable allows us to look at the internal organs on a huge screen of 14 inches screen or 32 inches screen inside the operation theatre. We are using parallel smaller punctures with very small instruments to be able to operate without having to open up the tummy. And when we are looking at the magnified image of the screen there is a comfort level in the surgery. The surgery goes much more delicately, much more finely and thereby we are able to achieve the end result without much of tissue trauma without much of bleeding. And if there is no bleeding, if there is no tissue trauma then definitely the recovery for the patient is fantastic. As a latest advancement the technology has improved significantly and we are now able to operate in 3D. So 3D laparoscopy provide us the perfect depth perception that required to understand the tissues. So if any repair is done like in case of the myomectomy I removed the fibroids and I repaired the uterus the 3D depth perception allows me to have a proper visualization of the tissues so have the repair to be done very finely. The end result allows the patient to heal quickly, fast and without any further complications or problems arising. In fact advantages of 3D is so significant that we are able to do the procedure as day care procedure whereby the patient’s get admitted in the morning get the surgery done which is usually a 45minutes to one hour procedure and send the patients home in the evening. Size of the fibroids size of the uterus for a myomectomy where this fibroid removal has become irrelevant because we have small cutters moderators whereby the entire tissue can be removed from a one centimetre puncture same is for the hysterectomy. If I am doing a laparoscopic hysterectomy or a 3D laparoscopic hysterectomy the number of surgeries which have been done previously multiple Sicilians which have done previously or whether the fibroid size is too large have stopped becoming relevant there is no problem in any of these situations and the end result remain the same for the patients.

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