Laparoscopic Myomectomy
During a laparoscopic surgical procedure, small incisions of up to half an inch are made and plastic tubes called ports are placed through these incisions. The camera and the instruments are then introduced through the ports, which allow access to the inside of the patient. The camera transmits an image of the organs inside the abdomen onto a television monitor. The surgeon is not able to see directly into the patient without the traditional large incision. The video camera becomes a surgeon’s eyes in laparoscopy surgery, since the surgeon uses the image from the video camera positioned inside the patient’s body to perform the procedure
Laparoscopic myomectomy is when a small scissors-like instrument is used to open the thin covering of the uterus. The fibroid is found underneath this covering, grasped, and freed from its attachments to the normal uterine muscle. After the fibroid is removed from the uterus, it must be brought out of abdominal cavity. The fibroid is cut into small pieces with a special instrument called a morcellator, and the pieces are removed through one of the small incisions. The openings in the uterus are then sutured closed using specially designed laparoscopic suture holders and grasping instruments.
Your doctor might recommend myomectomy for troublesome fibroids if:
Following laparoscopic myomectomy, most women are able to leave the hospital the same day as surgery. For more extensive surgery, a one-day stay may be a good idea. Medical staff members urge you to walk around as soon as you're able, because walking reduces the risk of many postoperative complications. You may have to avoid certain activities, such as driving, lifting heavy objects, climbing stairs or exercising vigorously until you recover. Also, your doctor may advise that you not use tampons or have sexual intercourse for up to six weeks. You can expect some vaginal drainage for up to six weeks as well.
There are not any currently available medicines that will permanently shrink fibroids. Often heavy bleeding can be decreased with birth control pills. There are a number of medications in the family of GnRH agonists, which induce a temporary chemical menopause. In the absence of estrogen myomas usually decrease in size. Unfortunately, the effect is temporary, and the fibroids rapidly go back to their pre-treatment size when the medication is discontinued.
Laparoscopy Ectopic Pregnancy
An ectopic pregnancy is an abnormal pregnancy that occurs outside the womb (uterus). The baby (fetus) cannot survive, and often does not develop at all in this type of pregnancy. An ectopic pregnancy is often caused by a condition that blocks or slows the movement of a fertilized egg through the fallopian tube to the uterus. This may be caused by a physical blockage in the tube by hormonal factors and by other factors, such as smoking.
Laparoscopy Ectopic pregnancy is done if there is a rupture, to stop blood loss. This surgery is also done to; confirm an ectopic pregnancy, remove the abnormal pregnancy and to repair any tissue damage.
Patients will probably be able to get back to normal activities within a week's time, including driving, walking up stairs, light lifting and work. Activity is dependent on how the patient feels. Walking is encouraged. Patients can remove the dressings and shower the day after the operation. In general, recovery should be progressive, once the patient is at home. Most patients are fully recovered and may go back to work after seven to ten days. Often, this depends on the nature of your job since patients who perform manual labor or heavy lifting may require two to four weeks of recovery.
We can sometimes treat an ectopic pregnancy by giving a drug called methotrexate. We usually give this drug as an anti-cancer treatment. When we give it to treat an ectopic pregnancy it stops the embryo from growing any bigger. The embryo dies and the body slowly absorbs the remains. This can avoid the need for surgery.
If you need surgery you could have an open operation, called a laparotomy. Due to the benefits of laparoscopy over open operations, it is usually better to avoid this. If for some reason a laparoscopic operation is not possible, your surgeon will recommend an open operation. One reason for this would be if you were very ill due to internal bleeding from the ectopic pregnancy.
Laparoscopic Cholecystectomy
Laparoscopic cholecystectomy is a procedure in which the gallbladder is removed by laparoscopic techniques. During a laparoscopic surgical procedure, small incisions of up to half an inch are made and plastic tubes called ports are placed through these incisions. The camera and the instruments are then introduced through the ports, which allow access to the inside of the patient. The camera transmits an image of the organs inside the abdomen onto a television monitor. The surgeon is not able to see directly into the patient without the traditional large incision. The video camera becomes a surgeon’s eyes in laparoscopy surgery, since the surgeon uses the image from the video camera positioned inside the patient’s body to perform the procedure.
The gallbladder is a small pear-shaped pouch situated under the liver in the upper right part of the abdomen. It stores bile, a liquid produced by the liver, and then releases it into the intestine to help digestion. The gallbladder may need to be removed to treat gallstones. Gallstones are small, hard stones, which can sometimes develop in the gallbladder. They can result in a blockage of the flow of bile out of the gallbladder and symptoms that can include pain, jaundice (yellowed skin), and fever. The body can function well without a gallbladder and removing it is a common treatment for gallstones that are causing symptoms.
Patients will probably be able to get back to normal activities within a week's time, including driving, walking up stairs, light lifting and work. Activity is dependent on how the patient feels. Walking is encouraged. Patients can remove the dressings and shower the day after the operation. In general, recovery should be progressive, once the patient is at home. Most patients are fully recovered and may go back to work after seven to ten days. Often, this depends on the nature of your job since patients who perform manual labor or heavy lifting may require two to four weeks of recovery.
Complications of a laparoscopic cholecystectomy are infrequent and the vast majority of laparoscopic gallbladder patients recover and quickly return to normal activities. Risks might include;
What are the alternatives to the surgery?
Laparascopic Ovarian Cystectomy at Women's Hospital International & Fertility Centre
During a laparoscopic surgical procedure, small incisions of up to half an inch are made and plastic tubes called ports are placed through these incisions. The camera and the instruments are then introduced through the ports, which allow access to the inside of the patient. The camera transmits an image of the organs inside the abdomen onto a television monitor. The surgeon is not able to see directly into the patient without the traditional large incision. The video camera becomes a surgeon’s eyes in laparoscopy surgery, since the surgeon uses the image from the video camera positioned inside the patient’s body to perform the procedure.
Sterilization by laparoscopy is a common procedure used to perform tubal ligation in women. Tubal ligation is a method of Sterilization that involves obstruction of the fallopian tubes. The fallopian tubes are on either side of the uterus and extend toward the ovaries. They receive eggs from the ovaries and transport them to the uterus. Once the fallopian tubes are closed by laparoscopic Sterilization, the man's sperm can no longer reach the egg.
For women who no longer want children, Sterilization by laparoscopy provides a safe and convenient form of contraception. Once completed, no further steps are needed to prevent Pregnancy. Tubal ligation also does not change a woman's menstrual cycle or cause menopause.
However, laparoscopy may not be suitable for some women. In these cases, tubal ligation may be performed by laparotomy, a more extensive surgery that requires a larger abdominal incision and a day or two of recovery in the hospital.
Patients will probably be able to get back to normal activities within a week's time, including driving, walking up stairs, light lifting and work. Activity is dependent on how the patient feels. Walking is encouraged. Patients can remove the dressings and shower the day after the operation. In general, recovery should be progressive, once the patient is at home. Most patients are fully recovered and may go back to work after seven to ten days. Often, this depends on the nature of your job since patients who perform manual labor or heavy lifting may require two to four weeks of recovery.
The complication rate with laparoscopic Sterilization is approximately 0.02 per 1000 procedures
There are many effective contraception methods, such as the pill or condoms. These methods are usually easily reversible. Consider these methods carefully before sterilisation. Sterilisation reversal is difficult. It is only successful for about seven in 10 women (70%).
Your partner could consider male sterilisation, called a vasectomy. This is a simple operation, often carried out under local anaesthetic.
If you have scarring, called adhesions, in your abdomen from past operations or infection, a keyhole operation may not be safe. Consider other contraceptive methods before an open sterilisation operation with a larger wound, called a mini-laparotomy.
Laparoscopic Appendectomy
During a laparoscopic surgical procedure, small incisions of up to half an inch are made and plastic tubes called ports are placed through these incisions. The camera and the instruments are then introduced through the ports, which allow access to the inside of the patient. The camera transmits an image of the organs inside the abdomen onto a television monitor. The surgeon is not able to see directly into the patient without the traditional large incision. The video camera becomes a surgeon’s eyes in laparoscopy surgery, since the surgeon uses the image from the video camera positioned inside the patient’s body to perform the procedure. The surgeon removes the appendix with the instruments, so there is usually no need to make a large cut in the abdomen.
Appendicitis is a sudden or chronic inflammation of the appendix. Although the appendix does not seem to serve any purpose, it can become diseased and, if untreated, can burst, causing infection and even death. The cause of appendicitis is usually unknown. Appendicitis may occur after a viral infection in the digestive tract or when the tube connecting the large intestine and appendix is blocked or trapped by stool. It is thought that blockage of the opening of the appendix into the bowel by a hard, small stool fragment causes inflammation and infection of the appendix (appendicitis). The inflammation can cause infection, a blood clot, or rupture of the appendix. The infected appendix then must be surgically removed (emergency appendectomy) before a hole develops in the appendix and spreads the infection to the entire abdominal space.
Patients will probably be able to get back to normal activities within a week's time, including driving, walking up stairs, light lifting and work. Activity is dependent on how the patient feels. Walking is encouraged. Patients can remove the dressings and shower the day after the operation. In general, recovery should be progressive, once the patient is at home. Most patients are fully recovered and may go back to work after seven to ten days. Often, this depends on the nature of your job since patients who perform manual labor or heavy lifting may require two to four weeks of recovery.
Appendectomies are usually carried out on an emergency basis to treat appendicitis. There are no alternatives, due to the serious consequence of not removing the inflamed appendix, which is a ruptured appendix and peritonitis, a life-threatening emergency.
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