Minimal Access Surgery

Minimal Access Surgery

Operative Endoscopy also known as Minimal Access Surgery is one of the recent advances in Gynaecology and today is the gold standard for the diagnosis and treatment of a wide range of gynaecological problems.

Minimal Access Surgery has revolutionized the field of gynaecology becoming established in everyday practice.

The majority of the gynaecological procedures can be performed using minimal access surgery, in the form of laparoscopy (keyhole surgery) or hysteroscopy.

Laparoscopy:

Laparoscopy involves putting a small telescope called laparoscope through a very small incision in the abdomen to visualize the inside of the abdominal cavity, particularly the uterus, tubes and ovaries.

Additional instruments can be inserted using other small incisions. The laparoscopy can be performed for both diagnostic and therapeutic gynaecological purposes.

Advantages of Minimal Access Surgery:
  • Laparoscopy often offers better visualization than open surgery, particularly better visualization of the hiatus and deep structures in the pelvis.
  • It offers dramatic advantages in terms of the quality of life after the operation.
  • Postoperative pain is reduced. This also aids in lower lung related complications.
  • Smaller wounds are associated with fewer wound complications, less scarring, and better cosmetic effect.
  • MAS results in reduction of postoperative adhesions.
  • Patients stay in the hospital for a shorter period and recover faster.
  • Patients are able to return to their normal activities faster (eg, feeding, school, work).
  • A child's quick recovery allows parents to return to work faster.
  • Video imaging allows surgical assistants, anaesthesiologists', and nurses to view what the surgeon is doing and to actively participate in the procedure in their respective roles.
  • Reduced exposure of internal organs to possible external contaminants thereby reduced risk of acquiring infections.
Hystreoscopy:

A hysteroscopy is a way for your doctor to look at the lining of your uterus. He or she uses a thin viewing tool called a hysteroscope. The tip of the hysteroscope is put into your vagina and gently moved through the cervix into the uterus. The hysteroscope has a light and camera hooked to it so your doctor can see the lining (endometrium) on a video screen.

The procedure can be performed for both diagnostic and therapeutic gynaecological purposes.
A hysteroscopy may be done to find the cause of abnormal bleeding or bleeding that occurs after a woman has passed menopause. It also may be done to see if a problem in your uterus is preventing you from becoming pregnant (infertility). A hysteroscopy can be used to remove growths in the uterus, such as fibroids or polyps. Your doctor may take a small sample of tissue (biopsy).

Pre and Post Operative Instructions:
  • There will be a pre-op visit with a member of anesthesia department.
  • Patients should not eat or drink anything after midnight on the night before surgery.
  • Patient are put to sleep under general anesthesia
  • 85% of the patients go home on the same day after their surgery
  • Patients should expect to take pain killers for a few days post-operatively. We encourage patients NOT to stay in bed. They should move around the house and resume normal activities as soon as they feel up to it. Some women are well enough to return to work one week after surgery.
  • Some patients are advised to refrain from intercourse, lifting heavy weights and no exercises for 6 weeks.

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