What is a Total Laparoscopic Hysterectomy
Total laparoscopic hysterectomy is a surgical procedure for the removal of the uterus. In this technique, the uterus is separated from the adjacent structures and removed in small pieces through small incisions or through the vagina.
Every woman deserves laparoscopic (closed) surgery for gynecologic disease if needed.
Laparoscopy is a type of surgical procedure that allows a surgeon to access the inside of the abdomen (tummy) and pelvis without having to make large incisions in the skin. Only 3-4 holes are making where the maximum size is 10mm.
This procedure is also known as keyhole surgery or minimally invasive surgery.
Large incisions can be avoided during laparoscopy because the surgeon uses an instrument called a laparoscope.
This is a small tube that has a light source and a camera, which relays images of the inside of the abdomen or pelvis to a television monitor.
The advantages of this technique over traditional open surgery include:
- a shorter hospital stay and faster recovery time
- less pain and bleeding after the operation
- reduced scarring
Laparoscopic gynecologic surgeries:
Total laparoscopic hysterectomy: removal of uterus (womb)
Laparoscopic myomectomy: removal of fibroid
Laparoscopic surgery for pelvic organ prolasus: feeling lump in the vagina
Laparoscopic ovarian cystectomy: removal ovarian cyst
Laparoscopic endometrioma cystectomy: ovarian endometriosis removal
Laparoscopic deep endometriosis surgery : vagina, bowel, bladder, ureter, endometriosis removal
Laparoscopic tubal surgery: tube surgery
Laparoscopic chronic pelvic pain, genital pain surgery: pudendal neuralgia, lumbosacral nerve and sciatic nerve surgery,
Hysteroscopy
Hysteroscopy is a procedure that allows to look inside your uterus in order to diagnose and treat causes of abnormal bleeding. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus.
An operative hysteroscopy can be used to remove
- polyps,
- fibroids,
- adhesions,
- septum,
- niche: defect over uterus
Infertility
Infertility is a disease of the male or female reproductive system defined by the failure to achieve a pregnancy after 12 months or more of regular unprotected sexual intercourse
In the male reproductive system, infertility is most commonly caused by problems in the ejection of semen , absence or low levels of sperm, or abnormal shape (morphology) and movement (motility) of the sperm.
In the female reproductive system, infertility may be caused by a range of abnormalities of the ovaries, uterus, fallopian tubes, and the endocrine system, among others.
Infertility can be primary or secondary. Primary infertility is when a pregnancy has never been achieved by a person, and secondary infertility is when at least one prior pregnancy has been achieved.
Intrauterine insemination (IUI)
Intrauterine insemination (IUI) — a type of artificial insemination — is a procedure for treating infertility.Sperm that have been washed and concentrated are placed directly in your uterus around the time your ovary releases one or more eggs to be fertilized.The hoped-for outcome of intrauterine insemination is for the sperm to swim into the fallopian tube and fertilize a waiting egg, resulting in pregnancy. Depending on the reasons for infertility, IUI can be coordinated with your normal cycle or with fertility medications.
IVF
In vitro fertilisation (IVF) is one of several techniques available to help people with fertility problems have a baby.
During IVF, an egg is removed from the woman's ovaries and fertilised with sperm in a laboratory. The fertilised egg, called an embryo, is then returned to the woman's womb to grow and develop. It can be carried out using your eggs and your partner's sperm, or eggs and sperm from donors.
IVF works by using a combination of medicines and surgical procedures to help sperm fertilize an egg, and help the fertilized egg implant in your uterus. First, you take medication that makes several of your eggs mature and ready for fertilization. Then the doctor takes the eggs out of your body and mixes them with sperm in a lab, to help the sperm fertilize the eggs. Then they put 1 or more fertilized eggs (embryos) directly into your uterus
Chronic pelvic pain (CPP), Neuropelveology
When pain continues for more than 6 months after the elimination of the initial pathology or when no cause is found, chronic pelvic pain syndrome (CPPS) is considered to have developed
Neuropelveology has been introduced as a new discipline focused on pathologies of the pelvic nervous system and the possibilities for improved neurologic diagnosis in CPP/CPPS.
Neuropelveological procedures should be reserved for experienced surgeons with special training in laparoscopic retroperitoneal pelvic surgery, but the diagnosis of pelvic nerve pathologies is possible for all clinicians familiar with the neurological symptoms and signs specific to the area.
Some of cpp causes :
- endometriosis, endometrioma,
- pelvic nerve vascular entrapments,
- pelvic nerve fibrosis,
- ovarian remnant ,
- pelvic congestion, vascular enlargement
- sciatalgia sciatic nerve pain lumbosacral nerve
- pudendal neuralgia genital pain
- TLH + Bilateral salpingectomy + sacrouterine lig suspension
TLH BSO+ - Laparoscopic Neovagen Surgery
- Laparoscopic cerclage
- Laparoscopic niche
- Laparoscopic lateral suspension
- Laparoscopic Bland technique
- Laparoscopic sacrocolpopexy …..L/S SACROHYSTEROPEXY 2h
- TLH+BSO+SKP
- Laparoscopic deep Endometriosis-adhesiolysis
- L/S MYOMECTOMY
- L/S DERMOID CYST EXCISION
- L/S ENDOMETRIOMA CYST EXCISION
- L/S KULDOPLASTI
- L/S DRILLING>>>> Laparoscopic ectopic ,laparoscopic salpingectomy, L/S Bilateral tubal ligation
- Laparoscopic BURCH
- Chronic pelvic pain surgery
- Laparoscopic nerve surgery; pudendal nerve, obtrator nerve, sciatic nerve, lumbosacral nerve
- Laparoscopic priformis send Pudendal block
- pelvic floor spasm block
- Hysteroscopic h/s polypectomy
- hs myomectomy
- hs ashermann
- hystereoscopic septum
- FRONT BACK REPAIR
- PERININOPLASTY
- LABIOPLASTY
- PERINOPLASTY
- REAR BRIDING- FRONT BRIDGE> TOT
- VAH+ UTEROSACRAL LEAGUE SUSPENSION+ MCCALL CULDOPLASTY+FRONT BACK REPAIR
- VAGINAL HYSTERECTOMY
- COLPOCHESIS PERINOPLASTI
