Laparoscopic hysterectomy is an operation in which all interventions are carried out through an incision in the anterior abdominal wall of a woman. Access can be longitudinal and transverse, the decision on the type of operation is made by surgeon and depends on many factors, such as the size of the tumor, previous surgical interventions and the presence of a postoperative scar in patient.

Total hysterectomy is carried out for diseases of the cervix or if patient does not want to keep the cervix, as well as for all malignant neoplasms of the genitals.

In most cases, transverse suprapubic approach is used for hysterectomy. Total hysterectomy is an operation that removes the entire uterus, body and cervix. This volume of surgical intervention has to be resorted to when the pathology of the body and cervix is ​​combined, for example, with multiple cysts and precancerous changes in the cervix. In some cases, together with the body of the uterus, surgeon removes the fallopian tubes, ovaries. The decision on the volume of surgery is made by gynecologist at the preoperative consultation.

Laparoscopic Procedure

During the intervention, the standard algorithm is followed - making incisions and inserting trocars.

To raise the abdominal wall, pneumoperitoneum is necessarily used when the cavity is filled with gas. For this, the substance is preheated to minimize tissue injury.

The skin is treated with antiseptic solutions before the incisions. The first move is made in the navel area, where a tube with a video camera is placed. In laparoscopy, the uterus is displayed and displayed on a screen. The rest of the instruments are inserted through 3-4 additional punctures.

Scheme of Laparoscopic Intervention

The orientation is carried out by camera. Bleeding of small vessels is stopped with a coagulator. Sometimes vessels and tissues are fixed with clips.

Extraction of the uterus, ovaries, tubes is carried out through small holes. They are placed in a special container and pulled out. After that, the cavity is rinsed with warm saline solution.

Drains are inserted into the incisions or they are completely sutured. Next, antiseptic treatment is carried out and closed with a bandage. During the day, surgeon monitors the discharge of the infiltrate and swelling.

Laparoscopy is the most gentle surgical method in gynecology, which does not require making incisions in the abdominal cavity. Its main advantage is the minimum amount of unpleasant consequences and complications. This method is used to treat and diagnose a variety of gynecological diseases.

Laparoscopy of the uterus is one of the modern minimally invasive methods of surgical intervention, during which only a few punctures are required in the abdominal region.

Laparoscopy of the uterus is used to treat and diagnose various diseases. With its help, you can identify endometriosis, fibroids, cysts and identify the cause of infertility. It will take no more than two weeks to fully recover from such an operation.

Features of laparoscopy of the uterus

This technique has gained great popularity in gynecology, and all because:

It does not require an incision to carry it out.

Prevents the development of adhesions in tissues due to low injury risk.

Helps to examine the abdominal cavity in detail.

There is a possibility of increasing several times.

Short rehabilitation period.

Leaves no marks or scars.

What complications can occur?

After laparoscopy of the ovary, most often, severe pains are disturbed not only in the place where the operation was performed, but also in the area of the right side and shoulder. The reason for this is the accumulation of carbon dioxide residues in the liver, which acts on the nerve as an irritant. Muscle pain and swelling of the extremities may also appear.

In the first days after the procedure, gas may accumulate in the upper fat layer. It is harmless to life and disappears within a few days.

There are also possible complications such as:
Damage to internal organs, which can occur both during the penetration of the instrument and during the filling of the abdominal cavity with carbon dioxide.
Damage to blood vessels during the puncture process. This can lead to severe bleeding and blood transfusions.
Getting infection that can get into the wound. It is to prevent such consequences, after the operation, it is required to get antibiotics.
In any case, after the operation, woman is selected an individual course of rehabilitation and her nutrition is regulated (refusal from fatty, sweet, flour, spicy, etc.).