Gynecological laparoscopy is a surgical operation that allows you to examine the organs of the abdominal cavity with a laparoscope (a device equipped with a modern optical system) and diagnosis difficult-to-recognize diseases. In case of any irregularities the doctor immediately performs the appropriate procedure. Currently, it is the basic diagnostic and surgical procedure in gynecology, performed under general anesthesia.

Laparoscopy enables the procedure to be performed without the need for extensive dissection of the abdominal wall. Thus, it is less invasive than standard surgery – thanks to this, the scars after the procedure are almost invisible and significantly shortens the recovery time. The most important thing, however, is that thanks to laparoscopy it is possible to diagnose diseases that are difficult to diagnose using other methods.

The indications for a gynecological laparoscopy procedure include diagnostic and treatment indications.

Gynecological indications

The diagnostic indication from the first group is the diagnosis of infertility. If in the first examination other causes of this problem were excluded (endocrine disorders, diseases genetic), laparoscopy becomes a useful tool for the assessment of structure, position and patency of fallopian tubes, as well as the location of any adhesions.

Pain indications

The second most frequent indication for the implementation of this procedure is the diagnosis of pelvic pain. Also in this case, laparoscopy is preceded by other types of diagnostics (interview, physical examination, blood tests, urine tests, imaging tests), but if the cause cannot be found, you should use the endoscopic search of the abdominal cavity towards the presence of pathology. This method is also used to treat uterine fibroids and some cancerous lesions.

The treatment is preceded by a consultation at the Gynecological Clinic. Before the surgery the patient must undergo additional tests:

• blood group,
• morphology,
• coagulation indicators (APTT and INR),
• creatinine,
• glucose level,
• electrolytes (Na, K),
• general urine test,
• vaccination against hepatitis B.

Before the examination, the abdominal cavity is filled with carbon dioxide, the role of which is lifting the shell and parting the intestines. Then the doctor inserts laparoscope through a small incision in the navel – a device equipped with a metal sleeve, inside which specialized optical kit is placed. It allows you to see the inside of the enlarged abdominal cavity and surgery of internal organs is possible if necessary. The surgeon makes a minimal incision (5–12 mm, usually above the symphysis pubis) and introduces operational tools. After the operation is completed, he sutures the incisions and wakes the patient up from anesthesia.

We cordially invite you to the gynecological clinic, where experienced doctors perform laparoscopic procedures.