1. How is laparoscopic surgery performed?
Two or three small holes of 5mm-10mm are made in the abdomen, and a laparoscope is placed in one hole, which is connected to the monitor through fiber optics for observation: the other two holes are placed with special surgical instruments for laparoscopy, and the operation can be performed under the mirror.
2.What are the advantages of laparoscopic surgery compared with open surgery?
(1) Less surgical trauma, less postoperative pain, generally patients do not need pain medication after surgery.
(2) Quick recovery after surgery. The next day after surgery, the patient can eat semi-liquid food and get out of bed, and can be discharged from the hospital in 3 days after surgery, and resume normal life and work after a week.
(3) No obvious scars on the abdomen. The scars of traditional surgery are in the shape of long lines, which affects the appearance. The laparoscopic surgery basically leaves no scar, which is especially suitable for women’s beauty needs.
(4) The hospital stay is short, and the cost is not greatly increased compared with traditional surgery, and some surgeries even reduce the cost.
(5) No postoperative intestinal adhesions and other adverse complications.
3.What are the indications for laparoscopy?
Diagnosis: infertility, endometriosis, etc., chronic pelvic pain.
Treatment: ectopic pregnancy, pelvic adhesions, tubal reopening, ovarian tumors (endometriosis cyst, benign ovarian teratoma, ovarian cyst, ovarian cancer), uterine fibroids, adenomyosis, cervical cancer, endometrial cancer and sterilization, etc.
4.Is laparoscopic surgery a thorough treatment?
Since laparoscopy has the function of magnification and fluoroscopy, the operation field is clearer and the resection and hemostasis are more thorough.
5.How to remove large ovarian tumors and uterine fibroids from the abdominal cavity?
After ovarian cysts are peeled off laparoscopically, they are placed in special specimen bags, and after the liquid is sucked off, the mouth of the specimen bag is pulled out of the abdominal cavity, and the solid components are removed from the bag without contaminating the abdominal cavity; after the uterine fibroids are peeled off, there is a special device for laparoscopy to crush them and remove them from the abdominal cavity.
6.What patients are not suitable for laparoscopic surgery?
Patients with severe cardiopulmonary disease, diffuse peritonitis, intestinal obstruction, history of multiple abdominal surgeries and severe blood disorders.
7.What discomfort may there be after laparoscopic surgery?
(1) Due to the residual gas stimulation of the septum muscle, there is mild pain in the abdomen and right shoulder back 1-2 days after the operation, which can disappear without treatment.
(2) Due to tracheal intubation, there may be sore throat after surgery, which will disappear after taking lozenges and drinking more water.
(3) There is a small amount of vaginal bleeding after surgery due to the use of uterine lifters, which does not require treatment and will stop 2-3 days after surgery.
8.Is it necessary to have a laparoscopy before IVF?
A laparoscopy is recommended and is completely necessary and scientific. Laparoscopy can evaluate and treat pelvic lesions, diagnose and treat endometriosis, pelvic tuberculosis and hydrosalpinx in the pelvis, and has a positive impact on the success rate of IVF.
Most patients can conceive on their own after laparoscopic treatment. It is also advisable to undergo a hysteroscopy procedure to understand the endometrial condition prior to IVF. IVF technology requires a lot of money, time and effort, so it is important to clarify the condition of the pelvic and uterine cavities before proceeding.