Which gynecological conditions are suitable for laparoscopy?

  Minimally invasive gynecological laparoscopic surgery refers to the completion of traditional open or transvaginal gynecological surgery through several tiny incisions of about 5 mm, and has a high rate of use at home and abroad. This technique has the irreplaceable advantages of transabdominal and transvaginal surgery. First of all, it is minimally invasive and beautiful, as laparoscopy only requires 3-4 small holes of about 5 mm in the abdomen, avoiding the problems of healing of abdominal surgical incisions and incisional scarring caused by traditional transabdominal surgery. Secondly, not only is the surgical field of view clearer than that of open surgery, but it can also detect subtle lesions that cannot be detected by open surgery. Again, patients recover quickly and have a short hospital stay. Fourth, less intraoperative bleeding, low impact on physiological function and less interference with the pelvis ensure the stability of the patient’s intrapelvic environment.  Thus, gynecological laparoscopy is not only an advanced treatment technology, but also covers advanced treatment concepts and theoretical systems, which is not only a conceptual challenge to gynecologists, but also a theoretical and skillful challenge.  Gynecological laparoscopy is divided into diagnostic laparoscopy and surgical laparoscopy.1. Diagnostic laparoscopy is suitable for the following cases: examination of the cause of unexplained persistent or intermittent lower abdominal pain, intrapelvic bleeding or pelvic effusion; localization, characterization and staging of pelvic masses of unknown nature; review of malignant tumors after treatment; for patients with unexplained infertility, laparoscopy can be used not only as a means of examination For women with developmental abnormalities, laparoscopy can be used to clarify the presence of genital malformations and to classify and treat them; to investigate the causes of endocrine disorders and to treat endocrine disorders, etc. 2. Surgical laparoscopy is suitable for the following operations: family planning-related operations, such as tubal ligation and removal of ectopic birth control devices; tissue biopsy of pelvic masses pelvic adhesions dissection; conservative endometriosis surgery; various ectopic pregnancy surgeries (with or without preservation of the fallopian tubes); pelvic abscess drainage; various adnexal surgeries, such as ovarian cysts, ovarian endometriosis (chocolate cysts), benign ovarian tumors, tubal effusion, tubal tract cysts, etc.; uterine surgeries, such as uterine fibroids (myomectomy with preservation of the reproductive function), the sub-total hysterectomy, total hysterectomy; early gynecological malignant tumors, such as extensive hysterectomy for early cervical cancer, endometrial cancer, staging of early ovarian cancer; for precancerous lesions such as cervical epithelium or endometrial atypical hyperplasia, total hysterectomy is suitable.  So, who are the people for whom laparoscopic surgery is suitable? Laparoscopic surgery covers almost all gynecological surgeries, which means that almost all gynecological surgeries can be done laparoscopically. Laparoscopic surgery is available for all women of childbearing age without serious cardiopulmonary insufficiency and other medical and surgical diseases that are not suitable for laparoscopic surgery. The procedure is also feasible for elderly women who exclude serious cardiopulmonary diseases and have stable control of medical diseases. Gynecologic lesions are quite rare in young girls and children, but because laparoscopic surgery is less invasive and recovery is faster, laparoscopy should certainly be preferred for gynecologic lesions in young girls and children. Only patients with a history of multiple open surgeries or severe tuberculosis lesions in the abdominal cavity or pelvis that may have severe pelvic and abdominal adhesions are not suitable for laparoscopic surgery; in other words, the above contraindications are by no means easy for open surgery. This shows that the population for laparoscopic surgery is very broad.