Frequently asked questions about minimally invasive gynecologic laparoscopy

In recent years, with the development of surgical medical technology, people are not only seeking medical treatment for the treatment of diseases, but more people are considering physical and mental recovery, such as pain in surgery, postoperative scars and other issues, in order to minimize the trauma of the patient, and laparoscopy is one of the minimally invasive representative of modern medical history. Currently laparoscopic minimally invasive surgery has been used in gynecology for many years, although recognized by the majority of female friends, but most people are still full of curiosity and worry about laparoscopy, the following are often encountered in the clinic a few questions: 1), gynecological laparoscopic minimally invasive surgery can treat what diseases? Diagnosis: various difficult diseases, such as acute abdominal pain, chronic pelvic pain, uterine perforation, infertility, dysmenorrhea, etc. Treatment: various types of ectopic pregnancy, conservative treatment of ectopic pregnancy (preserving fallopian tube), pelvic adhesion, endometriosis, ovarian endometriosis cysts, benign teratoma of ovary, ovarian cysts, uterine fibroids, all kinds of pelvic masses, tubal sterilization, tubal recanalization. 2) Can gynecological diseases and gallbladder stones be treated at the same time in one operation? If the patient has gynecological diseases (such as uterine fibroids, ovarian cysts, ectopic pregnancy, etc.) and gallbladder stones or cholecystitis at the same time, the traditional surgery is to stay in the surgery department for cholecystectomy first, hospitalization for 7-10 days, and then stay in the gynecology department for surgical treatment in the following 2-3 months, hospitalization for 10-15 days, hospitalization for two times, two anesthesia, and two surgeries. Two anesthesia, two surgeries, patient damage, pain, hospitalization time is long, high cost, family members need to delay a longer time to and from the care of the patient. If the implementation of laparoscopic minimally invasive gynecological and surgical joint surgical treatment, only need to be hospitalized once, about 3-5 days, an anesthesia, can be removed at the same time the gallbladder and gynecological pelvic masses, 24 hours can be down to the ground activities, eating early, postoperative recovery fast. 3) Can “keyhole” surgery be complete? Laparoscopic minimally invasive surgery does not need to open the abdomen, the incision is only about 5mm in size, like a keyhole, so it is called “keyhole surgery”. However, some patients do not know much about laparoscopy and have some concerns, thinking that “keyhole” surgery is not as intuitive and reliable as open surgery, which is not true. Laparoscopic surgery is to improve the surgical operation method and surgical instruments, and make the operation more convenient and reliable. Laparoscopic surgery has a clearer field of vision, more detailed surgical operation, and less possibility of complications. At present, the United States, Singapore and other countries have legislation, such as doctors can not be the first to use the “keyhole” surgery, to the patient to increase the pain, is considered illegal. (4), obese patients can implement laparoscopic surgery for gynecological diseases? Obese patients are more suitable for laparoscopic surgery. Obese patients to implement open surgery, due to large and deep incisions, subcutaneous fat is easy to liquefy, so it is easy to cause postoperative incision infection, incisional hernia. In addition, the respiratory function of obese patients is significantly lower than that of normal weight patients, postoperative pulmonary infection, pulmonary atelectasis and other complications are significantly higher than that of normal weight patients. If laparoscopic surgery, there is no difference between obese patients and normal weight patients in terms of the size of the wound, length of surgery, damage to the muscle and the incidence of postoperative complications. The incidence of complications such as incisional infection and lung infection was lower in laparoscopic surgery than in open surgery. Therefore, obese patients are more suitable for laparoscopic surgery. 5) How to remove large pelvic masses (such as uterine fibroids, columns towards the cysts, etc.) from the small mouth? Many people find it hard to believe that such a large mass can be removed from a small opening in the abdominal wall. In the case of a cystic ovarian mass, it can be removed through a small opening in the abdominal wall by first suctioning out the fluid in the cyst with a long, thin puncture needle to reduce the size of the mass. In the case of larger solid masses, such as fibroids, the mass can be cut into strips with a special instrument and then removed through a small incision in the abdominal wall. All of the above specimens need to be placed in a specimen bag beforehand and removed through a small incision in the abdominal wall. The entire mass can also be removed from the vagina. The large mass is removed without any major scarring on the abdominal wall, only 3 small incisions of about 5mm, and after healing, no trace of surgery is visible at all.