Laparoscopic applications in gynecology

  1.Uterine fibroids: Laparoscopic myomectomy is one of the most widely used laparoscopic procedures to remove single or multiple fibroids through four small incisions of 0.5cm-1.5cm. In addition, laparoscopic subtotal hysterectomy or total hysterectomy is also possible for patients whose condition requires it or who do not need to preserve their reproductive function. This can avoid the large wounds of traditional surgery, reduce postoperative pain, and allow patients to eat and get out of bed in one or two days after surgery, with quick recovery and early discharge.  2.Ectopic pregnancy: Currently, laparoscopy is regarded as the gold standard for the diagnosis of ectopic pregnancy and the main method of ectopic pregnancy treatment. Laparoscopic surgery can be done to confirm the diagnosis and carry out treatment at the same time. (1) conservative surgery: laparoscopic oophorectomy, embryo extrusion, embryo removal, which can preserve the affected fallopian tube; (2) radical surgery: laparoscopic partial oophorectomy, hysterocerebroidectomy, etc.  (3) Ovarian tumor: laparoscopic ovarian mass debulking not only debulks the ovarian tumor but also preserves the ovarian function, which is the most common surgical procedure to treat benign ovarian tumor. In addition, ovarian tumors can cause severe abdominal pain due to torsion, which requires emergency surgery. In severe cases, ischemic necrosis of the ovary requires removal of the affected ovary or adnexa, so laparoscopic minimally invasive surgery is recommended to treat ovarian tumors as early as possible, especially before pregnancy to avoid risks during pregnancy. In the case of abdominal pain in unmarried girls, the possibility of ovarian tumor torsion should be considered and a gynecologist should be consulted if necessary.  4. Infertility and tubal cistern obstruction: laparoscopy can loosen pelvic adhesions, restore normal pelvic anatomy, perform tubal cisternal molding, and at the same time do tubal Melanotomy to check tubal patency, or combine hysteroscopy and laparoscopy to diagnose and treat infertility, and give proper fertility guidance after surgery.  5.Chronic pelvic pain: if the conservative treatment is ineffective, laparoscopic exploration is feasible to find the cause of chronic pelvic pain and give corresponding treatment at the same time, such as pelvic endometriosis electrocautery.  6.Endometrial cancer and cervical cancer: laparoscopic endometrial cancer staging surgery and laparoscopic extensive total hysterectomy + pelvic lymph node dissection are feasible. It avoids the huge incision of open surgery, reduces postoperative pain and accelerates patient’s recovery.  Laparoscopic surgery for various gynecological diseases has the advantages of small wound, less trauma, less pain, less interference with pelvic and abdominal organs, quick postoperative recovery, small scar and short hospital stay, which has brought gospel to more and more female patients who love beauty.