Laparoscopic Methods have been used for diagnostic purposes in the Gynecology for many years. It has great importance in terms of providing visual information in the evaluation of the tubes and ovaries in the diagnosis of infertility.In the last 10 years, thanks to technological developments and new applications in surgical instruments (Advanced bipolar technology and ultrasonic energy – Ligasure Harmonic and Enseal), surgeries have begun to be performed with a previously unattained safety level. Hysterectomy has great importance in the field of gynecology as it is the most frequently performed operation. Laparoscopic Surgery can now be easily performed in 90% of surgeries previously performed with Total Abdominal Hysterectomy or Vaginal Hysterectomy.
Who can Have Laparoscopic Hysterectomy?
Laparoscopic surgery can be applied in 90% of patients who need uterus removal. It may be contraindicated in patients who had midline incision surgery before and in patients with severe abdominal adhesions. These limitations can be overcome in advanced surgical techniques.
What are the Types of Hysterectomy?
• Uterus Removal Surgery through the Abdomen: It is the total removal of the uterus and ovaries by starting an operation such as a cesarean section.
• Uterus Removal Surgery through Womb: It is the removal of the uterus and ovaries as the baby is born through the vaginal route.
• Removal of a Part of the Uterus through the Abdomen: Just like the cesarean section, the operation is performed and only the upper half of the uterus is removed. The cervix (cervix) is left.
• Uterine Removal by Keyhole Surgery (Laparoscopy): It is the surgical removal of the uterus and ovaries by closed methods. The whole or half of the uterus can be removed, the ovaries can be left.
Endometrial hyperplasia that causes excessive irregular vaginal bleeding. (Endometrial Hyperplasia) Failure to improve with drug therapy or failure to use medication.
Pain and bleeding complaints affect daily life. The development of anemia due to bleeding. Inability to control with drug therapy.
In ovarian cysts other than functional ovarian cysts, accompanying surgical problems should be evaluated and hysterectomy should be considered.
If the treatment of genital organ prolapse (GOP) due to advanced age and menopause is considered, hysterectomy can be added to corrective surgeries.
When ovarian cancers (Over), uterine cancers (Endometrium) and cervical cancers (Cervix) are diagnosed, surgery may be required to remove the uterus.