Laparoscopic Surgery

Reduced Surgical Trauma

The main advantage of laparoscopic surgery is the significant reduction in surgical trauma. Instead of one large incision, surgeons make 3-4 small holes of 5-12mm diameter. This leads to less tissue destruction, reduced bleeding, and faster wound healing.

Faster Recovery

Patients who undergo laparoscopic procedures usually have short hospital stays and return faster to their daily activities. The average hospital stay is reduced from 3-5 days to 1-2 days for many procedures.

Less Postoperative Pain

The smaller extent of surgical trauma results in significantly reduced postoperative pain. Patients need fewer analgesic medications and can move earlier after the procedure.

Better Aesthetic Results

The small laparoscopic incisions leave minimal scars, which is particularly important for women from an aesthetic perspective. Scars are usually smaller than 1cm and gradually become almost invisible.

Hysterectomy

Laparoscopic hysterectomy (uterus removal) is one of the most common applications of the technique. It can be performed for various indications such as fibroids, endometriosis, abnormal bleeding, or malignancies. The laparoscopic approach offers all the advantages of minimally invasive surgery while maintaining the effectiveness of traditional open surgery.

Treatment of Endometriosis

Endometriosis is a complex condition affecting a significant percentage of women of reproductive age. Laparoscopic surgery allows accurate diagnosis and effective treatment of endometriosis. Surgeons can remove endometriotic foci, lyse adhesions, and restore pelvic anatomy with great precision.

Fibroid Surgery (Myomectomy)

Uterine fibroids are benign tumors that can cause symptoms such as excessive bleeding, pain, and fertility problems. Laparoscopic myomectomy allows removal of fibroids while preserving the uterus, which is particularly important for women who desire future pregnancy.

Treatment of Ovarian Cysts

Ovarian cysts are common and usually benign. Their laparoscopic removal or removal of the entire ovary when required can be performed with minimal trauma and fertility preservation.

Ectopic Pregnancy Surgery

Ectopic pregnancy is an emergency condition requiring immediate surgical treatment. The laparoscopic approach allows rapid diagnosis and treatment, often with preservation of the fallopian tube when feasible.

Incontinence Surgery

Incontinence is a common problem affecting the quality of life of many women. Laparoscopic colposuspension (Burch colposuspension) and other techniques can effectively treat incontinence with minimal trauma.

Treatment of Pelvic Organ Prolapse

Pelvic organ prolapse (cystocele, rectocele, uterine prolapse, or vaginal vault prolapse) can be treated laparoscopically with techniques such as sacrocolpopexy. These procedures offer long-term results with less trauma than traditional open approaches.

Patient Selection

Not all patients are suitable for laparoscopic surgery. Preoperative evaluation includes detailed history, clinical examination, and necessary imaging studies. Factors such as obesity, previous abdominal surgeries, and comorbidities must be considered.

Immediate Postoperative Period

Postoperative care after laparoscopic procedures is usually less complex than that of open procedures. Patients can move earlier, start diet sooner, and return to their activities faster.

Potential Complications

Although laparoscopic surgery is generally safe, complications can occur. These include bleeding, infection, injury to neighboring organs, and problems related to general anesthesia. The risk of serious complications is lower compared to open surgery. The experience of the gynecologist surgeon is essential for avoiding complications.

Laparoscopic surgery in gynecology and urogynecology has revolutionized modern medical practice. It offers patients multiple benefits compared to traditional open procedures, such as minimal trauma, faster recovery, and better aesthetic results.

Continuous technological evolution, improvement of training programs, and increasing experience of surgeons contribute to expanding applications and improving outcomes. However, it is important to emphasize that the selection of the appropriate surgical approach must always be based on the particular needs of each patient and the experience of the gynecologist surgeon.

Laparoscopic surgery represents the present and future of gynecological and urogynecological surgery, offering women less invasive and more effective therapeutic options.

Kostis Nikolopoulos applies advanced laparoscopic techniques with a focus on safety and effectiveness.

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