Keyhole surgery | Laparoscopy | Hysteroscopy
Glengarry Private, Perth
Laparoscopy & hysteroscopy – Summary
Many patients go home same day after keyhole procedures
1. Hysteroscopy allows us to look inside the womb, usually when bleeding is abnormal.
2. Hysteroscopy is commonly used when there is irregular bleeding, heavy periods, or fertility issues.
3. Recovery after hysteroscopy is quick – usually a few days at most.
4. Laparoscopy allows us to look inside the pelvis, to see the womb, tubes & ovaries.
5. Many standard gynaecology operations can be done using keyhole surgery.
6. Endometriosis, fibroids, adhesions and cysts can often be treated.
7. Serious complications with laparoscopy are rare.
8. Most women who have laparoscopy feel mostly recovered after a week or so.
9. Driving after a few days is usually possible.
10. Most surgery is completed using keyhole techniques in our practice at Glengarry, Perth.
Any surgical or invasive procedure carries risks. Before proceeding, you should do your own research. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner. For instance, your GP’s opinion will be very helpful.
Call us to arrange a consultation • Perth (08) 9448 9822
What are the types of keyhole surgery used by gynaecologists?
There are two main types of keyhole surgery used in gynaecology.
In hysteroscopy, a narrow telescope is passed into the womb. The inside of the cervix & womb is thoroughly examined. Hysteroscopy is the gold standard for examining the lining of the cervix & womb. Ultrasound is good, but not as good as hysteroscopy. Problems found inside the womb are then able to be treated without any skin incisions on the outside at all.
Typical hysteroscopy operations include:
- exploratory womb operations
- biopsies of abnormal areas
- removal of polyps (small growths in the womb)
- removal of small-medium fibroids
- reshaping the interior shape of the womb thus improving fertility
- sterilisation procedures.
Recovery is usually quick, with discharge from the wards of Glengarry Private Hospital after a couple of hours, and potential complications are few. The main risk is a small chance of an infection which can usually be treated easily with antibiotics. Other complications, like accidental damage or provoking adhesions, are very rare.
In laparoscopy, a small camera is passed through the tummy button (or occasionally below the ribs). This allows us to see inside the abdomen and pelvis. This incision usually heals very well – often becoming almost invisible with time.
1 to 3 additional small 5-10 mm incisions are made in the lower part of the abdomen. These additional incisions allow operations to be performed using a variety of sophisticated technologies, and remove any specimens that may be needed.
Laparoscopic surgery is more difficult to perform than traditional open surgery. However, because of the magnification, things are much clearer and the surgery is more precise. Recovery is much faster than open procedures. It’s common for women to go home from Glengarry same day after quite significant procedures, with a week on average to recover.
Common operations performed at laparoscopy include:
- removal of ovarian cysts
- removal of the fallopian tubes
- removal of fibroids
- treatment of endometriosis
- removal of adhesions and scar tissue
- infertility surgery
Overall, 95% of our surgeries, at Glengarry Private in Perth, are performed using keyhole methods. However, there are some conditions which require traditional techniques with bikini-line or midline abdominal incisions.
The risks of the laparoscopy type of keyhole surgery are important to mention. Fortunately serious complications are extremely uncommon in laparoscopy. The most important risk is that of damage to bowel or a major blood vessel at the time the laparoscope is inserted at the start of the operation. This is said to occur in about 1:500 laparoscopy cases. Other risks are infection, bruising, bleeding, and specific complications of the particular operation. For instance, removal of fibroids can lead to bleeding, scar tissue forming afterwards and slight weakening of the womb during pregnancy. Possible complications will be comprehensively discussed, leading to informed consent before booking the operation.