Keyhole surgery | Laparoscopy | Hysteroscopy
Glengarry Private, Perth
Laparoscopy & hysteroscopy – Summary
Many patients go home same day after keyhole procedures
1. Hysteroscopy allows us to completely examine inside the womb, especially when menstrual 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.
4. Laparoscopy allows us to look inside the pelvis, to see the womb, tubes & ovaries, and surrounding areas.
5. Many standard gynaecology operations can be done using keyhole surgery.
6. Endometriosis, fibroids, adhesions and cysts can often be treated all at one time.
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. You have to be off strong pain killers to drive.
10. Most gyno 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, through the cervix. There are no external scars. The inside of the cervix & womb is thoroughly examined. Hysteroscopy is considered to be the gold standard for examining the lining of the cervix & womb. Ultrasound is useful at assessing the womb’s lining (endometrium), but not as good as hysteroscopy. Problems found inside the womb are usually able to be treated without any skin incisions on the outside of the body at all.
Typical hysteroscopy operations include:
- exploratory assessment
- biopsies of abnormal areas
- rule out cancers
- removal of polyps (small growths in the womb that grow & bleed)
- removal of small-medium fibroids that are poking into the cavity of the womb (myomectomy)
- reshaping the interior shape of the womb thus improving fertility (septoplasty)
- sterilisation procedures (not very popular nowadays)
Recovery is usually quick, with discharge from the wards of Glengarry Private Hospital after a few hours. Potential complications are few. The commonest risk is a mild 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 within a short time.
1 to 3 additional small 2.4 – 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 when open procedures are performed. It’s common for women to go home from Glengarry on the same day after quite significant procedures, with a week on average to fully recover.
Common operations performed at laparoscopy include:
- removal of ovarian cysts
- removal or Filshie clip sterilisation 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.