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Laparoscopy
Gynecological laparoscopy is a surgical procedure that avoids incisions in the abdomen when the internal genitals and bladder are disturbed. At the beginning of development, the ovaries were sterilized or a small intervention was carried out. Today, gynecological laparoscopy can be used to perform major tumor interventions that remove lymph nodes along the large vessels, even for cancer of the uterus or cervix. The number of incisions through the abdominal wall is constantly decreasing so that as many instruments as possible can be inserted through the navel (single incision technique). In addition, laparoscopic techniques are becoming more and more complex. This means that very complex and extensive operations can be performed without abdominal incisions, especially in oncology.
The use of robots has not yet found widespread use in gynecology. So far, there have been no advantages over conventional methods, while the costs are considerably higher and the operating time is considerably longer. Laparoscopy (laparoscopy) is a procedure in which the intestines in the abdomen are examined and minor surgical procedures are performed. Compared to open abdominal surgery (open surgery), laparoscopy only requires two to three small incisions (approximately one to two centimeters). This is used to insert laparoscopes and other instruments into the abdominal cavity (keyhole surgery). The main advantage of this so called minimally invasive surgery is that it reduces the burden on the patient. The first human laparoscopy was performed in 1910.
During laparoscopy, the surgeon can view abdominal organs such as the liver, small and large intestines, or internal organs of the genitals on the monitor. If pathological changes (such as inflammation, cancer) are suspected, tissue samples (biopsy) can be taken and then examined under a microscope. In addition, small surgical interventions can be carried out on the organs. After the laparoscopy, the skin incision was sutured and the gas was released again. Depending on the procedure, you can be discharged from the hospital the same day or a few days after the laparoscopy. If other tests (such as ultrasound (x-ray), x-ray) do not give clear results, laparoscopy can be done for diagnostic reasons, e.g. B. to clarify unclear abdominal complaints. In addition, in many cases laparoscopy is a less invasive alternative (body contact) to open abdominal surgery (open surgery). Laparoscopy is not recommended for certain diseases such as coagulopathy, intestinal obstruction, peritonitis, or severe cardiovascular disease. During laparoscopy, the surgeon can determine that open surgery is needed. This is the case, for example, if the result found is greater than the result originally assumed and the keyhole approach cannot be dealt with. Complications (such as profuse bleeding) may also require an abdominal incision.