Laparoscopic Gynecologic Surgery

Laparoscopic Gynecologic Surgery

 

Advanced, Gentle, and Minimally Invasive Women’s Care

Laparoscopic surgery—also known as keyhole surgery—is a modern, minimally invasive technique used to diagnose and treat many gynecological conditions. It involves making small cuts in the abdomen to insert a thin camera (laparoscope) and surgical instruments, allowing the surgeon to operate with precision and minimal discomfort.

Common Procedures Performed Laparoscopically:

 
  • Diagnostic Hysterolaparoscopy – for infertility or pelvic pain 
  • Laparoscopic Hysterectomy – uterus removal 
  • Laparoscopic Myomectomy – fibroid removal 
  • Ovarian Cyst Removal (Cystectomy) 
  • Endometriosis Treatment 
  • Tubal Surgeries – such as tuboplasty or recanalization 
  • Management of Ectopic Pregnancy

Benefits of Laparoscopic Surgery

 
  • Smaller incisions and minimal scarring
  • Less pain and quicker recovery
  • Shorter hospital stay (often 24 hours or less)
  • Lower risk of infection and complications
  • Faster return to normal activities
  • Safer option for many women of all ages

Why You Might Need Laparoscopy:

 

You may be advised laparoscopic surgery if you have

  • Persistent pelvic pain
  • Heavy or irregular bleeding
  • Fibroids or ovarian cysts
  • Endometriosis symptoms
  • Difficulty getting pregnant
  • A previous diagnosis needing further evaluation or treatment

 What to Expect

 
  • Performed under general anesthesia
  • Small stitches that heal quickly 
  • Most women walk within hours and return home the same day or next
  • Full recovery usually within 1–2 weeks

Diagnostic Hysterolaparoscopy

A combined procedure to examine your uterus and pelvic organs using a camera, done under general anesthesia.
Why it’s done:

  • Find causes of infertility, pelvic pain, or irregular periods

  • Check for fibroids, blockages, or polyps

  • Understand reasons for repeated miscarriages
    Recovery: Day-care procedure with minimal downtime.


Laparoscopic Ovarian Drilling (for PCOS)

A keyhole surgery for women with PCOS who aren’t ovulating with medications. Small punctures are made on the ovaries to improve ovulation.
Why it’s done:

  • Boost fertility

  • Reduce male hormone levels

  • Help regulate periods
    Recovery: Most women go home the same day.


Laparoscopic Hysterectomy

A minimally invasive way to remove the uterus through small cuts. Depending on your condition, the cervix, ovaries, or tubes may also be removed.
Why it’s done:

  • Heavy bleeding, fibroids, endometriosis, prolapse, or cancer
    Recovery: Less pain, 1–2 day hospital stay, faster healing.


Laparoscopic Myomectomy

Removes fibroids while keeping the uterus intact—ideal if you wish to retain fertility.
Why it’s done:

  • Heavy bleeding, pain, fertility issues, or pelvic pressure
    Recovery: Smaller scars, less pain, and quicker return to routine.


Laparoscopic Ovarian Cystectomy

Removes cysts from the ovaries without damaging healthy tissue.
Why it’s done:

  • Large or painful cysts

  • Planning for pregnancy
    Recovery: Discharged within 24 hours; fast healing.


Endometriosis Surgery

Laparoscopy helps remove endometriosis implants causing pain or infertility.
Common symptoms:

  • Severe cramps, painful sex, pelvic pain, infertility
    Recovery: Most women resume normal activities in a week.


Tuboplasty

Repairs blocked or damaged fallopian tubes to improve your chances of natural pregnancy.
Why it’s done:

  • Restore fertility affected by infections, surgeries, or endometriosis
    Recovery: Depends on damage level and your age.


Recanalization

Reverses tubal ligation for women who want to conceive again.
Consider this if:

  • You regret sterilization

  • You’re under 40 and healthy
    Note: IVF is a good backup if recanalization isn’t suitable.


⚠️ Ectopic Pregnancy Management

This occurs when pregnancy develops outside the uterus—often in a fallopian tube. It’s an emergency.
Symptoms:

  • Lower abdominal pain, spotting, dizziness
    Treatment:

  • Laparoscopic surgery or medication (early stages)
    Remember: Early treatment is life-saving—don’t delay seeking care.

Frequently asked questions

Your ability to have children after surgery depends on the procedure and the reason for it:

  • Hysterectomy (removal of the uterus) usually means that you will no longer be able to carry a pregnancy, but you may still have functioning ovaries, which means you can produce eggs.

  • Oophorectomy (removal of ovaries) may lead to infertility, but egg retrieval or ovarian tissue freezing prior to surgery is an option for some women.

  • Myomectomy (fibroid removal) may allow you to keep your uterus and preserve fertility, depending on the extent of the surgery.
    If preserving fertility is important to you, discuss your options with your gynecologist ahead of the surgery.

Laparoscopic surgery (also known as minimally invasive surgery) uses small incisions and a camera to visualize and treat the problem. It has several benefits over traditional open surgery:

  • Smaller incisions

  • Faster recovery time

  • Less pain and scarring

  • Shorter hospital stays

  • Lower risk of infection
    Laparoscopy is commonly used for conditions like endometriosis, ovarian cysts, and fibroids.

After gynecological surgery, you will be monitored in a recovery area. Common post-surgery symptoms include:

  • Mild pain or cramping (can usually be managed with pain medications)

  • Fatigue

  • Vaginal bleeding (especially after procedures like D&C or hysterectomy)

  • Bloating or nausea
    Follow-up appointments are necessary to monitor your recovery, and your doctor will provide specific instructions on resuming daily activities.

Your doctor will give you specific guidelines, but here’s a general idea:

  • Light activities like walking may be allowed within a few days to weeks.

  • More strenuous activities like heavy lifting, exercise, or sexual activity may need to be avoided for 4 to 6 weeks, depending on the surgery.
    It’s important to follow your doctor’s advice to avoid complications.

Hormone replacement therapy (HRT) may be recommended if the surgery involves removal of the ovaries or other hormone-producing organs. This helps balance hormone levels and alleviate symptoms like hot flashes, mood swings, or vaginal dryness.