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Laparoscopic surgery is performed using 2 or 3 small cuts on the abdomen, followed by inserting microsurgical instruments to perform surgery. Even major operations like removal of uterus, removal of fibroids, removal of ovarian cysts and many other surgeries can be easily performed by this route. This has almost completely replaced the older “Conventional” surgery, which used a large cut on the abdomen to see and operate on the internal organs.
There are a number of obvious advantages.
|LAPAROSCOPIC SURGERY||CONVENTIONAL (OPEN) SURGERY|
|Very small scars (2 or 3 scars of 0.5cm)||Large scar (about 10 cm)|
|Less pain after surgery||More pain after surgery|
|Early return to normal activity. Patient is usually walking the day after surgery, and can be discharged 2 days later||Patient is bedridden for at least 2 or 3 days. About 5 days until discharge from hospital|
|Less blood loss during surgery due to magnification, micro surgical equipment and advanced blood vessel sealing technology||More blood loss during surgery|
|Early return to work. Even after advanced laparoscopic uterus removal surgery, patients resume work in about one week||At least 15 to 20 days rest before resuming work|
Fibroids may not just cause difficulty in getting pregnant. Many times, they also cause heavy menstrual bleeding, pain and difficulty in passing urine or stools. These fibroids, even the ones as large as 10 to 12 cm, can be safely removed by the laparoscopic route.
In patients who do not want any more children, permanent blocking of the tubes can be performed to ensure that the lady does not ever get pregnant in the future. This avoids the need to take regular contraceptive tablets or use any other contraceptive method like condoms.