Minimally Invasive Surgery in Gynaecology includes the use of Normal Orifice Transluminal Endoscopic Surgery (NOTES) i.e. the vagina, minimal access surgery as in Laparoscopy as well as operating through the vagina, ultrasound guided, telescospic/microscopic assisted or straight naked eye vision with minimal interferences.
Minimally Invasive Endoscopy Surgery is using a high performance digital video camera connected to a small telescope, the surgeon places it through the naval (laparoscopy) into the abdomen or through the cervix into the uterine cavity (hysteroscopy). A variety of very small instruments, no larger than a quarter inch in diameter, are then employed to complete the procedure. All the while, the surgeon has a crystal clear view of the procedure as it is projected on a monitor screen set throughout the treatment room. In colposcopy, the cervix and the vagina are directly exposed and magnified from examination. As for the ultrasound guided procedures, the view can be seen on the monitor screen and the transvaginal sonographic needle-guided aspiration observed.
Minimally invasive gynecologic surgery eliminates the severe pain, prolonged recovery, and scarring associated with the large abdominal incision (laparotomy) typically used to perform operations for benign gynaecologic conditions. Normally completed as a same-day surgery, minimally invasive procedures produce smaller incisions, which dramatically accelerate all aspects of recovery, reduce the need for pain medications, leave no scars or very small scars that are cosmetically pleasing, and reduce the chance of scar tissue formation.
Women who undergo minimally invasive surgery typically report a quick return to normal activity and well-being. For certain conditions, minimally invasive surgical procedures can be performed safely and comfortably in an office setting.
- Abnormal uterine bleeding
- Asherman's syndrome (Intrauterine adhesions)
- Ectopic pregnancy
- Endometrial polyps
- Imperforate hymen
- Tight/Wide vagina
- Ovarian cysts
- Pelvic pain
- Dyspareunia (painful sexual intercourse)
- Pelvic adhesions
- Infertility/checking patency of fallopian tubes
- Post - menopausal bleeding
- Post - ablation syndrome
- Stenotic uterine cervix ("stenotic os")
- Uterine anomalies (uterine septum)
- Vaginal anomalies (vaginal septum)
- Vulval itching/Vulval lesions
- Abnormal Pap smear
- HPV Infection