A gynaecological laparoscopic surgeon specialises in performing certain procedures through small abdominal incisions using a thin camera and specialised surgical instruments. Unlike traditional open surgery, laparoscopy allows the surgeon to view the pelvic organs on a screen while operating through relatively small openings.

This approach can be useful for diagnosing certain pelvic conditions as well as treating problems that require surgery. However, laparoscopy is not automatically suitable for every woman or every condition. The choice depends on the diagnosis, size and location of the problem, previous surgeries, overall health, and the complexity of the procedure.

What Does a Gynae Laparoscopic Surgeon Treat?

Gynaecological laparoscopy can be used for several conditions involving the uterus, ovaries, fallopian tubes, and surrounding pelvic structures. Some procedures are planned after investigations identify a specific problem, while laparoscopy may occasionally be used to investigate unexplained pelvic symptoms.

Conditions that may be diagnosed or treated laparoscopically include:

  • Endometriosis

  • Certain uterine fibroids

  • Ovarian cysts

  • Chronic pelvic pain

  • Some causes of infertility

  • Pelvic adhesions

  • Certain ectopic pregnancies

  • Conditions requiring hysterectomy or other pelvic surgery

The suitability of laparoscopy depends on the individual condition and the procedure required.

Endometriosis May Require Surgical Treatment

Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus. It can cause pelvic pain, painful periods, pain during intercourse, and sometimes fertility difficulties.

When surgery is considered, laparoscopy can allow the surgeon to identify endometriosis inside the pelvis and, when appropriate, remove visible endometriosis tissue during the same procedure. The decision to operate depends on factors such as symptoms, previous treatment, the extent of the condition, and reproductive plans.

Fibroids Can Sometimes Be Removed Through Laparoscopy

Fibroids are growths that develop in or around the uterus. Many do not cause symptoms, but some can lead to heavy menstrual bleeding, pelvic pressure, pain, or fertility-related concerns. When a fibroid requires surgical removal, laparoscopy may be an option in selected cases. The size and location of the fibroid are important when deciding whether laparoscopic removal is appropriate.

Ovarian Cysts May Also Require Surgery

Many ovarian cysts disappear without treatment, but some become large, cause symptoms, or have characteristics that require further evaluation. When surgery is appropriate and the cyst is considered suitable for minimally invasive removal, laparoscopy may be used.

The surgical plan can depend on the cyst's appearance, size, symptoms, age, and whether preservation of ovarian tissue is important.

Why Is Laparoscopic Surgery Different?

Traditional open surgery generally requires a larger abdominal incision. Laparoscopy uses small incisions through which the camera and instruments are introduced. This can result in smaller scars and, for appropriate procedures, may allow faster recovery and less postoperative discomfort than open abdominal surgery.

However, minimally invasive does not mean risk-free. Laparoscopic surgery can involve bleeding, infection, injury to nearby organs, anaesthesia-related complications, or the need to change to open surgery in certain circumstances.

What Happens During a Laparoscopic Procedure?

Laparoscopy is generally performed under general anaesthesia. A small incision is made in the abdomen, commonly around the navel, and the laparoscope is introduced. The abdomen is inflated with gas to create space for viewing the pelvic organs. Additional small incisions may be made for surgical instruments. The surgeon can then examine the area and perform the required procedure under visual guidance.

Not Every Gynaecological Problem Needs Laparoscopy

A common misconception is that laparoscopic surgery is always the preferred solution. In reality, some conditions can be managed with medicines, observation, or other procedures. Even when surgery is necessary, laparoscopy may not be the appropriate route in every case. The surgeon considers the condition, previous operations, anatomy, surgical complexity, and overall health before deciding how the procedure should be performed.

Choosing Surgical Expertise Matters

Gynaecological laparoscopy requires specialised surgical skills because the surgeon works through small openings while viewing the internal anatomy on a screen. The complexity of the procedure can also vary considerably depending on the condition being treated.

Dr. Sharmila Chhabra Solanki is a Gynae Laparoscopic Surgeon in Sector 111 Gurugram, performing gynaecological surgical procedures where a laparoscopic approach is considered suitable for the individual case.

What Happens After Surgery?

Recovery depends on the procedure performed. Some laparoscopic procedures may allow a woman to return home the same day, while more complex operations can require an overnight stay. Tiredness, abdominal soreness, or temporary discomfort can occur during the initial recovery period.

The surgeon's instructions regarding physical activity, wound care, medicines, and follow-up should be followed according to the specific procedure.

FAQs

What does a gynae laparoscopic surgeon do?
A gynae laparoscopic surgeon performs selected diagnostic and surgical procedures involving the female reproductive organs through small abdominal incisions.

Can fibroids be treated with laparoscopy?
Some fibroids can be removed laparoscopically, depending mainly on their size, location, and the individual surgical circumstances.

Is laparoscopic surgery suitable for every woman?
No. The appropriate surgical approach depends on the condition, its complexity, the woman's health, previous surgeries, and other individual factors.

CTA

Dr. Sharmila Chhabra Solanki performs appropriate laparoscopic gynaecological procedures as a Gynae Laparoscopic Surgeon in Sector 111 Gurugram, with the surgical approach selected according to the condition and individual requirements.

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