- Laparoscopic surgery
- Robotic surgery
- Pathology of the uterus
- Laser surgery
- Ovarian cysts
- Tubal reversal
- Pathology of the fallopian tubes and ovaries
- Gynaecological cancers
- Pelvic pain
- Organ descent (prolapse)
It is a technique, which introduces a small camera inside the abdominal cavity for the diagnosis and the treatment of several diseases in women. The incisions are small, usually between 5 and 15 mm. The advantages are many: less pain, fewer infections, reduced bleeding, lower immunosuppression, reduced, and smaller scars. Hospitalization time is reduced and the return to professional or daily activities faster. Technically, the optical enlarging using the camera allows performing more accurate surgery. In rare cases further intervention can be done, if necessary, using conventional techniques laparotomy (caesarean incision for example).
The laser can be used for laparoscopy (surgery within the abdominal cavity) or colposcopy (vaginal surgery limited to the cervix, vagina and vulva). The use of laser during laparoscopic procedures is particularly well suited to surgery of endometriosis: a wide beam (defocused), allows to destroy superficial endometriosis by vaporisation, and a focused beam allow to cut. Its benefits are: accuracy, power cut, coagulation (cauterization), vaporization (destruction) of endometriosis. Laser surgery can be done under visual control, layer by layer, until the healthy tissue. In addition, damage to surrounding tissues are reduced compared to the conventional coagulation technique. The laser is a tool that is particularly well suited for the surgical treatment of endometriosis. The laser also allows the treatment of benign and precancerous cervix. The disadvantages are that the surgeon must have accumulated advanced expertise, and the cost and maintenance of the equipment.
Hysteroscopy is a minimally invasive technology that allows the exploration of the interior of the uterus, without anaesthesia and surgery. It becomes easier to detect diseases (polyps, fibroids or other) that may explain bleeding. These diseases may be surgically removed using hysteroscopy. The advantages are the ability to perform investigations and minimally invasive surgeries, without or with minimal anesthesia. Hospitalization time is also greatly reduced.
A state-of-the-art option used in Laparoscopy today is the robotic surgery. With the use of a robot, the surgeon is able to operate through very small incisions, having enhanced vision and unprecedented control. The robot features a high-definition 3D vision system, which provides the surgeon a precise view of the internal body making thus the removal of the endometrial implants precise and successful.
New techniques can be used, depending of the disease and the size of the uterus, for example. It is possible to use cameras and instruments measuring 3 mm. The width of the incisions is considerably reduced. Another option is the single incision technique (LESS: laparoscopic endoscopic single incision): a single incision in the belly button folds can be done with a special device, and all instruments introduced to perform the operation. The advantage is a single incision. Finally, the laparoscopic procedure can be performed with the assistance of a robot.