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laparoscopy surgery 

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Laparoscopy Surgery Overview

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Laparoscopic surgery is a minimally invasive technique widely used in gynecology for the diagnosis and treatment of various reproductive system disorders. It involves making small incisions and using a laparoscope (a thin tube with a camera and light) to visualize and operate on pelvic organs. Below are summaries of key laparoscopic procedures: Lap Myomectomy, Lap Cystectomy, Lap Ovarian Drilling, and Lap Tubal Reconstruction.

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Lap Myomectomy

Definition:
Laparoscopic myomectomy is a minimally invasive surgical procedure to remove uterine fibroids (leiomyomas) while preserving the uterus. It is preferred for women who wish to retain fertility or avoid hysterectomy.

Indications:

• Symptomatic fibroids causing heavy menstrual bleeding (menorrhagia), pelvic pain, or pressure.
• Infertility related to fibroids, especially when myomas distort the uterine cavity.
• Rapidly growing fibroids or suspicion of malignancy.
• Palpable or enlarging fibroids, or those causing urinary symptoms or ureteral obstruction.

Benefits of Laparoscopic Approach:

• Smaller incisions, less blood loss, and reduced pain compared to open surgery.
• Shorter hospital stay and quicker recovery (usually 2–3 weeks).
• Lower risk of adhesions and postoperative complications.
• Suitable for multiple or moderately large fibroids (up to 8–10 cm, usually up to 4 fibroids).

Risks and Considerations:

• Risk of uterine rupture in future pregnancies (multilayer suturing is recommended to minimize this risk).
• Possible complications: bleeding, infection, injury to surrounding organs, adhesions.
• Most women will require cesarean delivery in future pregnancies due to uterine incision.

Lap Cystectomy

Definition:
Laparoscopic cystectomy is the surgical removal of ovarian cysts using minimally invasive techniques. The procedure aims to excise the cyst while preserving healthy ovarian tissue.

Indications:

• Symptomatic ovarian cysts (pain, pressure, or bloating).
• Cysts that are large, persistent, or suspicious for malignancy.
• Endometriomas, dermoid cysts, or functional cysts not resolving with observation.

Benefits:

• Minimally invasive, less postoperative pain, and faster recovery.
• Preservation of ovarian function and fertility.
• Reduced risk of adhesions compared to open surgery.

Lap Ovarian Drilling

Definition:
Laparoscopic ovarian drilling is a fertility-enhancing procedure for women with polycystic ovary syndrome (PCOS) who are resistant to ovulation-inducing medications.

Indications:

• Anovulatory infertility due to PCOS not responding to first-line treatments (like clomiphene or letrozole).
• Women seeking to induce ovulation and improve chances of conception.

Procedure:

• Small holes are made in the ovarian surface using electrocautery or laser to reduce androgen-producing tissue and restore normal ovulation.

Benefits:

• Can restore ovulation in 50–80% of women with PCOS.
• Minimally invasive, with a short recovery time.
• May reduce the need for higher doses of ovulation drugs.

Lap Tubal Reconstruction

Definition:
Laparoscopic tubal reconstruction involves surgical repair of damaged or blocked fallopian tubes to restore fertility.

Indications:

• Tubal blockages due to previous sterilization, infection, or endometriosis.
• Women desiring reversal of tubal sterilization.

Techniques:

• Tubal reanastomosis (rejoining tubal segments).
• Fimbrioplasty (repairing the fimbrial end of the tube).
• Salpingostomy (creating a new tubal opening).

Benefits:

• Minimally invasive alternative to open surgery.
• Faster recovery and less postoperative pain.
• Potential to restore natural fertility in selected cases.

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[/et_pb_blurb][et_pb_blurb title=”OFfice” use_icon=”on” font_icon=”||divi||400″ icon_color=”#ffffff” image_icon_background_color=”#004fe8″ icon_placement=”left” image_icon_width=”16px” content_max_width=”1100px” _builder_version=”4.27.4″ _module_preset=”default” header_font=”Poppins|600||on|||||” header_text_color=”rgba(255,255,255,0.4)” header_font_size=”11px” header_letter_spacing=”2px” header_line_height=”1.6em” body_font=”Poppins||||||||” body_font_size=”16px” body_letter_spacing=”1px” image_icon_custom_padding=”8px|8px|8px|8px|false|false” background_layout=”dark” custom_margin=”||” custom_padding=”20px|20px|20px|20px|true|true” border_width_all=”1px” border_color_all=”rgba(255,255,255,0.12)” border_radii_image=”on|100%|100%|100%|100%” icon_font_size=”16px” use_circle=”on” circle_color=”#004fe8″ locked=”off” global_colors_info=”{}” image_icon_background_color__sticky_enabled=”#2ea3f2″ image_icon_background_color__sticky=”#2ea3f2″]10, Jai Nagar first main Road, Arumbakkam
opp to Koyambedu Bus Stand, Chennai-600 106
[/et_pb_blurb][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure=”1_2,1_2″ _builder_version=”4.16″ _module_preset=”default” custom_margin=”30px||” custom_padding=”18px||18px||true|” border_color_all=”rgba(255,255,255,0.12)” border_style_all=”dotted” border_width_bottom=”1px” global_colors_info=”{}”][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.16″ _module_preset=”default” text_font=”Poppins||||||||” text_text_color=”rgba(255,255,255,0.4)” text_font_size=”16px” background_layout=”dark” global_colors_info=”{}”]Monday – Friday
[/et_pb_text][/et_pb_column_inner][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.16″ _module_preset=”default” text_font=”Poppins||||||||” text_font_size=”16px” text_orientation=”right” background_layout=”dark” text_text_align=”right” locked=”off” global_colors_info=”{}” text_text_align_phone=”left” text_text_align_last_edited=”on|phone” text_text_align_tablet=”right”]8am – 5pm
[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure=”1_2,1_2″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”18px||18px||true|” border_color_all=”rgba(255,255,255,0.12)” border_style_all=”dotted” border_width_bottom=”1px” global_colors_info=”{}”][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.16″ _module_preset=”default” text_font=”Poppins||||||||” text_text_color=”rgba(255,255,255,0.4)” text_font_size=”16px” background_layout=”dark” global_colors_info=”{}”]Saturday
[/et_pb_text][/et_pb_column_inner][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.16″ _module_preset=”default” text_font=”Poppins||||||||” text_font_size=”16px” text_orientation=”right” background_layout=”dark” text_text_align=”right” locked=”off” global_colors_info=”{}” text_text_align_phone=”left” text_text_align_last_edited=”on|phone” text_text_align_tablet=”right”]10am – 4pm
[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure=”1_2,1_2″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”18px||18px||true|” border_color_all=”rgba(255,255,255,0.12)” border_style_all=”dotted” border_width_bottom=”1px” global_colors_info=”{}”][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.16″ _module_preset=”default” text_font=”Poppins||||||||” text_text_color=”rgba(255,255,255,0.4)” text_font_size=”16px” background_layout=”dark” global_colors_info=”{}”]Sunday
[/et_pb_text][/et_pb_column_inner][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.16″ _module_preset=”default” text_font=”Poppins||||||||” text_font_size=”16px” text_orientation=”right” background_layout=”dark” text_text_align=”right” locked=”off” global_colors_info=”{}” text_text_align_phone=”left” text_text_align_last_edited=”on|phone” text_text_align_tablet=”right”]10am – 12pm
[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][/et_pb_section]

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