Laparoscopic surgery laparoscopic surgery is a kind of surgery performed by doctors using special laparoscopic instruments that integrate optics, computer, ultrasound and machinery. The basic procedure of the operation is: after the patient is anesthetized, the doctor opens 3 ~ 4 small holes with a diameter of 0.5 ~ 1 cm on the abdominal wall of the patient, and a mirror is placed in one of the holes. The mirror is connected to the TV screen through the micro camera, so that the focus in the abdominal cavity of the patient can be clearly reflected on the TV screen. At the same time, several small holes are made in the abdominal wall.
Scissors, pliers and other surgical instruments, the doctor looked at the screen for surgery. The surgical procedure is basically the same as open surgery. Because the mirror has the function of magnifying 8 ~ 10 times, it can even be more detailed than open surgery. The doctor looked at the screen and performed a series of operations such as clamping, cutting and sewing on the diseased tissue. At the same time, the application of advanced technologies such as electrotome, argon knife, laser and microwave in the operation makes the operation more perfect. Finally, put the excised lump into a plastic bag and chop it up.
Take it out, or just take it out of the vagina.
Laparoscopic surgery can treat the following gynecological diseases: hysteromyoma, hysteromyoma, ovarian tumor, ovarian teratoma, endometriosis, endometrial cancer, ectopic pregnancy, infertility and so on.
Hysteroscopy minimally invasive
In the treatment of hysteromyoma, patients with subserous myoma or intramural myoma should choose myomectomy, and patients with multiple myomas and hysteromyoma complicated with cervical lesions should choose hysterectomy. In the previous laparoscopic hysterectomy in our hospital, the maximum weight of the uterus removed was 1700g, which was equivalent to the size of the uterus after 6 months of pregnancy. Laparoscopic myomectomy can remove up to 8 large and small myomas, which basically achieves the purpose of open surgery.
The working principles of hysteroscopy and laparoscopy are basically the same. The operation process is as follows: after the patient is anesthetized, the doctor puts it into the hysteroscope through the patient's vagina and cervical canal, and connects it to the TV screen through a miniature camera; Then the doctor looks at the screen and operates through the cutting instrument of hysteroscope; Finally, the excised lump or lesion is taken out of the vagina through the cervix with tweezers, leaving no surgical scar on the abdomen.
Diseases suitable for hysteroscopic surgery: submucous hysteromyoma, intermuscular hysteromyoma protruding into uterine cavity, functional uterine bleeding, uterine mediastinum, endometrial polyps, intrauterine adhesions and decomposition, infertility caused by tubal obstruction, and removal of intrauterine devices.
Vaginal surgery
Vaginal surgery, using natural vaginal canal, has the advantages of less trauma, less intestinal interference, less postoperative pain, quick recovery and no surgical scar on the abdomen. At the same time, appendectomy, vaginal wall repair, urethral plastic surgery, vaginal contraction and other operations can be performed. In clinical application, most hospitals are limited to vaginal hysterectomy for patients with uterine prolapse, mainly because the surgical field of vision is narrow and the indications and contraindications are difficult to grasp; Doctors lack profound operating skills and suitable surgical instruments; Patients lack understanding of the choice of surgical methods. With the development of laparoscopic technology, doctors can broaden their horizons and directly understand the situation in abdominal cavity. With the help of laparoscopy, the scope of vaginal hysterectomy is expanding.
Vaginal surgery can treat the following gynecological diseases: no obvious adhesion between uterus and pelvic cavity, good uterine mobility, and diseased uterus that needs to be removed, such as hysteromyoma, hysteromyoma, adenomyosis, endometrial lesions, stress urinary incontinence, etc.