Advanced laparoscopy is a surgical procedure used to diagnose and/or treat a variety of medical conditions in the abdomen and pelvis. Laparoscopy, also known as key-hole surgery uses small incisions and specialised instruments to perform procedures with greater precision. This approach offers numerous benefits, including reduced pain, shorter recovery times, and minimal scarring.

This blog provides a comprehensive overview of advanced laparoscopic surgery, including how it is performed, the types of conditions it can address, and the benefits it offers over traditional surgical methods. Additionally, we will explore what patients can expect during and after the procedure, offering valuable insights preparation, recovery, and long-term outcomes of advanced laparoscopic surgery.

About Advanced Laparoscopic Surgery For Gynaecology

Laparoscopy also known as keyhole surgery, is a minimally invasive technique used in gynaecology to diagnose and treat a range of conditions. Unlike traditional open surgery, that requires a single large incision, laparoscopic surgery involves making several small incisions, typically ranging from 0.5 to 1 cm in size.

The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and  the Australasian Gynaecological Endoscopy and Surgery (AGES) Society have established levels for the scope of practice in gynaecological endoscopic procedures. Typically, “advanced laparoscopy” refers to Level 6, which requires additional training beyond standard competencies. Achieving Level 6 competency often involves completing an accredited training program, such as the AGES Fellowship Accredited Training Program.

Laparoscopy surgery beneficial for a number of reasons, including:

• Faster recovery time
• Minimal post-operative pain
• Reduced risk of infection
• Shortened hospital stay
• Little to no scarring

Why Is Laparoscopic Surgery Used?

Advanced laparoscopic surgery is used to treat a number of conditions including: .

• Ovarian Cysts: Laparoscopy is commonly used for both the diagnosis and, if necessary, the removal of ovarian cysts.
• Endometriosis: For women suffering from endometriosis, advanced laparoscopy offers a way to directly visualise and remove endometrial deposits.
• Fibroids: Uterine fibroids, which are non-cancerous growths in the uterus, can be managed with laparoscopic techniques.
• Hysterectomy: In cases where a hysterectomy (the removal of the uterus) is necessary, advanced laparoscopy can be used to perform this procedure with minimal incisions.

How It’s Performed

Advanced laparoscopic surgery uses a laparoscope, which is a long, thin instrument that is inserted into the abdomen through a small incision. The laparoscope is equipped with a tiny camera that allows the surgeon to view the abdominal and pelvic organs on a monitor in real time.

Laparoscopic surgery can be utilized for both diagnostic and therapeutic purposes:

• Diagnostic Laparoscopy: This usually involves making two small incisions which allow the surgeon to insert the laparoscope and visually inspect the abdominal and pelvic organs. The primary goal of diagnostic laparoscopy is to identify and diagnose conditions that may be causing various symptoms.
• Operative Laparoscopy: Operative laparoscopy utilizes multiple small incisions depending on the disease intended to treat. During the procedure, warmed, humidified medical gas is pumped into the abdominal cavity to create space and improve visibility for the surgeon. This technique allows for the performance of specific surgical interventions, such as the removal of cysts, fibroids, or excision of endometriosis.

Recovery & Healing

The recovery time following laparoscopic surgery varies based on the extent of the procedure and the specific reason for the surgery.

Minor procedures, which typically take less than an hour, have a relatively short recovery period. Most patients are expected to return their normal activities within a few days. For more complex procedures may take several hours and may require up to four weeks for complete recovery.

Common symptoms experienced after a laparoscopy include:

• Abdominal Pain: Mild to moderate discomfort in the abdomen is common as the body adjusts to the procedure. You will instructed about appropriate pain relief to take on discharge.
• Bloating: Gas used during the procedure can cause temporary bloating and a feeling of fullness.
• Shoulder Pain: Referred pain in the shoulder can occur due to the gas used in the procedure irritating the diaphragm.
• Nausea: Some patients may feel nauseous, often related to the anesthetic used during the procedure.
• Bruising or Soreness: Mild bruising or soreness around the incision sites may be present.
• Fatigue: General tiredness or fatigue can occur as the body recovers from the procedure.

These symptoms are generally temporary and should improve within a few days. If symptoms persist or worsen, it’s important to contact your doctor. Many patients undergoing laparoscopic procedures are able to leave the hospital on the same day as their surgery.

What Are The Risks of Laparoscopic Surgery?

While the minimally invasive nature of laparoscopy has many advantages compared to traditional open surgery, it is important to understand the potential risks involved. These include:

• Infection
• Bleeding
• Organ injury – such injury to bowel, bladder or other surrounding structures in the pelvis
• Adverse reactions to anaesthesia

It is essential to have a thorough discussion with your doctor about the specific risks associated with your procedure. Your doctor will evaluate your health status and medical history to determine whether laparoscopy is the best fit for you and will explain how the benefits and risks compare to alternative treatments.

Key Take Aways

Advanced laparoscopy is an innovative approach that allows for precise treatment of various gynecological conditions, from pelvic pain and ovarian cysts to endometriosis and fibroids. By using small incisions and specialised instruments, laparoscopy offers reduced pain, faster recovery, and minimal scarring.

Dr. Nargis Noori has completed the highly regarded advanced laparoscopic gynaecology fellowship endorsed by the Australasian Gynaecological Endoscopy Surgery Society (AGES) and specialises in minimally invasive and advanced laparoscopic surgery, bringing a wealth of experience and a compassionate approach to every patient. With rigorous specialist training, Dr. Noori is skilled in managing a wide range of complex conditions ensuring you receive the highest standard of care tailored to your specific needs.

For more information or to schedule a consultation, please contact Dr. Nargis Noori today.