More recently, laparoscopy has given rise to a real revolution in gynecology. This is not surprising, because in addition to such advantages as minimal trauma and a short rehabilitation period, a laparoscopy has such advantages as an accurate and clear diagnosis, and most importantly – during laparoscopy preserved bodies which, when abdominal operations can not be saved. So what is different from the usual method of laparoscopic abdominal surgery? In the second case to reach the organs, the surgeon takes a scalpel and makes the cut. At laparoscopy, the doctor makes a small puncture (5-10 mm) and enters through them carbon dioxide – it is done in order to raise abdominal wall and give the doctor a place to work. Through the same puncture of the surgeon enters the optical device that is connected to the monitor screen. After the diagnosis, the doctor inserts through the punctures in the abdomen required Tools-manipulators.
The doctor monitors the progress of the operation looking at the screen. There is a long series of gynecologic pathology for which is the most effective treatment by laparoscopy. For example, ectopic pregnancy. Previously, patients with this diagnosis were operated only after there is a rupture of the uterine tube and started bleeding. Another disease is "torsion of appendages – it had been treated by removing twisted bodies. Modern laparoscopy allows in most cases, saved her from certain infertility. First place in frequency among the ongoing laparoscopic surgery is uterine fibroids. Laparoscopy also allows you to remove a benign tumor (cyst), ovary, cut the adhesions to tubal ligation for sterilization, to remove the uterus with fibroadenoma, to restore patency in the Uterine tubal infertility.
Without a laparoscopy, doctors would not know about endometriosis. This disease is an overgrowth of cells lining the uterus inside, in other places – for example, on the surface of the peritoneum. The main problem associated with endometriosis, a diagnosis. Endoscopist only after the introduction of an optical instrument into the abdominal cavity is able to see the full picture of the disease and cure it. In cases of diseases such as polyps and uterine fibroids, laparoscopy, your doctor may instead appoint a woman, still less traumatic operations – hysteroscopy.