Laparoscopic Gynaecological Surgery: What You Need to Know
Laparoscopic surgery has transformed gynaecology, offering faster recovery, less pain, and minimal scarring compared to open surgery. Here's what patients should know.
By Dr. Amrendra Prasad Kushwaha
Laparoscopic (keyhole) surgery has transformed the way many gynaecological conditions are treated. As a Fellowship-trained laparoscopic surgeon, I frequently recommend this approach when it offers significant benefits over traditional open surgery.
What Is Laparoscopic Surgery?
Laparoscopy is a minimally invasive surgical technique in which a small camera (laparoscope) and thin instruments are inserted through tiny incisions — usually 0.5–1 cm — in the abdomen. The surgeon views the operative field on a monitor and performs the procedure with precision.
Common Gynaecological Conditions Treated Laparoscopically
- Ovarian cysts — removal or drainage of benign cysts
- Uterine fibroids (myomectomy) — removal of fibroids while preserving the uterus
- Endometriosis — excision of endometrial tissue causing pelvic pain
- Ectopic pregnancy — emergency removal of a pregnancy implanted outside the uterus
- Hysterectomy — removal of the uterus through minimally invasive ports
- Tubal ligation — permanent contraception
- Diagnostic laparoscopy — investigation of pelvic pain, infertility, or suspected pathology
Key Benefits
| Benefit | Laparoscopic | Open Surgery |
|---|---|---|
| Recovery time | 1–2 weeks | 4–6 weeks |
| Hospital stay | 1–2 days | 3–7 days |
| Post-op pain | Minimal | Moderate–severe |
| Scarring | Tiny (1 cm) | Large incision |
| Risk of infection | Lower | Higher |
Am I a Candidate?
Most women with the above conditions are candidates for laparoscopic surgery. However, the decision depends on:
- The size and complexity of the pathology
- Previous abdominal surgeries (adhesions)
- Body weight and general health
- Surgeon expertise
What to Expect
Before surgery: You will undergo blood tests, ultrasound, and in some cases an MRI. You must fast for 6–8 hours before the procedure.
During surgery: General anaesthesia is used. Carbon dioxide gas inflates the abdomen to create space. The procedure typically takes 30 minutes to 2 hours depending on complexity.
After surgery: Most patients are discharged the same day or the following morning. Mild shoulder tip pain (from the gas) and mild abdominal discomfort are common for 24–48 hours.
When to Seek Immediate Care
Contact your doctor if after surgery you experience:
- High fever (>38.5°C)
- Heavy bleeding
- Severe or worsening abdominal pain
- Signs of infection at incision sites
If you have been diagnosed with a gynaecological condition that may benefit from surgery, I encourage you to schedule a consultation. Together we will discuss the most appropriate and least invasive option for your situation.
Contact: 984-3504431 | Hope Hospital, Kathmandu