La laparoscopic and gynecological surgery allows the treatment of diseases of the internal and external genitalia.
This type of treatment allows solving cases such as ovarian cysts, uterine fibroids, endometriosis, uterine pathology and also pelvic floor pathology. gynecological surgery It can be via the abdomen, the vagina, and endoscopically or laparoscopically.
Laparoscopic surgery It is minimally invasive, and its recovery requires a shorter hospital stay.
vaginal endoscopic Called hysteroscopy, it allows the diagnosis and treatment of polyps, fibroids, and uterine malformations.
the vaginal addresses the treatment of genital prolapse, pelvic floor pathology, and/or surgery for urinary incontinence.
abdominal surgery It continues to be a suitable option when the previous techniques are not indicated or the surgeon cannot obtain the same treatment results or safety.
On Institute of Gynecology of Barcelona of Dr. Gómez Roig problems are addressed gynecological that require surgery as treatment.
Surgical interventions are part of the therapeutic options offered in our medical services.
What types of surgery are there?
The types of laparoscopic and gynecologic surgery that currently exist include the following procedures:
- Open: In the open, the surgeon makes a cut in the abdominal wall to be able to work the organ that has to be treated.
- Minimally invasive: In this, the surgeon makes very small cuts and uses special instruments that go inside the body and can be controlled from the outside with the help of a camera.
- Endoscopic procedure: In these procedures, the doctor uses a tube with a small camera that is usually inserted through the navel, vagina, uterus, etc. These procedures are used to look at structures and perform biopsies. They also serve as a treatment such as in the extraction of polyps.
What are the advantages and risks of surgery?
All laparoscopic and gynecological surgery, even minor, has its risks.
It is important that the surgeon explain the risksAs well as benefits of the surgery.
Informed consent must be signed.
Some questions that may help the patient:
- How will the intervention benefit me?
- What are the most frequent risks of the operation?
- What are the most serious risks?
Making sure that the process has been understood and what will happen next is necessary to ensure emotional well-being in the face of something little known by the patient.
What will the recovery be like?
What will the recovery be like? cannot always be guaranteed. Perhaps questions like the ones we expose can help you obtain help information:
- What pain will I have in the days and weeks after surgery?
- How will the pain be managed?
- How long will I be in the hospital?
- Will I need help when I get home?
- Will I need someone to drive me home?
- Will I be able to do all the things I normally do?
- When can I go back to work?
These questions and answers They are necessary for a good organization of the person who will undergo the operation, as well as for his family.
What is a minimally invasive surgery?
A minimally invasive surgery, in the field of gynecology, is in which special tools designed to reduce the size of the incisions are used. In this type of operation, surgeons can see inside the body without opening it completely.
In them there are different types of observation devices, but they all work practically in the same way.
They are long, thin tubes with a small camera and light built into the end.
The camera sends images from inside the body to a television screen.
The surgeon makes a small cut for the viewing device called a endoscopic camera.
Later it makes two or more cuts through which thin instruments can pass. The instruments are used forceps, scissors and suturing devices.
While the surgeon looks at the image on the screen, he uses the instruments to perform the operation.
There are several different types in the world of gynecology. Their names are related to the parts of the body involved:
- Laparoscopy: The laparoscopy It can be used to remove ovarian cysts, the uterus, or for other procedures.
- hysteroscopy: They are used in the uterus and vagina. The Hysteroscopy It can be used to remove polyps from the uterus, or to perform several different procedures on the uterus and vagina.
How is minimally invasive surgery different from conventional surgery?
In general, but not always, in this type of minimally invasive surgery, recovery is easier.
Despite these differences, the least invasive it's still surgery. People who undergo it also experience pain, need stitches, and may develop infections or other problems.
Can patients always opt for minimally invasive surgery?
Not always patients can choose. Whether or not the patient can undergo this type of surgery depends on:
- The reason the patient needs the surgery. For example, if it is to remove very large tumors, it cannot always be done by this method.
- Other health problems that the patient has may also be a limitation.
Sometimes surgeons start with minimally invasive surgery and then realize they have to do open surgery.
Sometimes it is normal that it is necessary to change the access route once a surgery is started. This can happen for various reasons. If a surgeon chooses to perform conventional surgery, it is usually to protect the patient.
What are the different types of anesthesia?
La anesthesia is a medical term used to refer to different types of medicines that people receive before and during surgery.
There are 3 main types of anesthesia in laparoscopic and gynecologic surgery:
- Location: This anesthesia is used to put a small part of the body to sleep. It can be given as a cream, gel, or spray on the skin, or by injection. It is common to be awake when receiving a local anesthetic. This type of anesthesia is used in minor surgeries such as a skin or breast biopsy, among others.
- Regional: This type blocks an area of the body, such as an arm, leg, or lower body. If you receive regional anesthesia, you may be awake.
One type of regional anesthesia is epidural anesthesia It is used in childbirth or in various gynecological surgeries. In these, the anesthetist places a small needle in the lower back and injects a medicine to numb the nerves in the spine.
- General: This type of anesthesia leaves a person unconscious, so they cannot feel, see, or hear. The medicines are administered through an intravenous line. Others come as a gas to inhale. You may also have a breathing tube to help you breathe.
On Gynecology Center of Dr. Gómez Roig Barcelona, Located in the Corachan ClinicAll types of surgeries contemplated in the specialty are performed.
Our preoperative care, during and after laparoscopic and gynecologic surgery is demanding, professional, and warm.
We always accompany you taking into account your fears and concerns. If you have any questions or concerns, please do not hesitate to contact us.
Video Gynecological Surgery
Where we are
The Institute of Gynecology and Obstetrics of Dr. Gómez Roig is located in the Manuel Corachan Square, 4 in Barcelona. On the second floor, offices 202-203 and 220-221.
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Pelvic Organ Prolapse
- About the Author
- Last tickets
Head of the Obstetrics and Gynecology Service at the Sant Joan de Déu Hospital in Barcelona. Associate Professor of Obstetrics and Gynecology and Coordinator of the Sixth Course of Medicine at the University of Barcelona, UB. Director of the Dra. Gómez Roig Institute and Coordinator of Obstetric and Gynecological Processes at the Corachan Clinic in Barcelona.