What are minimally invasive gynecological surgeries?

Simply put, minimally invasive gynecological surgery is to treat some gynecological diseases through a small wound. This type of surgery has only gradually developed in recent years. At present, there are more types of surgeries and more advanced technologies. So, what are minimally invasive gynecological surgeries? If you are interested in this question, let's take a look!

What are minimally invasive gynecological surgeries?

1. Laparoscopic surgery Minimally invasive surgery

Laparoscopy is a surgical procedure performed by doctors using special laparoscopic surgical equipment that integrates optical, computer, ultrasonic, mechanical and other technologies. The basic process of the operation is: after the patient is anesthetized, the doctor makes 3 to 4 small round holes with a diameter of 0.5 to 1 cm in the patient's abdominal cavity, and puts a mirror in one of the holes. The bathroom mirror is connected to the LCD screen through a pinhole camera, so that the disease in the patient's abdomen can be clearly displayed on the LCD screen. Scissors, pliers and other operating room instruments were placed in other small holes in the abdominal cavity, and the doctor performed the surgery while watching the screen.

2. Hysteroscopic minimally invasive surgery

In the treatment of uterine fibroids, patients with subserosal uterine fibroids or intramural fibroids should choose uterine fibroid removal surgery, while patients with multiple uterine fibroids and uterine fibroids combined with cervical lesions should choose hysterectomy. In previous laparoscopic hysterectomies performed in the hospital, the largest uterus removed weighed 1,700 grams, which is approximately equal to the size of a 6-month pregnant uterus. During laparoscopic myomectomy, up to 8 uterine fibroids can be removed, basically achieving the purpose of open surgery.

3. Vaginal surgical treatment

Vaginal surgery uses the natural hole in the vagina to perform surgery, which has the advantages of less trauma, less gastrointestinal impact, less postoperative pain, quick recovery, and no surgical scars on the abdomen. It can also perform adnexectomy, repair of the anterior and posterior walls of the vagina, plastic surgery of the urethral opening, and vaginal tightening. In clinical application, most hospitals only perform vaginal hysterectomy on patients with uterine prolapse. The main reasons are that the surgical field is narrow, and the scope of application and contraindications are difficult to grasp; doctors lack basic operating methods and available operating room instruments; and patients lack understanding of the choice of surgical treatment methods. With the advancement of laparoscopic surgery, doctors' vision has been broadened and they can immediately grasp the situation in the abdomen. The scope of vaginal hysterectomy has continued to develop with the assistance of laparoscopic surgery.

Gynecological minimally invasive surgery integrated into the disease

1. Evaluate the bilateral fallopian tubes, uterus, ovaries and pelvic elements of infertile patients to determine whether the sexual organs are deformed;

2. Confirmation and diagnosis of abdominal and pelvic masses;

3. Abdominal pain and pelvic pain with unclear causes;

4. Chronic pelvic inflammatory disease with infertility, repeated subacute or acute onset, and endoscopic effusion;

5. Confirmation and diagnosis of abdominal and pelvic masses.

6. Monitor the uterine cavity or actual vaginal surgical operation.

7. Early diagnosis of endometriosis, appropriate installment treatment and elimination of the disease, etc.

8. Patients with acute or chronic pelvic pain who have poor response to anti-infection treatment or whose symptoms are difficult to cure.

9. Early diagnosis of ectopic pregnancy;

10. Initial diagnosis, installment payment, pre-operative evaluation, efficacy judgment and follow-up testing of sexual organ malignant tumors;

11. Find or remove the IUD that is wandering in the abdomen;

12. Inspection of uterine perforation and monitoring of intrauterine operations, such as vacuum extraction after uterine perforation, intrauterine operations of deformed and pathological uterus, and hysteroscopic transurethral resection;

13. Efficacy estimation of secondary exploration of pelvic malignant tumors and diaphragmatic exploration of uterine and ovarian malignant tumors.