Laparoscopic gynecologic surgery

A laparoscopic procedure is used to perform surgery in the abdomen through tiny incisions, which are about one half inch in length. A thin, flexible tube with a camera at the end called a laparoscope is inserted through these small incisions allowing your entire procedure to be performed without a large incision. This means you’ll benefit from less scarring and reduced postoperative pain.

Laparoscopy may be used in gynecology and urogynecology to assess problems, such as pelvic pain, pelvic floor disorders, ovarian cysts and fibroids. It is also used to evaluate the fallopian tubes in women experiencing infertility. Other uses include treating endometriosis and removing an ectopic pregnancy in the fallopian tube. Additionally, hysterectomy, myomectomy and tubal ligation can all be performed utilizing this method of surgery.

Robotic surgery in urogynecology is commonly used to perform a sacral colpopexy in order to treat pelvic organ prolapse, or the relaxation of the pelvic organs. It may also be used for:

• Vaginal or uterine prolapse
• Cystocele (dropped bladder)
• Hysterectomy

Benefits of robotic surgery include less pain, less scarring and a shorter hospital stay.

Risks and side effects associated with laparoscopic and robotic gynecologic surgery include:

• Damage to nearby organs
• Allergic reactions
• Infection
• Anesthesia complications
• Bleeding

The night before your surgery, you shouldn’t have anything to eat or drink after midnight. In addition, your doctor will discuss any current medications you’re taking, as you’ll need to refrain from taking anything that interferes with blood clotting.

After your procedure, your doctor will ask you to avoid:

• Intercourse for six to 10 weeks
• Submerging your incision in water for several weeks
• Heavy lifting
• The use of tampons or any vaginal inserts