Types of laparoscopy Melbourne Mothers
What is laparoscopic gynaecological surgery?
Laparoscopy refers to a surgical technique with small incisions and a camera. In gynaecology, these are the most common laparoscopic procedures:
- Reproductive surgery: related to fertility
- Endometriosis surgery: a laparoscopic procedure to diagnose and treat endometriosis
- Laparoscopic procedures for fibroids or ovarian cysts
- Surgery in children and adolescents to correct congenital abnormalities (paediatric gynaecology)
- Hysterectomy: a total laparoscopic removal of the uterus may be advised in some cases.
Endometriosis Laparoscopy Melbourne Mothers
As your gynaecologist, I may discuss laparoscopic surgery with you in case you have been diagnosed with endometriosis. It is a common women’s health condition when unwanted tissue is formed outside your uterus. It means that the type of tissue we find in the lining of your uterus causes inflammation outside the uterus. You may feel chronic pelvic pain, or you may experience excessive bleeding. The impact of your symptoms is linked to your oestrogen levels.
Endometriosis is often an underlying cause of subfertility or infertility and if you want to avoid fertility treatment such as IVF, it is important to see your gynaecologist if you think you may have endometriosis symptoms. An estimated 1 in 9 women will have it, and endometriosis mostly occurs before the age of 44.
You may have heard of terms like deep infiltrating endometriosis or endometriomas. With deep endometriosis, scarring tissue or endometriotic nodules attach to your pelvic area, and the surgeon needs to look at your pelvic anatomy to plan the surgical removal of endometrial tissue. This may require the expertise of other surgeons who specialise in bowel or bladder surgery at the same time.
When you haven’t received a clear diagnosis and you feel you need specialist expertise, it’s good to know that laparoscopic surgery can be part of a diagnostic process, or it can be part of a management plan for endometriosis.
Laparoscopic gynaecological surgery is the best or gold-standard process to obtain a diagnosis. It’s a procedure under general anaesthetic and we use laparoscopic surgery (or keyhole surgery) to get the best image of the tissue that causes your symptoms. We look at the tissue of your fallopian tubes, your uterus and your ovaries. If endometrial tissue is found outside your uterus, we can formulate a formal diagnosis for endometriosis. In ideal circumstances, we can also remove tissue as part of the procedure: stripping the cysts or endometriomas from your ovary for example. Sometimes endometriosis can result in the formation of nodules in the layers of the bowel in which case your gynae surgeon may involve a specialist bowel surgeon at the same time to remove the endometriosis deposits.
Once it has been established that you have endometriosis, we use laparoscopic surgery techniques to remove the relevant tissue. Surgery is but one of a number of management techniques that we could employ. Most often, a strategic management plan which may involve, yoga, pilates, medication and dietary modifications is the best approach.
One of the reasons to see a qualified and experienced gynaecological laparoscopic surgeon is to get an accurate diagnosis and establish realistic goals.
Fibroids Laparoscopy Melbourne Mothers
Fibroids are benign growths in the muscle tissue of your uterus. There is no reason to panic when your GP mentions these ‘growths’, and we have excellent surgical options to remove them.
About 8 in 10 women will have had at least one fibroid before the age of 50. In gynaecology and medicine, there are still a lot of open questions about what exactly causes fibroids.
The symptoms you may experience – and that would justify further evaluation – are :
- Pelvic or low back pain
- Abnormal uterine bleeding
- Fertility Issues- A delay in conceiving or having suffered a miscarriage
It is possible to have fibroids and not to have any symptoms at all. You may feel that the pain comes and goes with your menstrual cycle. The growth of fibroids fluctuates with your hormone levels and these levels vary depending on where you are in your cycle.
Growth of fibroids can be quite variable and can change during pregnancy. In other situations, they outgrow the blood supply that feeds them, and that may cause them to degenerate. You would think that this is good news, but the downside is that the degeneration can cause severe pain. After menopause, fibroids have a tendency to shrink.
As your gynaecologist, I first help you get clarity so you can make a well-informed decision. We discuss your medical history and we look at your symptoms. Routine tests will give us more information and then we can discuss your treatment options. There are nonsurgical options using medications, or we can discuss laparoscopic surgery to remove fibroids.
Hysterectomy Melbourne Mothers
A hysterectomy is a surgical procedure to remove the uterus. Reasons for having a hysterectomy include severe pelvic pain, endometriosis, pelvic organ prolapse, heavy bleeding or cancer.
Laparoscopy Melbourne Mothers
A personalised approach
At Melbourne Mothers, we see you as the unique person that you are. It’s not a one-size-fits-all approach where symptoms lead to surgery.
We look at your personal circumstances. A women’s health concern can be connected to your family planning or fertility journey and you could experience improved fertility after surgery.
Laparoscopic surgery is minimally invasive and often called the gold standard for the management of fibroids or endometriosis. But it is essential to understand that this type of surgery may not cure the condition indefinitely. We use our expertise to give you realistic information, including a conversation about your chances of needing additional treatment in the year after you had surgery for fibroids or endometriosis.