Laparoscopic surgery in women

Laparoscopic surgery is a very important tool in Gynecology as well as in problems related to fertility.

There are at least 2 types of approach to problems in women with endoscopic techniques in gynecology (abdominal laparoscopy and vaginal hysteroscopy). One of its great advantages is that the procedure is ambulatory, that is to say; the patient does not need to be hospitalized for more than 6 hours on average.

Speaking of abdominal laparoscopy, the surgical approach generally consists of 3 incisions smaller than 1 cm, represented in graph 1.

Fertilidad Laparoscopía

In these procedures we can solve both tubal (inflamed fallopian tubes) and ovarian (endometriotic cysts) and peritoneal (post-surgical adhesions) pathologies, among others.

En el área de reproducción asistida es una herramienta de uso frecuente sobre todo para patología tuboperitoneal y/u ovárica figura 1 y 2.

Mioma Infertilidad
  • Vaginal hysteroscopy can be said to solve a host of uterine problems that mainly includes the endometrial cavity. In this procedure, the greatest advantage, in addition to being ambulatory, is that it does not require a surgical incision, it is accessed inside the uterus through the vagina. and through the cervical orifice with a hysteroscope no larger than 5 mm in diameter, graphic 1.

Transcendental to be able to have an assessment of the uterine cavity to rule out internal uterine problems, and thus see tubal ostium (internal uterine orifices) as endometrial cavity and uterine fundus.

It’s a solution

It resolves problems such as dysfunctional uterine bleeding (endometrial hyperplasia), or abnormal uterine bleeding problems (polyps and/or fibroids), in addition to patients with fertility problems, it is currently the best diagnostic tool, even though it has displaced Laparoscopy in importance. Solving anatomical problems in the uterine cavity such as polyps and/or fibroids or pathology of adhesions secondary to infections or previous curettage (synechiae) Fig.2 and 3.

Fertilidad Laparoscopía

“Today, endoscopic procedures in women resolve the majority of tubo-ovarian and uterine pathologies, as well as those of the ovary, without the need for hospitalization. In assisted reproduction it is essential to have specialists who can resolve and resolve gynecological problems using these techniques.”

Dr. Otto Paredes
Dr. Otto Paredes
Fertility Expert
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