LAPAROSCOPICGYNAECOLOGICAL SURGERY FOR GENERAL SURGEONS

DR SUNDAR NARAYANAN M.D, DIP.LAP(GERMANY)DIP MIS (FRANCE), DIP ART (ISRAEL)

CONSULTANT: LAPAROSCOPIC SURGERY AND ASSISTED REPRODUCTION

Laparoscopic gynaecological surgeries for general surgeons

To intervene or not

Mostly innocent May not need any surgical intervention Do operate only if it is a emergency/

potential risk in near future Try to preserve fertility whenever possible

Laparoscopic gynaecological surgeries for general surgeons

Gynecological laparoscopy Diagnostic

Laparohysteroscopy - Infertility workup, CPP Operative Adnexal surgeries

Tubal& ovarian Uterine surgeries Pelvic side wall surgeries

Endometriosis, pelvic adhesions (PID),malignancy Internal iliac ligation

Pelvic floor defects Sling surgeries, Burch colpo suspension

Laparoscopic gynaecological surgeries for general surgeons

Ovarian surgeries Oophorectomy

Ovarian malignancies, large benign ovarian tumors or TO abscess

Conservative procedures Ovarian drilling – PCOD Salpingo ovariolysis Ovarian cystectomy Untwisting of adnexa

Laparoscopic gynaecological surgeries for general surgeons

Twisted ovarian cyst

Laparoscopic gynaecological surgeries for general surgeons

Dermoid cyst

Laparoscopic gynaecological surgeries for general surgeons

ENDOMETRIOSIS

Laparoscopic gynaecological surgeries for general surgeons

Tubal surgeries Salpingectomy

Hydrosalphinx, TO mass, Ruptured ectopic Tubectomy

Family planning Conservative procedures

Neosalpingostamy & Fimbrioplasty Linear salpingostomy –un ruptured ectopic Para ovarian cystectomy Tubal recanilisation

Laparoscopic gynaecological surgeries for general surgeons

Tubal ectopic pregnancy

Laparoscopic gynaecological surgeries for general surgeons

Para ovarian cyst

Laparoscopic gynaecological surgeries for general surgeons

Uterine surgeries Hysterectomy

LAVH TLH LSH Laparoscopic Wertheim's

Conservative surgeries Myomectomy Metroplasty – congenital anomalies Sling surgeries – nulli parous prolapse

Laparoscopic gynaecological surgeries for general surgeons

myomectomy

Laparoscopic gynaecological surgeries for general surgeons

Supra cervical hysterectomy

Laparoscopic gynaecological surgeries for general surgeons

Hysteroscopy Diagnostic hysteroscopy

Infertility , DUB Operative hysteroscopy

Proximal tubal cannulation Septal resection – septate uterus Endometrial polyp removal Submucous myomectomy Adhesiolysis - ashermann’s syndrome Endometrial biopsy – DUB

Misplaced cu ‘T’ or retained fetal bones TCRE

Laparoscopic gynaecological surgeries for general surgeons

Hysteroscopy

Laparoscopic gynaecological surgeries for general surgeons

Hysteroscopic myomectomy

Laparoscopic gynaecological surgeries for general surgeons

CONCLUSION TRY SURGICAL INTERVENTION ONLY

WHEN THERE IS ABSOLUTE EMERGENCY. LOOK FOR POSSIBLE MEDICAL

MANAGEMENT. ALWAYS CONSULT THE WOMEN ABOUT

HER FERTILITY ASPIRATIONS . TAKE DUE CARE TO PRESERVE FERTILY

ESPECIALLY IN YOUNG FEMALES.

Laparoscopic gynaecological surgeries for general surgeons

Thank you !