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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 !
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