The procedure involves entering the abdomen through a tiny, buttonhole-sized opening in the abdomen. An optic with a camera system is inserted through the incision at the navel, and the image is displayed on a high-resolution monitor. To navigate the abdominal cavity, the abdomen is filled with CO2 (carbon dioxide) gas, so that the abdominal organs are clearly visible. The surgeon does not guide his or her hands into the abdomen, but instead uses long, thin instruments (manipulators). The procedure is very safe and not stressful for the patient. This type of surgery is used for the removal of myomas, for the resolution of ovarian masses and for hysterectomies. It is also used for certain oncological operations (extended hysterectomy and pelvic lymph node removal). And the preservation of the integrity of the abdominal wall ensures that the patient can go home the next day and go about his or her daily life.
Uterine endoscopy/hysteroscopy (hysteroscopy)
This surgical procedure involves entering the uterine cavity from the vagina, leaving the abdominal cavity unaffected. A thin device is passed up the cervical canal of the uterus, which includes a camera, a manipulator working channel and a fluid delivery system. We also see the structure of the uterine cavity on a high-resolution monitor. This procedure is used to resolve abnormalities in the uterine cavity (polyp, fibroid, myoma distorting the uterine cavity). The procedure is low stress, easy to perform and the patient can leave the institution a few hours after the operation.