Request an Appointment - Call us today: 1300 885 803
Laparoscopic (keyhole) surgery is a minimally invasive technique that has revolutionized the field of surgery.
Every day hundreds of women in Australia undergo surgery for treatment of gynaecologic problems. Until recently this involved open abdominal surgery for the treatment of common conditions such as fibroids, removal of uterus (hysterectomy), cysts in ovaries, endometriosis or chronic pelvic pain. Today, however, modern technology allows us to complete the same standard surgeries using far less invasive techniques – the Minimally Invasive Surgery (MIS), also called laparoscopic surgery or keyhole surgery.
Instead of making a large incision through the skin (laparotomy, or open surgery), a laparoscopic surgeon makes just a few tiny incisions to perform the surgery. These 0.5-1-cm incisions serve as entry ports for a long, narrow camera and other laparoscopic instruments. The high-definition camera shows a magnified view of the pelvic organs to the surgeon. Specially designed instruments enable the surgeon to perform all the delicate manoeuvres to remove diseased tissue precisely, have a meticulous control of bleeding, and even carry out fine tissue suturing.
Laparoscopic surgery offers a safe and effective alternative to open surgery. No more need for painful procedures and large incisions.
Since laparoscopic surgery causes less trauma to the body, recovery is much faster than with traditional open surgery. As the incisions are much smaller, pain is significantly reduced with less need for pain medication after surgery. Patients can often get up within a few hours of surgery.
Hospital stay is reduced to 1-3 days, compared to up to a week following open surgery. Many procedures can be even done as single-day surgery. This means recovering in the comfort of your own home and being able to resume employment within a few weeks.
In addition to the better cosmetic healing of small incisions, laparoscopic surgery also reduces the risk of infection, because tissues are not exposed as they are in open surgery.
In summary the benefits of laparoscopic surgery are:
|Laparoscopic surgery||Open surgery|
|Scar size||A few small 0.5 - 1cm||Large 8 - 10cm|
|Need for pain medication||Reduced||Significant|
|Hospital stay (average)||0 - 3 days||5 - 7 days|
|Time off work||1 - 3 weeks||4 - 6 weeks|
|Risk of infection||Lower||Higher|
|Wound problems||Less because of smaller wounds||More|
Laparoscopic surgery can replace open surgery in treatment of many of the non-cancerous gynaecologic conditions. Examples are heavy periods, fibroids, hysterectomy, cysts of ovaries and endometriosis.
Check out our Procedures or Gynaecologic services to know more about these surgeries.
All types of surgery carry risks. Indeed, it would have been unrealistic to expect any surgery to be absolutely risk-free. Generally, laparoscopic surgery is regarded as safe and its associated risks are uncommon. Most of these risks happen at the same rate, if not lower, as in traditional open surgery.
Serious complications after laparoscopy are rare. It is estimated that they happen in one out of every 1,000 cases. Serious complications include:
Other factors such as patient’s age, general health, the reason for surgery, previous pelvic or abdominal surgery, previous Caesarean sections and the complexity of laparoscopic surgery also contribute to the specific risk of an individual patient.
During your personal consultation, our doctor will talk in depth about the risks in specific to your individual condition.
Recovery following surgery depends on the type of procedure you have undergone. In general, it is common to experience the following symptoms for 1-2 days:
Following a laparoscopic surgery, patients can return home much earlier than those who have undergone an open surgery. You will receive instructions on wound care from the nursing staff before going home. Our doctor will explain your recovery course in specific to the procedure you have had. We will also advise you the best time for a complimentary follow-up visit.
We firmly believe in the great benefits of keyhole surgery to our patients.
Unfortunately, because it requires sophisticated equipment, not all hospitals in Australia and New Zealand are able to offer laparoscopic surgery. It also requires specialized training, even for surgeons who are experts at open surgery.
Indeed, many women are not made aware of laparoscopic surgery as an alternative to open surgery. Many are even advised against it due to lack of expertise or equipment.
We are dedicated to bringing the benefits of this advanced and less invasive procedure to all women requiring surgery for their gynaecologic conditions. We promise to empower women, offer choices and practice the best medicine to improve our patients’ quality of life.
If you are considering having minimally invasive surgery as a treatment for your gynaecological condition, please contact us for a personal consultation and discussion of your case.
31 Bertram Street
Chatswood NSW 2067
1300 885 803
02 9475 0028
Dr. Sarah Choi