Endoscopic surgery, which is listed as closed operations, is also used extensively in gynecological diseases. Gynecology and Obstetrics Specialist Prof. Dr. Gazi Yıldırım said that open and closed operations are preferred with patients because they have more advantages compared to open surgeries and provide patients.
Closed methods are used in many problems and treatments, from fibroids, which are very common among women, to cancers of female reproductive organs, from ovarian cysts to infertility treatment. Moreover, the more advantages of these procedures make the surgeries of the problems the reason for preference.
Yeditepe University Kozyatağı Hospital Gynecology and Obstetrics Specialist Prof. Dr. According to Gazi Yıldırım; Endoscopic surgeries in women are generally divided into laparoscopy and hysteroscopy. In laparoscopy, surgery is performed by observing the inside of the abdomen with a camera inserted through the navel through 1 or 0,5 holes of 2 cm in the navel and 3 cm in the lower abdomen without large incisions in the head abdomen.
LAPAROSCOPY FIRST OPTION FOR MANY OPERATIONS
Gazi Yıldırım explained about the areas where laparoscopy can be applied: “Laparoscopy goes out in the treatment of pain as well as opening or tying the tubes that carry eggs from female reproductive organs, removal of ovarian cysts (ovarian cyst surgeries), ectopic pregnancy (ectopic pregnancy) surgeries. In addition, the treatment of female infertility, chocolate cyst disease (endometriosis) is the first choice endoscopic methods for cleaning chocolate cysts and endometriosis nodules. Removal of myomas, which are benign tumors of the uterus, or removal of the uterus and ovaries, prolapse of the uterus, bladder and juvenile intestine, which we call pelvic organ prolapse, sagging of the rectum from the vagina, and stress urinary incontinence operations are also technically closed and can be successfully performed.
Gazi Yıldırım continued his words: "With laparoscopy, surgeries to be performed by opening the abdomen can now be removed, so laparoscopy is a much preferred less risky method," Prof. Dr. Gazi Yıldırım continued his words as follows: “The gains of this method result from the much smaller incisions in the skin. Major surgeries including cancer and uterus can be performed through the small holes opened. In the past, a belief that a great surgeon would make a big incision… Stating that this perception has been reversed today, Prof. Dr. Gazi Yıldırım stated that it is possible to do big things with a small incision as a result of special education. Gazi Yıldırım emphasized the importance of the following regarding patient size gains: Stating that the size of the operation performed in endoscopic surgeries is the same as open surgeries, Prof. “After this procedure, the patient feels less pain, stays in the hospital for a shorter time, returns to work earlier and is very advantageous in aesthetic appearance. With the advances in the field of technology, flexible and smaller diameter telescopes were used in endoscopic surgeries, which led to the surgery to be almost anesthetized. "
HISTEROSCOPY IS USED FOR BOTH DIAGNOSIS AND TREATMENT
Hysteroscopy is the evaluation of the part of the uterus and tubes opening into the uterus, called the ostium, by entering through the cervix with a millimeter-thick thin optical system mounted as a diagnostic or therapeutic camera. This message procedure can be performed for both diagnosis (diagnostic hysteroscopy) and treatment (operative hysteroscopy) of intrauterine anomalies. The doctor prescribes open or closed surgery according to his deep needs. Informing that anyone whose general condition is suitable for operation can be performed laparoscopy and hysteroscopy, Prof. Dr. Gazi Yıldırım said, “During the procedure, laparoscopy may not be preferred during the procedure. Those with diaphragm and hernia problems, those with very large and multiple fibroids,
Yeditepe University Hospital Gynecology and Obstetrics Specialist Professor, who emphasized once again that recovery in closed surgeries can be faster than open surgeries. For about 4-6 hours nothing is given orally and serum treatment is described. It would be appropriate to have a catheter in the urinary tract for 4-6 hours until standing up. The patient stays in the hospital for 1, sometimes 2 days. "
TIMING IS IMPORTANT IN ENDOSCOPIC OPERATIONS
Gazi Yıldırım said, “If our patient is in the fertile age, the appropriate time for the procedure is the period just after the end of the order and before the ovulation time. Timing is very important in order for the image to be hysteroscopy to be appropriate. Feasible action can be carried out, ”he said.