Endoscopic Surgery (Hysteroscopy and Laparoscopy)

Hysteroscopy and laparoscopy are among the countless diagnostic and treatment options that technological development, medicine and patient care offer today. They are also among the most modern diagnostic and treatment methods in use.

Hysteroscopy:

It is a method of looking inside the uterus with a very thin optical instrument. In this way, problems inside the uterus that may cause abnormal bleeding, miscarriage or prevent pregnancy can be detected. Beyond being a diagnostic method for these problems, hysteroscopy is also a treatment method used to resolve them.

If hysteroscopy is performed for diagnostic purposes, it does not need to be done under anesthesia or in operating room conditions. Before the procedure, after the vagina and cervix are cleaned, local anesthesia is applied. The inside of the uterus is examined on a monitor using an optical device. If an abnormal condition is observed, a tissue sample is taken and sent to pathology for examination. This procedure does not cause any pain or bleeding in the patient. The procedure is completed in approximately 10 minutes.

Procedures Performed with Hysteroscopy:

• Use for diagnostic purposes to observe the inside of the uterus,
• Performing a biopsy by visualizing the inner wall of the uterus,
• Removal of polyps and myomas that cause bleeding inside the uterus,
• Elimination of congenital walls inside the uterus that divide the uterus in two and reduce its volume,
• Treatment of intrauterine adhesions (Asherman's syndrome),
• Treatment of bleeding that does not respond to medical therapy by cauterizing the inner wall of the uterus (endometrial ablation).

Laparoscopy

It is another method used in the diagnosis and treatment of gynecological disorders and problems leading to infertility. In this method, internal genital organs are examined with a thin, telescope-like instrument inserted through the abdomen. Solutions to problems related to the ovaries and tubes are also provided through small incisions made in the lower abdomen. In addition, open surgeries such as hysterectomy, myomectomy, ovarian cysts and chocolate cysts are performed with this method, leaving no surgical scar on the patient and with less bleeding. Furthermore, the patient can start working immediately and there is no loss of work capacity.

Why Is Laparoscopy Performed?

It is a method that allows the condition of the tubes and ovaries to be examined and, if necessary, treated in cases that impair fertility in women. Besides the condition of the ovaries, this method is also applied in cases such as adhesions of the fallopian tubes, cysts, myomas and ectopic pregnancy. Unlike the hysteroscopy method, laparoscopy is performed in an operating room setting under general anesthesia. Without the need for the patient to stay in hospital, they can return to their social life shortly after the operation. Compared with other surgeries, its advantage is faster recovery, and the risk of pain and infection is quite low.

Procedures Performed with Laparoscopy:

• Removal of the uterus (hysterectomy)
• Removal of myomas
• Endometriosis, chocolate cysts
• Ovarian cysts
• Adhesions of the tubes and other organs
• Ectopic pregnancy
• Tubal ligation procedures are performed.