Laparoscopic hysterectomy - removal of the uterus using laparoscopic techniques. This method is considered the least traumatic for the patient. Appliances small incisions reduce the rehabilitation period after surgery, and the use of the optical system minimizes the risk of complications during surgery and afterwards. Israel gynecology treatment by laparoscopy has certain indications and contraindications.
Laparoscopic hysterectomy is not applicable for large scale uterine malignancy, chronic diseases of the internal organs of the decompensation, prolapse of the uterus, ovarian cystic neoplasms.
Laparoscopic hysterectomy - the selection operation for the following diseases of the uterus endometriosis, recurrent polyposis, multiple fibromatous nodes, nodes submucosal myoma with the central growth.
In clinic Assuta surgery performed under general anesthesia. Operating accesses the abdomen are performed stilettos trocars. In the umbilicus small incision 10 mm long. Therethrough into the abdominal cavity of the carbon dioxide is pumped, abdominal lifts the stack. This allows the surgeon to see the operative field and the access to the uterus. The gas pressure is maintained throughout the operation. Next into the abdominal cavity through a trocar is inserted optical system laparoscope. Reviews the abdominal organs, the peritoneum, lymph nodes dissected adhesions between organs. Under visual control is carried out two more cut in the abdomen 5 mm long, through which surgical instruments are introduced.
In the next stage of the operation is carried out round the intersection uterine ligaments and legs bladder. Crosses and coagulates the upper part of the uterine ligament apparatus. Vascular bundle processed by the machine sews. Above this level is performed amputation of uterine body. All vessels are ligated carefully. For the prevention of postoperative complications in the peritoneum superimposed gray-serous sutures, ie, held peritonization. Peritonization stump tubal and cervical stump carried peritoneum broad uterine ligaments. Alternately extracted from abdominal laparoscopic instruments, removes carbon dioxide. The wounds are sutured in layers of the abdominal wall.
The duration of the surgery in Israel 60-180 minutes.
On the first day after surgery patients are assigned narcotic analgesics and bed rest. For the prevention of thromboembolic events held anticoagulation. According to the testimony gynecologists Israel prescribe their patients a course of antibiotics. 1-2 day, the patient can be discharged from the hospital.