Does aparoscopic surgery make a difference? ​ ​

 

Laparoscopic surgery is applied instead of classical surgery in many cases. In fibroid patients, both hysterectomy and myomectomy can be performed laparoscopically in selected cases. ​ ​ In laparoscopy, instead of making a single large incision in the abdomen, smaller incisions are made in three different places. Through these incisions, surgical instruments can be inserted with an illuminated endoscope showing inside the abdomen and the uterine fibroids or uterus can be taken out in pieces.

 

The advantages of laparoscopic surgery include less postoperative pain, shorter return to normal life, and less blood loss. However, it is technically more difficult, takes longer, and should be performed by experienced physicians compared to classical open surgery. In addition, it is not suitable for patients with a large uterus or large and numerous fibroids. Apart from this, it is not recommended in patients with suspected cancer, because the risk of spreading the cancerous tissue into the abdomen increases as the mass is taken in pieces. ​ ​ Laparoscopic surgery is also performed with the help of robots in some centers. However, robotic laparoscopy has no proven superiority over conventional laparoscopy. The only difference is that the surgeon performs the surgery not directly with his hands, but through a robot using a joystick like tool.

 

Although laparoscopic or robot-assisted laparoscopic surgeries provide some advantages, it should be kept in mind that they are basically another surgical operation and carry the same risks as conventional surgeries.