There are two main types of minimally invasive gynaecological surgery:
- Laparoscopic surgery (keyhole) – has revolutionised all areas of surgery. It is performed using very small incisions in the abdominal wall, which allows a high definition camera to give clear pictures of the pelvis and abdomen to allow procedures that can be done with a large incision (laparotomy) but with all the benefits of small incisions i.e. smaller scars, better cosmesis, faster recovery, less pain, less down time, earlier return to normal function, and less time spent in hospital
- Hysteroscopic surgery – where entry is usually through the vagina. A tiny video camera, light and other surgical instruments required for the procedure are threaded through the vagina and cervix. Diagnostic hysteroscopy involves viewing of the inside of the uterus to identify causes of abnormal uterine bleeding and painful menstrual periods, such as fibroids, polyps, and adhesions. A sample of the lining can be taken for testing or polyps can be removed. You normally only need to spend a few hours in a day stay facility
