Minimally Invasive Surgery (Laparoscopy/Robotic Surgery)
Today, laparoscopy and robotic surgery (keyhole surgery) are widely used in benign gynecological diseases as well as in many gynecological cancer surgeries. We recommend laparoscopy or robotic surgery in treatment of diseases such as fibroids, ovarian cyst, endometriosis as well as repairing vaginal wall or uterine prolapse, (sacrocolpopexy/sacrohysteropexy), in cases when uterus needs to be removed and in most gynecological cancers (such as uterine cancer, ovarian cancer and cervical cancer).
The main advantage of laparoscopic or robotic surgery is that it does not usually require hospitalization. Even when hospitalization is required, the duration is shorter compared with open surgeries, there is significantly less post surgical pain that is typically relieved with only painkillers, the return to normal life is short and surgical scarring is minimal when compared with open surgery.
The procedures performed in the abdomen during the laparoscopic/robotic operation are virtually the same as those performed in open surgery. The difference from open surgery is however, that small incisions (cuts) (usually 0.5-1 cm) are made rather than a wide incision and the abdomen is reached with special surgical tools.
How is Laparoscopic Surgery Performed?
In order to perform laparoscopic surgeries (under general anesthesia), a laparoscopy unit, appropriate surgical tools, an experienced surgeon and a team with experience are needed. The laparoscopy unit consists of a video camera system, a cold light source, an insufflator that blows air into the abdomen, a monitor and a video/image recorder. First, the body is entered through a hole and the abdomen is inflated with carbon dioxide gas. Then examination in the abdomen is carried out using a telescope camera. Additional trocars are inserted depending on the type of surgical procedure to be performed. The surgeon, who acquires an image from the monitor with the instruments inserted through these trocars, performs the surgery. With the help of the camera, it is possible to see the anatomical structures down to the finest details thanks to the much larger and more detailed image than normal. In addition, surgical interventions can be carried out with minimal loss of blood.
How is Robotic (da Vinci) Surgery Performed?
Robotic surgery, which creates high-definition 3D images, also provides an excellent mobility of the robotic arms, enabling the surgeon to perform difficult hysterectomy and cancer surgeries without the need for making large incision (cut).
Robotic arms and camera are placed in the patient’s abdomen by making 3 or 4 incisions smaller than 1 cm. In addition to all the advantages of laparoscopic surgery provide for the patient, the operation is carried out with robotic arms that can imitate precision of hand and wrist movements with its three-dimensional view and can accomplish seven-dimensional movement.
This technology offers the patient a shorter hospital stay and a faster recovery. One of the most important advantages is minimal blood loss during the operation and less pain afterwards.
The most important disadvantage of robotic surgery is its high cost.