Gynecology Mini-Invasive Surgery (CMI)

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An endoscopy consists of a direct observation of an organ by using an optic system that we introduce via the natural orifices or the abdominal wall. Presently, an endoscopic surgery is done in the treatment of various gynecological pathologies in a less aggressive manner, reducing the number of days spent at the hospital and post-operation pain.

This advantage essentially enables us not to disturb the professional, social and routine activities of the patient. What’s more, the esthetics is better than the one obtained by the traditional open surgeries. If possible and specified, this technique is currently recommended by the gynecology units.

Laparoscopy:

We perform it under general anesthesia. It consists of introducing CO2 in the abdomen to provoke distension in the abdominal cavity. We then insert trocars or guides through which we will slide the required instruments (optic fibers, scissors, clamps, aspirators, coagulation, etc.).

This technique is prescribed in the following cases:

  • Tubal sterility and permeability analysis as a projection to an infertility treatment.
  • Uterus malformation diagnosis.
  • Inexplicable pelvic pain.
  • Ligature of tubes (bilateral tubal sterilization).
  • Endometriosis.
  • Ovary cysts and mass.
  • Risk of ectopic pregnancy.
  • Ovary ablation (oophorectomy).
  • Extirpation of myoma (myomectomy).
  • Extirpation of tubes (salpingectomy).
  • Ovary drilling (polycystic ovaries).
  • Ablation of the uterus (hysterectomy).
  • Urine incontinence and pelvic floor surgery.

Hysteroscopy:

We introduce a low caliber optic fiber through the vagina and the cervix, while expanding the uterus cavity with the physiological serum. Depending on the surgery to perform, the hysteroscopy may be ambulatory or done under general (sedation) or local anesthesia.

It is mainly prescribed in the following cases:

  • Extraction of foreign bodies and DIU.
  • Endometrial polyp.
  • Submucosal myoma.
  • Uterus walls or septae.
  • Fertility and implantation failure analysis.
  • Analysis of menstruation problems.
  • Endometrial ablation/reduction.
Last Update: 12/09/2014
References:
Rock J., Jones H. “Te Linde – Ginecología quirúrgica”. 10o Edición. Buenos Aires. Editorial Médica Panamericana. 2010
Nieboer TE, Johnson N, Lethaby A, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 2009; :CD003677.