What is laparoscopy or keyhole surgery?

Laparoscopy is a procedure to look inside the abdomen by using a thin telescope with a light source called a laparoscope.
It is passed into the abdomen through a small cut in the skin. 2 or 3 additional small cuts are made to pass through instruments and perform the procedure.
A laparoscopy is done to find the cause of symptoms and at the same time provide treatment. It is also known as keyhole surgery or minimally invasive surgery.
Complex laparoscopic procedures require advanced levels of expertise.

Advanced laparoscopic surgeons

Most gynaecologists can perform laparoscopic surgery but complex and challenging procedures require advanced skills. Those expertise are gained through training, experience and keeping up to date with modern advances in the field. In the London Women’s Centre we offer cutting edge treatments at the highest standard carried out by gynaecologists with the training and skills necessary to carry out these procedures.

Our main goal is to achieve the best outcome and ensure the patient’s safety.

Common conditions

In gynaecology common conditions treated via laparoscopic surgery include:

• Endometriosis (excision of endometriosis implants)
• Ovarian cysts (removal of the cyst)
• Fibroids (myomectomy)
• Ectopic pregnancy (removal of the ectopic or the fallopian tube)
• Heavy bleeding (removal of the womb and cervix)
• Sterilisation (clipping of the fallopian tubes)
• Adhesiolysis (division of adhesions between various organs)
• Pelvic abscess

Advantages

• Shorter hospital stay
• Fast recovery and return to daily activities
• Less pain and discomfort after the operation
• Reduced bleeding
• Reduced risk of infection
• Better visualisation and access for the surgeon
• Reduced risk of a clot in the legs or the lungs (DVT or PE)
• Decreased risk of adhesions
• Better cosmetic outcome

Risks

As every operative procedure laparoscopy carries some risks. Those include infection or bruising of the scars, bleeding, accidental damage to structures inside the abdomen, such as the intestines, bladder or blood vessels. Also there is a small risk to converting the operation to a laparotomy (open procedure).