Laparoscopic Surgery in Israel

Professor Dan Grisaro

Head of the Department of Oncogynecology and Women's Health Center

Diagnosis and Treatment in Israel

In modern medicine, examination of the abdominal cavity is performed using laparoscopes - thin tubes equipped with a lens system and optical fibers that illuminate the surgical area and transmit its image to a screen.

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Laparoscopy serves both diagnostic and surgical purposes. The main advantages of laparoscopic surgeries include:

• Faster rehabilitation, as small incisions are used instead of long cuts in the abdominal cavity
• Smaller size of postoperative scars
• Less pain after surgery

Laparoscopy: Indications for Use

In the field of gynecology, laparoscopy is used for the following procedures:

• Removal of ectopic pregnancy
• Intrauterine procedures on the embryo
• Removal of abscesses around the fallopian tubes and ovaries
• Removal of endometriosis lesions
• Clearing of fallopian tubes
• Reconstruction of fallopian tubes after ligation to prevent pregnancy
• Removal of ovaries
• Removal of fibroids
• Removal of cysts
• Complete or partial removal of the uterus
• Removal of tumors
• Ligation of fallopian tubes to prevent pregnancy
• Uplifting of a prolapsed bladder
• Uplifting of a prolapsed uterus
• Uplifting of the vaginal vault

However, laparoscopy is not always possible. For example, after a hysterectomy, in cases of inflammation in the abdominal cavity, or if the patient is overweight. In such cases, open surgery is preferred.

Laparoscopy: Stages of the Procedure

Laparoscopy is performed under general anesthesia. Before the procedure begins, the abdominal cavity is filled with carbon dioxide to facilitate the maneuvering of the laparoscope and surgical instruments. 3-4 incisions of 1-2 cm are made in the abdominal wall, one in the navel area, and the others in the lower abdomen. Through these incisions, the laparoscope and surgical instruments (scissors, laser, needle, and thread for suturing the incisions, etc.) are introduced.

Typically, after laparoscopic surgery, the patient is discharged within 1-2 days. As mentioned, this minimally invasive procedure is followed by a shorter rehabilitation period, with no side effects or pain.

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