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Laparoscopic Gynaecological Surgery

Minimally invasive keyhole surgery for the diagnosis and treatment of a wide range of gynaecological conditions, with faster recovery and reduced post-operative discomfort.

What Is Laparoscopic Surgery?

Laparoscopic surgery, also known as keyhole surgery, is a minimally invasive technique used to diagnose and treat a wide range of gynaecological conditions. The procedure is performed through small incisions in the abdomen, typically 5 to 10 millimetres in length, through which a camera (laparoscope) and specialised instruments are inserted.

The camera provides a magnified view of the pelvic organs on a high-definition screen, allowing the surgeon to carry out precise surgical procedures without the need for a large abdominal incision. Laparoscopic surgery is the standard of care for many gynaecological conditions and is widely used both for diagnostic and operative purposes.

Benefits and Advantages

Laparoscopic surgery offers significant advantages over traditional open surgery, including:

  • Smaller incisions and reduced scarring
  • Less post-operative pain and discomfort
  • Shorter hospital stay, often as a day case
  • Faster return to normal activities and work
  • Lower risk of wound infection and adhesion formation
  • Improved cosmetic outcome

For many patients, laparoscopic surgery allows treatment to be carried out with minimal disruption to daily life, and recovery is considerably quicker than with open surgery.

Why Choose Prof Mahmood

Prof Uzma Mahmood is a Consultant Gynaecologist with extensive experience in advanced laparoscopic surgery. She has specialist training in minimally invasive techniques and manages a wide range of conditions using keyhole approaches.

  • Advanced laparoscopic surgical skills, including total laparoscopic hysterectomy and complex endometriosis excision
  • Experience managing cases with previous surgery, adhesions, and distorted anatomy
  • A patient-centred approach with thorough pre-operative assessment and counselling
  • Commitment to evidence-based practice and continuous professional development

When Is Laparoscopic Surgery Recommended?

Laparoscopic surgery may be recommended for the investigation and treatment of a range of gynaecological conditions, including:

  • Endometriosis diagnosis and excision
  • Ovarian cysts and benign ovarian tumours
  • Uterine fibroids (myomectomy)
  • Hysterectomy for benign conditions
  • Ectopic pregnancy
  • Pelvic pain of unknown cause
  • Adhesiolysis (division of scar tissue)
  • Sterilisation

Prof Mahmood will discuss the most appropriate surgical approach for your condition during your consultation, taking into account your symptoms, medical history, and treatment goals.

What to Expect

Understanding what to expect before, during, and after laparoscopic surgery can help you prepare and plan your recovery.

Before Surgery

You will have a detailed consultation with Prof Mahmood to discuss your condition, the planned procedure, and any risks or alternatives. Pre-operative investigations, such as blood tests or imaging, may be arranged. You will receive instructions on fasting, medications, and preparation for the day of surgery.

During Surgery

The procedure is performed under general anaesthetic. Small incisions are made in the abdomen and a laparoscope is inserted to visualise the pelvic organs. Specialised instruments are used to carry out the surgical treatment. The duration of the procedure depends on the complexity of the condition being treated.

After Surgery

Most patients recover on the same day or after an overnight stay. You may experience mild abdominal discomfort, bloating, or shoulder tip pain from the gas used during the procedure; these symptoms usually settle within a few days. You will be advised on wound care, pain relief, and activity levels. Most patients return to normal activities within one to two weeks.

Is Laparoscopic Surgery Right for You?

Laparoscopic surgery is suitable for the majority of gynaecological conditions. However, suitability depends on several factors, including:

  • The nature and extent of the condition
  • Previous abdominal or pelvic surgery
  • Body habitus and overall fitness for anaesthesia
  • Patient preferences and treatment goals

In some complex cases, a robotic-assisted approach or open surgery may be more appropriate. Prof Mahmood will provide an individualised assessment and a clear recommendation based on your specific circumstances.

Frequently Asked Questions

Laparoscopic surgery uses small keyhole incisions and a camera to perform the procedure, whereas open surgery requires a larger abdominal incision. Laparoscopic surgery is associated with less pain, shorter hospital stays, faster recovery, and reduced scarring compared to open surgery.

The duration varies depending on the procedure and complexity. A diagnostic laparoscopy may take 30 to 60 minutes, while more complex operations such as excision of endometriosis or hysterectomy may take one to three hours. Prof Mahmood will provide an estimate during your consultation.

Many laparoscopic procedures are performed as day cases, meaning you can go home on the same day. More complex procedures may require an overnight stay. Prof Mahmood will advise you on the expected length of stay based on your planned procedure.

Most patients return to desk-based work within one to two weeks. If your work involves heavy lifting or physical activity, you may need two to four weeks off. Prof Mahmood will provide tailored advice on your recovery and return to activities.

As with any surgical procedure, laparoscopic surgery carries some risks, including bleeding, infection, and injury to surrounding structures. However, the overall risk of complications is lower than with open surgery. All risks are discussed in detail before your procedure so that you can make an informed decision.

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Discuss Your Options

Prof Mahmood will provide a clear and honest recommendation based on your individual case. Book a consultation to discuss your treatment options.

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