High complexity gynecologic surgery

What is highly complex gynecological surgery?

High complexity gynecological surgery is a very specific area of the specialty of Gynecology and Obstetrics. It is a type of minimally invasive surgery, which guarantees a much faster and safer postoperative period.

This type of surgery presents a series of differences in relation to traditional surgery, since the incisions are not large, which entails, in addition to an aesthetic benefit, fewer complications, infections and hospital stay. On the other hand, the risk of thrombosis is also lower, because the patient can get up the same day of the intervention. It also requires fewer antibiotics and digestive system complications.

Among the most important techniques of highly complex gynecological surgery are laparoscopy and hysteroscopy.

Why is it performed?

This type of surgery is indicated for benign gynecological pathologies and malignant gynecological pathologies.

Among the benign pathologies we can highlight the following:

  • Uterine fibroids or fibroids
  • Ovarian cysts
  • Endometriosis
  • Adenomyosis
  • Pelvic floor pathologies
  • Pelvic inflammatory diseases
  • Genital prolapse

And among the malignant ones, the following stand out:

  • Ovarian cancer
  • Cancer of the uterine cervix
  • Vulvar cancer
  • Cancer of the uterine corpus uteri

What does it consist of?

There are two main techniques: gynecological laparoscopic surgery and hysteroscopy.

On the one hand, laparoscopy is a minimally invasive surgical technique, which allows the patient to undergo surgery without the need to open the abdomen, making only small incisions to remove cysts and fibroids.

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On the other hand, hysteroscopy is used to study the inside of the uterus and allows the endometrium to be examined to diagnose the disease. The hysteroscope, which is an optic, is introduced through the vagina and, in this way, polyps and fibroids can be detected, which can be removed by means of other instruments.

Preparation for high-complexity gynecological surgery

Before undergoing highly complex gynecological surgery, the specialist must determine which type of surgery is appropriate for the patient. In addition, interdisciplinary work with anesthesiologists and cardiologists is required.

Care after the operation

Once the operation has been performed, the patient should take analgesics for pain. Generally, after a highly complex gynecological surgery, it is possible to return to normal life after 1 or 2 days, but caution should be exercised when lifting very heavy objects, because there is a risk of herniated incisions.

Alternatives to this treatment (other more advanced treatments)

High complexity gynecological surgery is presented as an alternative to traditional gynecological surgery.