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The Lifeline Hospital

Gynaecologic Laparoscopic Surgery

The first total laparoscopic hysterectomy was performed in 1989. However, as minimally invasive surgery grew in other fields, it lagged for gynaecology. It wasn’t until the past decade or so that doctors and patients alike have begun to take advantage of the spectrum of benefits that these procedures provide, Dr Cyriac, Lead Gynec Surgeon , Minimally Invasive Surgery , Department of Gynaecology and Obstetrics at Lifeline Hospital.

Much like minimally invasive surgery in other fields, using these techniques can provide a lower risk of complications during procedures, such as bleeding, and an easier recovery, with less pain and bleeding afterward, a lower risk of infection, and an earlier return to normal function. “For many of our patients, who juggle busy home and work lives,” says Dr Cyriac, “being able to return to a normal schedule as soon as possible is especially attractive.” One of the great surgical advances of the modern age is the ability to use a laparoscope for minimally invasive surgery in areas that previously required major open surgery.

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Our surgeons perform all of their procedures laparoscopically, even those that can be a challenge to perform as open procedures, including myomectomies for large or numerous fibroids, resections for stage 3 or 4 endometriosis, or total hysterectomies for large fibroid uteri. The team performs hundreds of minimally invasive gynaecologic surgeries each year.

For patients interested in avoiding transfusions for religious or other reasons, their minimally invasive group offers a “bloodless medicine service,” with blood salvaged, filtered and returned to patients if needed. The team plans to establish a multidisciplinary endometriosis group that can tackle this often complicated disease from multiple angles, including with medicine, surgery, radiotherapy, nutrition, physical therapy, pain therapy and reproductive endocrinology for patients interested in preserving their fertility.

“Many of our patients tell us that if they’d known how easy the surgery would be, they would have done it years ago,” says Dr S. Pappachan. “That’s why we do what we do: to help people get back to the lives they deserve.”

Our trained Surgeons in minimally invasive gynaecologic surgery specialize in evaluating and treating women who have a wide range of noncancerous (benign) gynaecologic conditions, including heavy menstrual periods (menorrhagia), irregular menstrual periods (metrorrhagia), pelvic pain, endometriosis and ovarian cysts.

We also have a minimally invasive gynaecologic surgery fellowship to train future generations of surgeons in these techniques.

Treatment options

  • Hysteroscopic surgery: This technique does not require any incisions and has minimal recovery time.
    • Diagnostic and Pre IVF Hysteroscopy
    • Hysteroscopic tubal canulation
    • Operative Hysteroscopy (Submucous Myomectomy, Septum correction & polypectomy)
  • Advanced laparoscopic surgery: This technique has been shown to be an effective treatment that results in shorter hospital stays, less discomfort and a shorter recovery period.

    • Diagnostic Laparoscopy and Laparoscopic Sterilization
    • Laparoscopic Management of Ovarian Cyst
    • Laparoscopic Salpingo-Oophorectomy
    • Laparoscopic Management of Tubal Pregnancy
    • Laparoscopic Total Hysterectomy
    • Laparoscopic Re-canalization Surgery
    • Laparoscopic Burch Suspension
    • Laparoscopic Myomectomy
    • Laparoscopic Sacro-Colpopexy
    • Radical Laparoscopic Hysterectomy
    • Laparoscopic Pelvic Floor Repair
    • Laparoscopic Vesico-Vaginal Fistula Repair
    • Laparoscopic Lymphadenectomy for Gynecological Malignancies
    • Laparoscopic uterine nerve ablation for chronic pelvic pain
    • Laparoscopic Management of severe Endometriosis
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