Operative pelviscopy

View of the operative field

The pelviscopic approach has replaced in many cases the "open sky" surgery (laparotomy). The operative pelviscopy requires a short hospitalization (approx. 48 hours). This operation is carried out by introducing, under narcosis, an optical device into the abdominal cavity (Figure 1).

Photo 1: The surgeons have placed a trocar at the level of the umbilicus and a second smaller on the side. They visualize on the screen the intra-abdominal image.

To do this, an 10 mm incision is made at the navel. The abdomen is then inflated with carbon dioxide, to displace the intra-abdominal organs from the abdominal wall and create a cavity in order to visualize and attain them better. Depending on the type of the intended operation, one to three small incisions are made above the pubic hairline to allow the introduction of instruments such as scissors or pliers.

LaparoscopySee endoscopy. offers the main advantage of avoiding a conventional opening of the abdominal wall. The time of hospital stay is shortened and the postoperative procedures are simplified. The pelviscopy allows observation of the entire abdominal cavity (Photos 2 and 3) and especially the reproductive organs (Photo 4). It also offers the opportunity to determine the possible lesions of these organs (Photos 5 and 6), and to repair them as well as, or better, than in a conventional operation.

LaparoscopySee endoscopy. rarely leads to complications such as bleeding, lesions of the intestine or a hollow organ. Exceptionally, the occurrence of these complications requires opening the abdominal cavity.

Legends

Picture 2: View of the upper abdomen

Picture 3: View of the appendix and cecum

Picture 4: View of normal genitalia

Picture 5: Localized view of the right ovary and right fallopian tubeThe fallopian tubes are tubular channels exiting from the uterus and leading to the ovaries. The tubes allow spermatozoa to access ovocytes. The fertilized oocyte, which then divides to become an embryo, travels through the fallopian tubes back to the uterus in order to implant into the endometrium.. A blueish liquid previously injected through the cervixLower part of the uterus, adjacent to and reaching into the vagina, which secretes an alkaline mucus to protect the sperm from acidic environment of the vagina. passes through the fallopian tubeThe fallopian tubes are tubular channels exiting from the uterus and leading to the ovaries. The tubes allow spermatozoa to access ovocytes. The fertilized oocyte, which then divides to become an embryo, travels through the fallopian tubes back to the uterus in order to implant into the endometrium. and flows out of the fimbriae into the abdominal cavity. This simple test can confirm the absence of tubal obstruction.

Picture 6: Same as picture 5 but on the left side. Here the fimbriae are particularly visible. A small common cyst is visible on the left tube.