Dr Devassy is an active Member of the European Society of Gynaecological Endoscopy, Indian Society of Gynaecological Endoscopy, and The American Association of Gynecological Laparoscopists. Currently he is setting up the one and only DevKare Consultants, Advanced Minimal Access and Onco Surgery and Training Centre in the Middle East which will also have the attire of being the first European Center outside Europe. Laparoscopic surgeries have been proven safe in the hands of this pioneer of modern endoscopy and applicable to all fields that deal with organs inside the abdomen; which makes his foreword to enthusiasts and patients of endoscopic surgery, that currently minimal access is the world of surgery, with paramount patient safety proven with commitment and expertise. The following Minimal Access Surgeries are routine on a daily basis practice at Dubai London Clinic and Speciality Hospital Under Dr Rajesh Devassy.
Ovarian cyst removal is surgery to remove a cyst or cysts from one or both of your ovaries. A laparoscopic surgery uses small incisions and specialized tools. It may offer faster recovery times than open surgery. Ovarian cysts are usually removed to avoid complications such as infertility, bleeding, blood clots, and damage to other organs. A small incision will be made just below the navel. Next, a laparoscope will be inserted. This is a thin tube with a camera on the end.
To allow the doctor to better view the organs, carbon dioxide gas will be pumped into the abdomen. The cyst is located and removed, and some tissue might be removed for testing.
Over 80% of women between 30 and 50 years of age have uterine fibroids. Depending on their size and location, fibroids can be completely asymptomatic or can cause pelvic pain, dyspareunia, pressure, urinary problems, and recurrent menorrhagia. There are several new operative techniques that don’t require major surgery. Laparoscopic myoma coagulation – myolysis is an alternative to myomectomy.
This procedure can be combined with endometrial ablation for patients who have persistent uterine bleeding. Laparoscopic myomectomy is another alternative to hysterectomy.
Common reasons for performing prolapse surgery are prolapse causing discomfort or pain, difficulty emptying your bladder or bowel, prolapse not reduced by pessaries, prolapse interfering with sexual activity. A small incision is made in your belly button. The abdomen is fililed with gas and an optical instrument, called a laparoscope (similar to a telescope) is inserted to visualise the internal organs.
Three further small holes will be made on your abdomen. The front and back of the vagina are freed from the bladder and bowel. The vagina and/or uterus is suspended using mesh or sutures in the pelvis. The wounds are closed in layers. The procedure itself takes approximately one to two hours.
The most common gynecologic cancers are ovarian, endometrial and cervical cancer. Their treatment is complex and are treated with a combination of surgery, chemotherapy, and sometimes radiation. In the past, patients have traditionally had a large open incision which was associated with a more painful and slower surgical recovery. Now, we offer patients a laparoscopic approach to their cancer surgery.
This allows the same surgery to be performed through several small incisions. Recovery time and discomfort is greatly reduced. Further, surgical bleeding and infection risk is reduced. For these reasons, laparoscopy has become our preferred surgical approach in the treatment of Gynecologic Cancer.
It is a “keyhole” operation to remove the body of the womb. It is called subtotal because the cervix is not removed. It is used to treat painful and/or heavy periods. Like all hysterectomies, it is not suitable for women who might want to have children in the future.
Women recover much more quickly from a laparoscopic subtotal hysterectomy than a traditional hysterectomy.
The advantages of TLH compared to abdominal hysterectomy have been well documented. Visualization of pelvic anatomy and the ability to minimize blood loss is superior with TLH. Substantial and dynamic access to the uterine vessels, vagina, and rectum is possible from many angles reducing short-term morbidity (less blood loss, wound infections, and postoperative pain), shorter hospital stay, and faster resumption of normal activities when compared with abdominal hysterectomy.
Presacral neurectomy may be your best choice to get rid of your pain. Severe pelvic pain and menstrual cramps in the lower middle of the abdomen can be difficult to treat. One of the most common causes for severe menstrual (and premenstrual) cramping is endometriosis. On occasion, endometriosis can develop in the muscular wall of the uterus — this is called adenomyosis.
LAPAROSCOPIC PRESACRAL NEURECTOMY IS AN ADVANCED LAPAROSCOPIC PROCEDURE ONLY PERFORMED BY A FEW PHYSICIANS AND USUALLY RESULTS IN A 90% RELIEF OF PAIN.