The female organs are located in the pelvis but are reached during surgery through the general abdominal cavity. Diseases of the ovaries, tubes and uterus are managed through an abdominal incision, mostly a lower transvers cut. Many of traditional diseases that were operated with a laparotomy (opening of the abdominal cavity) are presently treated with a laparoscope.
These include diseases like ectopic pregnancies, ovarian cysts, endometriosis, diagnostic evaluations, and even myomectomies.
In the situation that one needs larger exposure we do a laparotomy. Procedures like hysterectomies (removal of the uterus only) of larges uteruses or cancer of the uterus, removal of large ovarian tumours and cancer of the ovaries, any surgery where adhesions are expected are done with a formal laparotomy
The recovery after a laparotomy is slower than after laparoscopy and often needs hospitalization for 3-4 days and absence from work for 4-6 weeks.
Complications during surgery, like injury to big blood vessels, bladder, bowel or ureter do occur but we take great care to avoid those and in this practice the complication rate is lower than 1% that falls within the international norm. Post-operative complications like wound infection, pneumonia, deep vein thrombosis, vaginal bleeding, abdominal distension or bladder symptoms may occur and it is very important that patients inform the practice of any deleterious events that they may experience while at home.
Please read the section on “Agreements” to familiarize yourself on what to do in the event of complications or suboptimal results.