Precision Keyhole Surgery in Women's Healthcare
Modern gynaecological care has transitioned away from highly invasive open surgeries toward **Minimally Invasive (Keyhole) techniques**. Traditional abdominal operations for uterine or ovarian issues required large horizontal or vertical incisions, leading to significant muscle trauma, prolonged hospital stays, and extensive physical scarring.
Dr. Rohith Garg specializes in advanced laparoscopic gynaecology, performing complex pelvic reconstructions through micro-incisions. This approach provides 15x magnification of the pelvic anatomy, ensuring absolute protection of the surrounding ureters, bladder, and bowel while enabling patients to return home within 24 to 48 hours with minimal post-operative pain.
Total Laparoscopic Hysterectomy (TLH)
Hysterectomy is the surgical removal of the uterus, often indicated for conditions such as large multiple fibroids, severe adenomyosis, chronic pelvic pain, or abnormal uterine bleeding that fails to respond to medical management.
The TLH Advantage: Unlike older "Laparoscopic Assisted" methods, a **Total Laparoscopic Hysterectomy** is performed entirely through 3 to 4 tiny ports. Dr. Garg meticulously detaches the uterus and cervix using advanced vessel-sealing energy devices. The specimen is then safely removed, and the vaginal vault is sutured laparoscopically. This ensures a much faster recovery than a traditional "open" hysterectomy and avoids the long recovery time associated with large abdominal cuts.
Laparoscopic Ovarian Cystectomy
Ovarian cysts are fluid-filled sacs that develop on or inside the ovaries. While many resolve on their own, certain types—such as large Dermoid cysts, Endometriomas (Chocolate cysts), or complex persistent cysts—require surgical excision to prevent ovarian torsion (twisting) or rupture.
Preserving Fertility: The primary goal of a **Laparoscopic Cystectomy** is to carefully peel the cyst wall away from the healthy ovarian tissue. Dr. Garg utilizes micro-dissection techniques to preserve as much of the healthy "ovarian reserve" as possible. This is particularly crucial for women of reproductive age who wish to maintain their future fertility.
Laparoscopic Myomectomy (Fibroid Removal)
Uterine fibroids (myomas) are non-cancerous growths that can cause heavy menstrual bleeding, pelvic pressure, and infertility. For women who wish to keep their uterus and preserve their childbearing potential, a **Myomectomy** is the procedure of choice.
Using laparoscopic precision, Dr. Garg isolates each fibroid, removes it from the uterine muscle wall, and then performs a multi-layer reconstructive suturing of the uterus to ensure it remains strong for future pregnancies. This keyhole approach results in much less internal blood loss and fewer post-surgical adhesions compared to open surgery.
Advanced Endometriosis Surgeries
Endometriosis is a complex condition where tissue similar to the lining of the uterus grows outside the uterus, often involving the ovaries, fallopian tubes, and the lining of the pelvis. It causes debilitating chronic pain and is a leading cause of infertility.
Dr. Garg performs **Laparoscopic Excision of Endometriosis**, which is considered the clinical gold standard. Under high-definition magnification, even the smallest "powder-burn" implants and deep infiltrating endometriosis (DIE) nodules are identified and removed. This comprehensive approach aims to restore normal pelvic anatomy, alleviate chronic pain, and improve the patient's chances of natural conception.
Gynaecological Surgery Comparison
| Clinical Feature | Advanced Laparoscopic Gynae | Traditional Open Gynae Surgery |
|---|---|---|
| Incisions | 3-4 tiny ports (5mm to 10mm) | Large 6-8 inch abdominal cut |
| Hospital Stay | 1 - 2 Days | 5 - 7 Days |
| Internal Adhesions | Extremely low risk | High risk of future bowel/pelvic pain |
| Recovery to Normal Life | 1 - 2 Weeks | 6 - 8 Weeks |
Frequently Asked Questions
No, not necessarily. Menopause is triggered by the removal of the ovaries, not the uterus. In a Total Laparoscopic Hysterectomy (TLH) for non-cancerous conditions, the healthy ovaries are usually preserved. This means your hormones continue to function normally, and you will not experience sudden menopause symptoms.
While you can begin walking on day one, you should avoid heavy lifting, strenuous abdominal exercises, or high-impact workouts for approximately 4 to 6 weeks. This allows the internal uterine or ovarian tissues to heal completely without being subjected to excessive physical stress.