Laparoscopic Gynaecology

Laparoscopic gynaecology is keyhole surgery on the womb, ovaries and tubes. Through cuts of 5 to 10 mm a camera and fine instruments are passed into the abdomen, which is gently inflated with gas so the surgeon can see and work. Robotic surgery and hysteroscopy (a camera passed through the cervix) belong to the same minimally invasive family.

Compared with open surgery it means less pain, a shorter hospital stay, smaller scars and a faster return to normal life. It is not always possible: very large wombs or fibroids, extensive scar tissue and some cancers are safer to treat through an open cut.

Conditions this service looks after

• Ovarian cysts, including dermoid cysts and endometriomas
• Endometriosis and pelvic adhesions
• Uterine fibroids
• Heavy or painful periods and adenomyosis needing hysterectomy
• Ectopic pregnancy
• Blocked or swollen tubes (hydrosalpinx) before IVF
• Pelvic organ prolapse
• Early endometrial and cervical cancer in selected cases
• Request for permanent contraception

Tests you may be offered

• Transvaginal ultrasound: The main test for the womb and ovaries; classifies cysts and maps fibroids.
• Pelvic MRI: Used for deep endometriosis, adenomyosis, multiple fibroids and any mass with unclear features.
• Tumour markers: CA-125 and others help assess an ovarian mass, though they are not specific.
• Cervical screening and endometrial biopsy: Exclude pre-cancer or cancer before hysterectomy or fibroid surgery.
• Blood count and iron studies: Anaemia from heavy bleeding is corrected before surgery.

Treatments available

• Laparoscopic ovarian cystectomy: Removes the cyst while keeping the ovary.
• Laparoscopic myomectomy: Removes fibroids and repairs the womb in women who wish to keep it.
• Total laparoscopic hysterectomy: Removes the womb, usually keeping the ovaries before menopause.
• Excision of endometriosis: Cuts out deposits and frees scarred organs.
• Salpingectomy: Removes a tube for ectopic pregnancy, hydrosalpinx or sterilisation.
• Sacrocolpopexy: Mesh suspension of a prolapsed vaginal vault or womb.
• Hysteroscopic surgery: Removes polyps, fibroids inside the cavity and septa with no cuts on the abdomen.

When to ask for a specialist opinion

• You have been offered open surgery and want to know whether a keyhole approach is possible
• An ovarian cyst persists beyond 2 to 3 months, is larger than about 5 cm or looks complex
• Heavy bleeding or pelvic pain has not responded to medical treatment
• A cyst, fibroid or tubal problem is delaying fertility treatment
• Sudden severe pelvic pain, which may be a twisted ovary and needs emergency care locally

Travelling to Türkiye for this care

Planned keyhole gynaecology suits a visit well. Allow about a week for cyst surgery or hysteroscopy and 10 to 14 days for hysterectomy, myomectomy or advanced endometriosis surgery. Send your ultrasound and MRI images in advance so the approach can be agreed. Make sure you receive the operation note and pathology report, and have a gynaecologist at home for the 6-week check and for any long-term hormonal treatment. Emergencies such as ectopic pregnancy or ovarian torsion must be treated where you are.

Send your reports, scans and a short history and a Clinic-Y coordinator replies within 24 hours with suitable teams and written, all-inclusive proposals side by side. Reviewing your case is free.

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