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Laparoscopic Surgery (Keyhole Surgery)

Mr Raza is an established keyhole surgeon. He has completed his advanced laparoscopic training in 2010 and since has carried out keyhole surgery for a large variety of gynaecological cases. Following is a brief question and answer session about laparoscopic surgery.

What is Laparoscopic Surgery?

Laparoscopy is to look inside the abdomen with a telescope. This procedure is used to make a diagnosis but also to carry out several surgical procedures. It is also known as minimal access surgery.

What are the indications?

The common indications for performing laparoscopic surgery are:

  • Endometriosis (diagnosis and treatment)
  • Ovarian cysts
  • Fibroids (myomectomy)
  • Ectopic pregnancy (diagnosis and treatment)
  • Hysterectomy (Removal of uterus; may be performed for heavy periods, fibroids or endometrial cancer)
  • Diagnosis and treatment of pelvic pain

How common is laparoscopic surgery?

Laparoscopic approach is now becoming the common way of performing many operations including hysterectomy and myomectomy. Mr Raza has an extensive experience in this technique carries out over 95% of operations by keyhole surgery.

What are the advantages?

  • Laparoscopic surgery has many advantages:
  • Shorter hospital stay and quick recovery
  • Reduced bleeding and tissue handling during surgery thus minimising risk of adhesion (scar-tissue) formation after surgery
  • Better visualization and access for the surgeon
  • Less post-operative pain
  • Reduced risk of infection and thrombo-embolism (blood clot in legs or lungs)
  • Smaller incisions which are cosmetically much superior
  • Early return to work and normal life

What risks are associated with laparoscopic surgery?

Like any operative procedure, laparoscopic surgery is not without risks. Common risks are bleeding, hematoma (collection of blood or bruising), infection, injury to intra-abdominal structures and risk of conversion to laparotomy (open operation).

Is special expertise needed?

Many Gynaecologists carry out laparoscopic surgery however few will be able to do advanced complex procedures. Experience, dexterity, expertise, surgical acumen and decision-making skills are attributes required to make a good laparoscopic surgeon.

Do you think I am too overweight to have laparoscopic surgery?

No! Benefits of laparoscopic surgery are even more relevant for overweight patients. Infection-risk is reduced as large abdominal incisions are avoided. Early mobilization and discharge means that risk of thrombo-embolism (blood clot) is minimized.

Mr Raza has vast expertise in key-hole surgery. He carries out complex laparoscopic operation for all gynaecological conditions as explained above. He is a national and international trainer in this field and has trained surgeon in many countries for laparoscopic surgery. He operates in Chelsea and Westminster hospital (PVT Chelsea wing) and Lister hospital Chelsea Bridge.