Minimally Invasive Surgery
Every time a doctor performs an operation he or she causes what is known as surgical trauma. This may be very minimal as is the case for a curettage or more extensive like, for example, an open surgery to remove ovarian cancer.
Every time there is indication for an operation it's because the benefits from the procedure outweigh the negative aspect of surgical trauma.
Minimally invasive surgery involves both doing traditional operations in ways that reduce the aggression to the body as well as doing new procedures which didn't exist before recent technological advances.
One example of the former is doing a Hysterectomy
through laparoscopy as opposed to doing an open cut. An example of the later is doing an Endometrial Ablation which consists of destroying the lining of the uterine cavity to reduce or eliminate excessive menstrual bleeding.
By reducing surgical trauma through minimally invasive techniques we expect to achieve:
- Prompt and less painful recovery
- Quicker return to work and daily activities
- Reduced time spent in hospital
- Reduced long term consequences
Some procedures have experienced two or three levels of reduction of surgical trauma. Feminine sterilisation in the form of a tubal ligation was traditionally done through an open cut. For many years now it has been done through a laparoscopy using two 1 cm incisions. Most recently we have been doing a new procedure called Essure which consists of inserting intra fallopian tube micro inserts using a hysteroscope and avoiding incisions altogether.
The least invasive option of all is to not have surgery in the first place. This alternative should always be considered when evaluating treatment options.