An innovative technique that has been shown to lessen pain and shorten recovery time.

If you have a wide range of noncancerous (benign) gynecologic conditions, including heavy menstrual periods (menorrhagia), irregular menstrual periods (metrorrhagia), pelvic pain, endometriosis, and ovarian cysts, we will develop an individualized treatment plan that might involve one of these minimally invasive gynecologic approaches:

  • Hysteroscopic surgery, a technique that does not require any incisions and has minimal recovery time.
  • Advanced laparoscopic surgery has been shown to be an effective treatment that results in shorter hospital stays, less discomfort, and a shorter recovery period. Laparoscopic radiofrequency ablation is a less invasive alternative to hysterectomy and myomectomy. It involves no cutting of the uterine tissue, and most women are typically back to normal activity within seven days.

Professor Petros Nikolaidis, an expert in laparoscopic surgery, gained considerable experience in the diagnosis and management of endometriosis and in laparoscopic and hysteroscopic surgery at Hammersmith and Queen Charlotte’s, two of England’s most renowned university hospitals.

What is laparoscopic – hysteroscopic surgery?

Imagine a self-illuminating telescopic camera passing through small incisions in the patient’s abdomen with special laparoscopic instruments that are essentially an extension of your surgeon-gynecologist’s hands. This small camera allows your doctor to examine the internal reproductive organs, or endoscopy (it’s also called endoscopic surgery). The entire procedure is simultaneously digitally recorded.

The first laparoscopic appendectomy was performed in 1980, and the first cholecystectomy in ’85… Four decades have passed since then, and the benefits for both (patient and surgeon) are numerous: less tissue trauma and more detailed surgery (due to the camera’s magnification). Less blood loss and the need for transfusion, fewer postoperative complications and strain on the patient’s cardiovascular and respiratory systems –greater surgical skill, training, and demands on the surgeon.

Laparoscopic-hysteroscopic surgery, therefore, has many advantages for the patient but requires a very well-trained and experienced surgeon.

Laparoscopic or hysteroscopic surgery?

It depends on the location of the issue. Laparoscopy uses small incisions in the abdomen to view the pelvic organs and is used for conditions like endometriosis, ovarian cysts, or pelvic adhesions. Hysteroscopy uses a thin tube inserted through the vagina to see inside the uterus. It’s ideal for polyps, fibroids, and abnormal bleeding. Two months after the hysteroscopy, the woman can start trying to conceive!

Does it require any preparation before the laparoscopic surgery?

Laparoscopy is a minimally invasive procedure, usually, one incision is made below the navel and two or three 5-10 mm incisions in the pubic symphysis. After the surgery, there’s plastic surgery, and the scars disappear within six months.

Laparoscopy investigates and treats infertility.

In cases of pelvic pain, it can detect and treat hemorrhagic ovarian cysts and remove the embryo in an ectopic pregnancy. It cauterizes endometriosis lesions, helps with polycystic ovary syndrome, and in the removal of uterine fibroids which primarily cause:

  • Metrorrhagia
  • heavy menstrual bleeding
  • anemia
  • abdominal pain
  • infertility
  • recurrent miscarriages
  • adhesions in the fallopian tubes and ovaries.
  • cysts in the ovaries (Cystadenoma, Endometriotic cyst, Dermoid cyst, Fibroma).

Finally, there is also laparoscopic hysterectomy (whether it involves ligation of the uterine vessels, removal of the uterus without the cervix, or total laparoscopic hysterectomy).

Laparoscopy is performed under general anesthesia. It is usually recommended that the patient eat noodles or another soup the day before the surgery and refrain from drinking or eating anything for 8-10 hours before the operation. Usually, after the surgery, they stay one night, or at most two, in the hospital. After that, there might be some discomfort, mainly from the general anesthesia.