لاپاراسکوپی از طریق واژن یکی از نوآوری‌های پیشرفته در عرصه جراحی‌های کم‌تهاجمی است که به طور چشمگیری در سال‌های اخیر توجه متخصصان را به خود جلب کرده است. این روش، بخشی از تکنیک‌های نوین جراحی موسوم به *لاپاراسکوپی وینوت * (جراحی از طریق منافذ طبیعی بدن) است و با استفاده از مسیرهای طبیعی مانند واژن، به جراحان این امکان را می‌دهد که بدون ایجاد برش‌های خارجی بر روی شکم، به انجام جراحی بپردازند. این تکنیک انقلابی به دلیل مزایای گسترده‌ای مانند کاهش درد پس از عمل، نبود جای زخم خارجی و تسریع بهبودی بیمار، مورد توجه قرار گرفته و در بسیاری از جراحی‌ها از جمله جراحی‌های زنان و جراحی‌های عمومی کاربرد دارد.

در این مقاله، به بررسی دقیق و جامع این روش نوین جراحی پرداخته خواهد شد. ابتدا به توضیح اصول و تکنیک‌های لاپاراسکوپی از طریق واژن پرداخته و سپس به کاربردهای متنوع آن در جراحی‌های زنان و عمومی می‌پردازیم. همچنین مزایا، محدودیت‌ها و مخاطرات این روش را با توجه به تحقیقات و مطالعات اخیر تحلیل خواهیم کرد تا تصویری کامل از این روش در دسترس جراحان و بیماران قرار دهیم. Vaginal laparoscopy, despite its great innovations and advances, represents a promising future in the field of minimally invasive surgeries.

All About Vaginal Laparoscopy: The Complete Guide to Minimally Invasive Surgery

Laparoscopy is a procedure in which surgery is performed with the help of a laparoscope camera and surgical tools through small incisions in the body. This method replaces traditional open surgeries that require large incisions. In vaginal laparoscopic surgery, the surgeon enters the abdominal cavity using the vagina as a natural route. Compared to standard laparoscopy, this method is even less invasive and reduces pain and complications after surgery.

Introduction of vaginal laparoscopy: a new method for surgeries without external incision

In the world of medicine and surgery, significant advances have been made to reduce invasiveness and improve postoperative outcomes. One of these revolutionary developments is *vaginal laparoscopy*; A new method that allows surgeons to perform complex surgeries without the need for external incisions. While traditional laparoscopy involves making several small incisions in the abdomen, vaginal laparoscopy uses the vagina as a natural route to access the abdominal cavity. This technique allows surgery to be performed with minimal damage to external tissues and without visible scars.

This method reduces the pain after surgery and the patient's recovery time due to the lack of external incisions and being less invasive than traditional methods. Vaginal laparoscopy is particularly useful in gynecological surgeries, such as hysterectomy (removal of the uterus), removal of ovarian cysts, and fibroids. has By reducing surgical risks and complications related to superficial wounds, this method is considered an effective alternative to conventional laparoscopies and even open surgeries.

This new technique, in spite of all its advantages, requires high skill and expertise of the surgeon, which Dr. Ghetti Dizasi is one of the most prominent and

Reducing pain and accelerating recovery in vaginal laparoscopy

pain reduction

One of the most important advantages of vaginal laparoscopy is the significant reduction of pain after surgery. In traditional surgical methods, making large incisions usually results in damage to soft tissues, muscles, and blood vessels, which can lead to significant pain and discomfort for patients. But in vaginal laparoscopy, because the surgeon uses the vagina as a natural path instead of external incisions, the amount of damage to the external tissues is minimized. This makes the pain after the operation to be significantly reduced and the patients are less uncomfortable. Many patients report that they experience less pain and discomfort than with traditional methods, and therefore the need for pain medication is also reduced.

Accelerate recovery

Vaginal laparoscopy not only helps reduce pain, but also speeds up recovery. In traditional methods, patients usually require a longer recovery time due to large incisions and damage to soft tissues. However, in this method, recovery time is significantly reduced. Patients can usually return to their daily activities quickly, and the need for hospitalization is minimized.

Research shows that patients undergoing vaginal laparoscopy are usually able to return home and resume their normal activities on the same day of surgery or the day after. This feature not only helps to improve the quality of life of patients, but also reduces the financial burden related to hospitalization expenses.

In general, vaginal laparoscopy has become one of the best options for patients who are looking for minimally invasive surgeries with fewer complications, by reducing pain and speeding up recovery. This method not only helps to improve the patient experience, but also allows surgeons to operate more confidently and achieve better results for their patients.

Advantages and disadvantages of vaginal laparoscopy in gynecological surgeries

Laparoscopy through the vagina (or *Transvaginal NOTES*) as a new method in women's minimally invasive surgeries, has its own advantages and disadvantages, which are discussed in detail below.

Benefits of vaginal laparoscopy

1. reduction of pain and discomfort:

- Due to the lack of external incisions, post-operative pain is significantly reduced. Patients usually feel less discomfort than traditional surgeries and need less strong painkillers.

2. Shorter recovery time:

- Patients usually have a faster recovery and can return to their daily activities sooner compared to traditional open and laparoscopic surgeries. Many patients may return home on the same day of operation.

3. Absence of external wounds:

- Due to the use of the vagina as an access route, no external incision is made. This not only preserves visual beauty, but also reduces the risk of skin infections and visible scars.

4. Reduction of infection complications:

- The absence of external incisions helps to reduce the risk of skin infections and wound complications. This feature is especially important for patients who are exposed to post-operative infections.

5. High accuracy:

- The use of laparoscopic tools and advanced techniques increases the precision of the surgeon in performing the operation and allows more complex surgeries to be performed.

Disadvantages of vaginal laparoscopy

1. need for surgeon expertise and experience:

- Vaginal laparoscopy requires high skill and experience of the surgeon. All surgeons may not be able to perform this procedure and this issue may create limitations in access to this procedure.

2. Limitations in anatomical conditions:

- This method is not suitable for all patients. Some patients may not be able to benefit from this method due to specific anatomy or medical conditions.

3. Dangers of internal infection:

- Despite the benefits of reducing the risk of skin infections, using the vaginal area as an access route may increase the risk of internal infections, especially if proper hygiene is not followed.

4. Limitations in the scope of surgery:

- While this method is limited to certain surgeries, it may not be suitable for some complex or larger surgeries such as surgeries for large tumors or special conditions of women.

5. Possible side effects:

- Like any other surgical procedure, there may be complications, including damage to nearby organs, bleeding, and complications from anesthesia.

Laparoscopy through the vagina, despite its significant advantages, requires attention to the specific conditions of each patient and the expertise of the surgeon. Considering the advantages and disadvantages of this method, we can conclude that vaginal laparoscopy is a suitable choice as an advanced and efficient option in gynecological surgeries, especially for patients who are looking for faster recovery and fewer complications. The final choice should be made with doctor's advice and examination of the specific conditions of each patient.

Applications of laparoscopic through the vagina in modern surgeries

Laparoscopy through the vagina, as a new and minimally invasive method in modern surgeries, has many applications in various fields of medicine, especially in gynecological surgeries. Using advanced laparoscopic tools and entering through the vagina, this method allows surgeons to perform complex surgeries without the need for large incisions on the body surface. In the following, we will examine the important applications of this method.

1. Hysterectomy (uterus removal)

One of the most common uses of laparoscopy through the vagina is hysterectomy. In this method, the uterus is removed completely or partially, and due to the minimal invasiveness of this method, patients usually experience less pain and recover faster.

2. Removal of ovarian cysts

Removal of ovarian cysts, especially in cases where the cysts are large or symptomatic, is another important use of vaginal laparoscopy. This method allows surgeons to remove cysts more accurately and with minimal complications.

3. Treatment of uterine fibroids

Uterine fibroids, commonly known as non-cancerous tumors in the uterus, can be effectively treated using this method. Surgeons can easily remove fibroids without the need for large incisions.

4. Surgeries related to endometriosis

Endometriosis is a chronic disease in which tissue similar to the uterus grows outside the uterus. Laparoscopy through the vagina can help surgeons accurately identify and remove these tissues. Because this method is less invasive, it has fewer complications than open surgeries.

5. Reconstructive and corrective surgeries

In some cases, reconstructive surgery is used laparoscopically through the vagina, especially for problems related to the pelvic floor, such as prolapse (pelvic organ prolapse) and urinary incontinence. This method allows surgeons to fix these problems without creating large wounds.

6. Removal of the appendix

In some cases, the removal of the appendix can also be done using this method. However, this application depends more on the experience and expertise of the surgeon and is used in specific situations.

7. Performing tumor surgeries

In cases where there are small and non-cancerous tumors, laparoscopy through the vagina can be used to remove the tumor. This method is especially used in ovarian and uterine tumors.

Laparoscopy through the vagina, as an advanced and minimally invasive procedure, allows surgeons to perform a wide range of gynecological surgeries with minimal complications. Considering the advantages of this method, it is expected that its applications will increase in the future and it will be recognized as an effective option in modern surgeries. Overall, transvaginal laparoscopy is an attractive option for patients looking for faster treatments with fewer complications.

Why has laparoscopy through the vagina become a popular option in surgery?

1. Reduction of invasion and complications

- No need for external incisions: One of the biggest advantages of this method is the absence of large incisions on the abdomen. Surgeons access the abdominal cavity using the vagina, and this significantly reduces the amount of invasion.

- Reduction of surgical complications: by removing large incisions, the risk of complications such as skin infections and wound problems is minimized.

2. Reduction of pain and recovery time

- Reduction of post-operative pain: Patients usually experience less post-operative pain. This feature is especially important for patients who are concerned about the side effects of pain.

-Shorter recovery period: patients can quickly return to their daily activities. This feature not only improves the quality of life of patients, but also helps to reduce the costs of hospitalization.

3. Accuracy and high efficiency

- Use of advanced technologies: laparoscopic techniques use advanced tools and high-quality cameras that allow surgeons to operate with greater precision.

- Ability to perform complex surgeries: This method allows surgeons to effectively perform complex operations such as hysterectomy, removal of ovarian cysts, and endometriosis treatment.

4. Visual beauty and reducing worries

• Absence of visible wounds: Another important advantage of laparoscopy through the vagina is the absence of large wounds on the body. This feature gives more peace to patients who are worried about their appearance.

5. Expansion of applications

- Application in various surgeries: Due to the advantages of this method, laparoscopy through the vagina is used in various fields of gynecological surgery, including hysterectomy, removal of ovarian cysts, and treatment of fibroids.

- Extension to general surgeries: With the development of laparoscopic techniques, this method has been extended to general surgeries and is recognized as an effective option for other surgeries, such as removal of the appendix and gallbladder.

6. Increasing awareness and training of surgeons

• Training and expertise of surgeons: With the increase in the number of training and specialized courses in the field of vaginal laparoscopy, more surgeons have mastered this method and suggest it as a minimally invasive surgical option.

Due to the many advantages of transvaginal laparoscopy, including reduced pain, recovery time, and complications, this procedure has become one of the most popular options for gynecological surgeries. This change in the approach to surgery not only improves the quality of life of patients, but also allows surgeons to operate more confidently and bring better results to their patients.

Summary

Laparoscopy through the vagina as a new and minimally invasive method in modern surgeries has created a tremendous change in the medical world. This technique, which is used especially in gynecological surgeries, has become one of the popular options in surgery by offering several advantages such as reduced pain, shorter recovery time and the absence of visible scars.

Using advanced tools and new technologies, surgeons can perform complex operations more accurately and minimize the risk of complications. This method not only preserves visual beauty, but also allows patients to return to their daily activities faster and experience a better quality of life.

However, the choice of this method should be done considering the specific conditions of each patient and the expertise of the surgeon. Overall, transvaginal laparoscopy not only helps improve the patient experience, but also allows surgeons to operate with greater confidence and achieve better outcomes.

Finally, due to continuous advances in this field, it is expected that laparoscopic applications through the vagina will expand in the future and become a standard in minimally invasive surgeries. This method not only promises a bright future for women's surgeries, but also generally helps to improve the level of surgical treatments in the medical community.

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