Lap & Dye

Laparoscopy, or keyhole surgery is a minimally invasive means to diagnose and treat a wide range of abdominal issues.

Our Gynaecology Centre of Excellence at Parkwest Hospital is lead by Mr. Moiad Alazzam, and offers a wide range of diagnostic investigations and treatments for all gynaecological conditions. Our patients are treated with skill and sensitivity so you can be confident you are in expert caring hands. Laparoscopy is a surgical procedure that enables your surgeon to access the inside of the abdomen (tummy) and pelvis without having to make large incisions in the skin. It is also known as keyhole surgery or minimally invasive surgery. Large incisions can be avoided during laparoscopy because the surgeon uses an instrument called a laparoscope.

The laparoscope is a narrow tube that has a light source and a camera, which relays images of the inside of the abdomen or pelvis to a television monitor. Laparoscopy can be used to help diagnose and treat wide range of conditions that develop inside the abdomen or pelvis.

In gynaecology, laparoscopy is used for; Investigation for difficulty in getting pregnant, treatment of conditions like endometriosis and pelvic scarring, excision of ovarian cysts, and the removal of the womb. Laparoscopy will only be carried out if the benefits are thought to outweigh the risks.

About this treatment

What are the advantages of laparoscopy?

The advantages of laparoscopy over traditional open surgery include:

  • Shorter hospital stay and faster recovery time
  • Less pain and bleeding after the operation
  • Reduced scarring both in the tummy and skin.

When is laparoscopy is used?

Laparoscopy can be used to help diagnose and treat wide range of conditions that develop inside the abdomen or pelvis.

In gynaecology, laparoscopy is used for:

  • Investigation for difficulty in getting pregnant.
  • Treatment of conditions like endometriosis and pelvic scarring.
  • Excision of ovarian cysts.
  • Removal of the womb.

How is laparoscopy is carried out?

Laparoscopy is carried out under general anaesthetics so you won’t feel any pain during the procedure.

  • During laparoscopy, the surgeon makes one or more small incisions in the abdomen. These allow the surgeon to insert the laparoscope, small surgical tools, and a tube used to pump gas into the abdomen. This makes it easier for the surgeon to look around and operate.
  • After the procedure, the gas is let out of your abdomen, the incisions are closed using stitches and a dressing is applied.
  • You can often go home on the same day of your laparoscopy, although you may need to stay in hospital overnight.

How safe is laparoscopy?

Minor complications are estimated to occur in one or two out of every 100 cases following laparoscopy. They include:

  • Infection
  • Minor bleeding and bruising around the incision
  • Feeling sick and vomiting

Serious complications after laparoscopy are estimated to occur in one out of every 1,000 cases. They include:

 

  • Damage to an organ, such as your bowel or bladder, which could result in the loss of organ function
  • Damage to a major artery
  • Complications arising from the use of carbon dioxide during the procedure, such as the gas bubbles entering your veins or arteries
  • Allergic reaction to general anaesthetics or medications.
  • Blood clot developing in a vein, usually in one of the legs, Deep Venous Thrombosis known as DVT, which can break off and block the blood flow in one of the blood vessels in the lungs condition known as Pulmonary Embolism.

Remember laparoscopy will only be carried out if the benefits are thought to outweigh the risks.

About your consultant gynaecologist

Mr. Moiad Alazzam graduated from Jordan University of Science and Technology (JUST) in 1997.  He gained wide experience while training and rotating through jobs in JUST University Jordan, Glasgow, Cambridge, Sheffield and France.

In 2010, Mr. Alazzam gained his generalist and subspecialist CCST having completed his training in all aspects of obstetrics and gynaecology and gynaecological oncology. He then undertook further fellowships in robotic surgery (Cork, Ireland) and advanced laparoscopic surgery (Lille, France).

Mr. Alazzam moved to Ireland in 2011 where he started the first dedicated gynaecological robotic surgery service in the private sector in Ireland. He then moved to the UPMC Beacon Hospital where he established the gynaecology cancer services.  Mr. Alazzam is widely published; he served as a senior council member (BSGE). He is frequent lecturer in international conferences. He is a strong advocate of improving women health and campaigns to raise awareness of endometriosis in Ireland and for early cervical cancer screening in the Middle East.

Mr. Alazzam is fully trained in the management of all benign and malignant gynaecological problems including pre-malignant conditions (CIN/VAIN/VIN). Mr. Alazzam is expert in gynaecological surgery including, Hysteroscopic surgery, Laparoscopic surgery, Prolapse surgery, Open surgery.  Outside of medicine, Mr. Alazzam has a busy family life, as he is married with two young children.