Suite 206, 10 Norbrik Drive Bella Vista NSW 2153


Suite 29 1A Ashley Lane Westmead NSW 2145

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+61 2 9635 6100 +61 2 9635 6100



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Hysteroscopy is a technique that uses an instrument called a hysteroscope which, when introduced into the vagina and then into the cervix, allows you to see inside the uterus without the need for cuts on the skin or organs. The hysteroscope is a long, rigid, thin tube inside which optical fibers flow that allow the vision of the uterine cavity through a high definition monitor.

The direct vision of the inside of the uterus allows you to see if there are any alterations and pathologies that can escape the normal gynecological examination and ultrasound ( diagnostic hysteroscopy ) take small pieces of tissue to be sent to examine in pathological anatomy for a diagnosis more precise histological ( office hysteroscopy ) using very thin instruments to remove most of the lesions through the use of small surgical instruments ( operative hysteroscopy ). 


In addition to allowing biopsies and diagnosis in cases of abnormal uterine bleeding, hysteroscopy can be used to treat endometrial and / or cervical polyps, submucosal uterine myomas, endometrial ablations, correct isthmoceles, remove intrauterine foreign bodies, perform sterilization with Essure.

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Laparoscopic Surgery

The laparoscopic surgery , known as laparoscopy (LPS) , the “greek Lapara,” abdomen “, or even as laparoscopy , is a surgical technique that involves performing abdominal surgery without opening the wall.

VLC essentially consists in performing a surgery without performing a laparotomy but instead using a camera connected to a monitor and thin surgical instruments (forceps, scissors,  electrocoagulator , suturing machine , needle holder , etc.) which are introduced through small holes made in the abdominal wall. To do this, it is first necessary to introduce a gas (CO2 or nitrous oxide) into the abdominal cavity in order to create sufficient space to be able to maneuver the instruments.

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The camera is then introduced through a small umbilical incision, about one centimeter. The other trocars are introduced under visual control through which the actual surgical instruments are inserted.
Surgeons, looking at a monitor, move the laparoscopic instruments from outside the patient’s abdomen.
Today, new “minilaparoscopic” instruments with a diameter of 3mm have been developed that allow for even smaller skin accesses, further reducing surgical invasiveness.

The advantages of this technique are many:

  • less postoperative pain
  • reduced complications
  • best aesthetic result
  • faster return home
  • faster return to normal work and social activities
  • better quality of life
  • better view of the anatomy and therefore more accurate diagnosis and surgical maneuvers

What gynecological interventions can be performed laparoscopically?
Laparoscopy is usually recommended for two reasons: a more accurate diagnosis or surgical treatment.
As a diagnostic procedure, laparoscopy allows the doctor to look inside the abdomen, to observe the reproductive organs, to determine the causes of abdominal-pelvic pain and to recommend appropriate therapies.
Currently with the laparoscopic technique practically all gynecological interventions can be performed for both benign and malignant pathology unless there is a medical or surgical contraindication to this procedure.

Viginal Surgery

Vaginal surgery is a technique that is the exclusive prerogative of gynecological surgery, as it is used to carry out numerous interventions concerning the female genital sphere using a natural orifice present in the woman, namely the vagina. 

The vagina is then incised and, through this incision, one enters the abdominal cavity, managing to surgically treat various pathologies affecting the uterus, bladder and uterine adnexa.

The surgery for vaginal via not only involves less risk with respect to the abdominal way but it is also generally preferred by the patient because less invasive . In fact, vaginal surgery allows a faster postoperative recovery , causing less pain , a shorter hospitalization time and also does not leave visible scars, an aspect that is of great importance from an aesthetic point of view. 


Obese patients or those with respiratory and / or cardiac pathologies and / or with haemocoagulation pathologies are preferably operated vaginally . On the other hand, patients with hip and spinal joint problems and / or with very restricted vaginal access may find contraindications in this surgical route. The possible intraoperative complications are represented by bleeding , by perforation of the pelvic organs (vecica and intestine) and the impossibility of extraction of the uterus. Hemorrhages, infections and fistula formation can occur among postoperative complications.

The surgical procedures that can be performed most frequently via the vaginal route are the following:

Hysterectomy +/- removal of the adnexa: fallopian tubes and ovaries (stroke hysterectomy ie the removal of the uterus).

Correction of genital prolapse (bladder, uterus, rectum) through fascial repairs with prostheses or without prostheses: cystopexy, urethropexy, rectopexy, colpoperineoplasty, suspension stroke, colpocleysis.

Correction of stress urinary incontinence: through placement of suburethral sling TVT, TOT.

There are also minor interventions that can be performed vaginally:

  • Examination of the uterine cavity or diagnostic curettage (Curettage)
  • Plastic of the vulva and vagina
  • Removal of Naboth’s cysts
  • Portio uterine biopsy
  • Conization (conization)
  • Incision of the hymen
  • Removal of Bartholin’s gland cysts and abscesses
  • Hysteroscopy

 Vaginal surgery can be performed under spinal anesthesia (loco regional ie an anesthesia that requires only the lower part of the body to be anesthetized). The woman therefore avoids all the risks associated with general anesthesia and this also contributes to a quick post-operative recovery of the patient. After surgery, patients usually have a fairly quick recovery time , as they can usually get out of bed that same evening. The resumption of intestinal motility usually occurs within 24-48 hours.

Single umbilical access surgery

In recent years, thanks to technological development and the growing interest in minimally invasive surgery, laparoscopic surgery with single umbilical access has developed. The use of specific and highly technological tools allows abdominal surgery to be carried out through a single 2 cm incision at the umbilical level and therefore without the addition of scars on the skin. The advantages are in terms of cosmetics, reduction of post-operative pain and complications related to the positioning of the trocars.

The most suitable gynecological interventions with this type of approach are for benign pathologies of the ovaries and tubes but also interventions on the uterus such as myomectomies and hysterectomies.

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