Laparoscopic surgery is usually done as out-patient surgery under general anesthesia and has unconditionally revolutionized gynecologic surgery because of the short hospital stay and rapid recovery. The laparoscope is a slim telescope that is inserted through the navel to view the pubic and abdominal organs. Two or three small, half-inch cuts are made below the pubic hairline and instruments are passed through these small slits to perform the surgery. Because the incisions are smaller, patients can enjoy faster recovery times and lesser scars.
Laparoscopic surgery differs from old-style surgery in a few key ways: during laparoscopic surgery, the doctor is not looking into the abdomen directly through a large incision across the stomach, but performs the surgery while looking at a large video monitor suspended over the patient’s stomach. The surgery, and especially the suturing of the uterus that is essential during a laparoscopic myomectomy, requires a great deal of hand-eye management and dexterity, as well as knowledge of pelvic make-up in order to be successful.