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MICRO LAPAROSCOPY

One of the newest areas in minimally invasive gynecological surgery is microlaparoscopy. By using a microlaparoscope, physicians can replace an incision of up to 10 millimeters with one that is just two millimeters or 1/11 inch. “The microlaparoscope allows for diagnosis of many problems in a doctor’s office or outpatient unit without general anesthesia,” says Dr. Sunil Garg. “This makes the procedure safer and the recovery time less than one hour. Unlike traditional laparoscopic surgery which has been referred to as ‘band-aid’ surgery, microlaparoscopy does not require a single stitch or band-aid. That’s why it is called ‘non-band-aid surgery.'”

Even newer in the area of microlaparoscopy is interactive diagnosis, generally used for women with obscure pelvic pain. Performed on a fully awake patient, the procedure involves touching various internal areas with the tiny scope while at the same time asking the woman to identify the intensity and location of pain.

Minimally invasive microlaparoscopic surgery continues to revolutionize and redefine contemporary medicine as laparoendoscopic surgeons invade the 21st century. The availability of this technology in operative medicine will force surgeons to perform procedures in a more minimally invasive and cost-effective manner. Myriad technique and instrumentation changes mark the developments that have led to microlaparoscopy. The advances in microlaparoscopy noted today have arisen primarily from continued progress in fiberoptic technology. Microlaparoscopy uses small-caliber laparoscopes, 2 mm or less in diameter, made of microfiber-optic bundles measured in micrometers. The current 2-mm microlaparoscopes have a 50000-fiber image bundle that produces enhanced resolution and a 75 degreeg field of view, comparable to a standard 10-mm rod lens laparoscope