Dr. Sundar Narayanan is a consultant in laparoscopic surgery and assisted reproduction. He has diplomas in laparoscopic surgery from Germany, MIS from France, and ART from Israel. The document provides an overview of the types of laparoscopic gynecological surgeries general surgeons can perform, including diagnostic and operative procedures for conditions affecting the ovaries, fallopian tubes, uterus, pelvic side walls, and pelvic floor. Both conservative treatments and removal surgeries are discussed.

1. DR SUNDAR NARAYANAN M.D, DIP.LAP(GERMANY)
DIP MIS (FRANCE), DIP ART (ISRAEL)
CONSULTANT: LAPAROSCOPIC SURGERY AND
ASSISTED REPRODUCTION

2.  Mostly innocent
 May not need any surgical intervention
 Do operate only if it is a emergency/ potential
risk in near future
 Try to preserve fertility whenever possible
Laparoscopic gynaecological surgeries
for general surgeons

3.  Diagnostic
 Laparohysteroscopy - Infertility workup, CPP
 Operative
 Adnexal surgeries
 Tubal& ovarian
 Uterine surgeries
 Pelvic side wall surgeries
 Endometriosis, pelvic adhesions (PID),malignancy
 Internal iliac ligation
 Pelvic floor defects
 Sling surgeries, Burch colpo suspension
Laparoscopic gynaecological surgeries
for general surgeons

4.  Oophorectomy
 Ovarian malignancies, large benign ovarian tumors or
TO abscess
 Conservative procedures
 Ovarian drilling – PCOD
 Salpingo ovariolysis
 Ovarian cystectomy
 Untwisting of adnexa
Laparoscopic gynaecological surgeries
for general surgeons

5. Laparoscopic gynaecological surgeries
for general surgeons

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for general surgeons

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for general surgeons

8.  Salpingectomy
 Hydrosalphinx, TO mass, Ruptured ectopic
 Tubectomy
 Family planning
 Conservative procedures
 Neosalpingostamy & Fimbrioplasty
 Linear salpingostomy –un ruptured ectopic
 Para ovarian cystectomy
 Tubal recanilisation
Laparoscopic gynaecological surgeries
for general surgeons

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for general surgeons

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for general surgeons

11.  Hysterectomy
 LAVH
 TLH
 LSH
 Laparoscopic Wertheim's
 Conservative surgeries
 Myomectomy
 Metroplasty – congenital anomalies
 Sling surgeries – nulli parous prolapse
Laparoscopic gynaecological surgeries
for general surgeons

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for general surgeons

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for general surgeons

14.  Diagnostic hysteroscopy
 Infertility , DUB
 Operative hysteroscopy
 Proximal tubal cannulation
 Septal resection – septate uterus
 Endometrial polyp removal
 Submucous myomectomy
 Adhesiolysis - ashermann’s syndrome
 Endometrial biopsy – DUB
 Misplaced cu ‘T’ or retained fetal bones
 TCRE
Laparoscopic gynaecological surgeries
for general surgeons

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for general surgeons

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for general surgeons

17.  TRY SURGICAL INTERVENTION ONLY
WHEN THERE IS ABSOLUTE EMERGENCY.
 LOOK FOR POSSIBLE MEDICAL
MANAGEMENT.
 ALWAYS CONSULT THE WOMEN ABOUT
HER FERTILITY ASPIRATIONS .
 TAKE DUE CARE TO PRESERVE FERTILY
ESPECIALLY IN YOUNG FEMALES.
Laparoscopic gynaecological surgeries
for general surgeons

18. Laparoscopic gynaecological surgeries
for general surgeons