ABSTRACT
This chapter discusses gynaecological surgeries. It also explains preoperative, intraoperative and postoperative assessment for the same. These surgeries include fertility surgery, hysterectomy, hysteroscopy and laser surgery, laparoscopy, minor gynaecology procedures, pelvic floor surgery and radical gynaecological cancer surgery. Some investigative procedures looking for the cause of female infertility will involve laparoscopic or minor gynaecological procedures. Hysterectomy is a common procedure which may be total or subtotal. It may be combined with salpingo-oophorectomy. Radical hysterectomy also includes removal of part of the vagina and pelvic lymph nodes. Hysteroscopy allows direct visualisation of the uterine cavity, tubal ostia, cervix and vagina. The most common indication is abnormal bleeding. Simple hysteroscopy is an outpatient procedure not requiring an anaesthetic. Laparoscopy may be required for diagnostic or therapeutic procedures. Patients are usually relatively fit and can often be managed as day cases. Pelvic organ prolapse may involve uterus, vagina, bladder and/or bowel. It may occur in up to 50" of parous women.
