Laparoscopic laser surgery is performed under general anesthesia. An incision of 1 cm is is done into the belly and the abdominal cavity is inflated by administering 3-4 lt of carbon dioxide (CO2) gas. Then an optical tube (laparoscope) is inserted intraabdominally via entering through the belly. This optical system is connected to a video-camera system and the intra-abdominal image is transferred to the monitor. By this way the laparoscope can be directed to any place within the abdomen and can be watched from the monitor. After this, two holes of 0.5 cm each are opened in groin regions. These holes will be used to insert the tools that will be used for the execution of the operation.

In laparoscopic laser surgery, unlike classical laparoscopy operations, laser system is attached to the tip of the laparoscope other than the camera. Therefore there is an optical channel and another channel in the laparoscope for the transmission of laser beams. With laser energy that the surgeon controls, incision, burning and stopping the bleeding can be performed intraabdominally.

The usage of laser offers many advantages over laparoscopic surgery and also significantly reduces the period of the operation. The decrease in the period of the operation means administering fewer drugs for anesthesia and a fast recovery for the patient. Laser device is assembled to the laparoscope, inserted through the belly, with a laser lever. Laser device produces laser beams released by the atoms, stimulated and excited with electric energy. With the mirrors found in the laser lever, the direction of laser beams are changed and transferred to the desired organ or region. In laparoscopic surgery, different laser resources (CO2, Argon, Nd:YAG laser etc.) are used. In our centre, especially CO2 is used for this purpose. It has much more superiority compared to the other types of laser.

With the help of laser and also with the tools inserted through the holes of 0.5 cm opened in the groin, many processes can be conducted. Laser beam is used like a knife and makes the operation possible. With this technique, simple operations like ligation of the tubes for contraceptional purposes, and advanced operations like removal of myoma, hysterectomy can easily be performed via these 3 holes.