VIDEO LAPAROSCOPY & HYSTEROSCOPY
A thorough examination of a woman's internal pelvic structures can provide important information regarding causes of infertility. Most importantly problems that cannot be discovered by an external physical examination can be discovered by laparoscopy and hysteroscopy. These procedures form an integral part of your infertility diagnosis.
Laparoscopy is a surgical procedure performed in the abdomen or pelvis to look at the outside of the uterus, fallopian tubes, ovaries, and internal pelvic area. Diagnostic Laparoscopy helps detect gynaecological problems like endometriosis / ulcer, adhesions, uterine tumors / fibroids, ovarian tumor / cysts, tuberculosis and ectopic pregnancy.
These procedures are minimally invasive & due to smaller incisions there is less pain, bleeding, scarring and thus recovery time is shorter; so patients can return to their usual routine quickly, within one or two days of the procedure. Laparoscopy can be used for both diagnostic (looking only) and operative (looking and treating) purposes.
Diagnostic Laparoscopy is usually performed as day care procedure (Discharge in 12 hours) under general anaesthesia through small incision (0.5–1.0 cm) near umbilicus with the aid of a telescope & video camera. Another thin ( 5 mm ) instrument is usually inserted through another incision above the pubic region in order to move the pelvic organs into clear view.
A dye test is then performed to detect any blockage in the fallopian tube. If no abnormalities are noted at this time, one or two stitches close the incisions. If defects or abnormalities are discovered, with the consent of the patient party diagnostic laparoscopy can be transformed to operative procedure.
Many abdominal disorders can be treated safely through the laparoscope . When performing operative laparoscopy, the doctor inserts additional instruments through two or three additional incisions. At our Centre Operative Laparoscopy is conducted for:
- Removal of adhesions
- Opening tubal blockage
- Removal of ovarian cysts
- Ablation / cauterisation of Endometriosis
- Removal of fibroids
- Laparoscopy Assisted Vaginal Hysterectomy.
It is a useful procedure to diagnose reasons for infertility such as internal tumour / fibroids, scarring / synechia, polyps /abnormal growth, & congenital malformations; causes of recurrent miscarriage & abnormal uterine bleeding. Prior to IVF; hysteroscopy is conducted to evaluate the uterine cavity.
A thin, lighted, telescope (the hysteroscope) is inserted through the cervix into the uterus. Skin incisions are not required for hysteroscopy. Diagnostic hysteroscopy is also a day care procedure ( 4-6 hrs).
Many of the abnormalities found during diagnostic hysteroscopy are corrected by operative Hysteroscopy with the help of narrow instruments placed into the uterine cavity through a channel in the hysteroscope. Hysteroscopic surgery is conducted at our Centre for
- Removal of internal fibroid
- Removal of scar tissue
- Endometrial polyp removal
- Correction of congenital defect : uterine septum