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Laparoscopy / Hysteroscopy


Diagnostic Laparoscopy:

A diagnostic Laparoscopy is a day care procedure  performed in operation theatre under general anaesthesia. It can help physicians to investigate the cause of infertility and Gynaecological problems. The whole pelvis is viewed with laparoscope, the tubes are checked for patency, the uterus is looked for any fibroids the ovaries are seen for PCOS ovarian drilling is done. Pelvis examined for endometriosis or adhesions.

Operative Laparoscopy:

Once we have diagnosed any abnormality in uterus or in pelvis, we should try to treat or remove it.  Operative laparoscopy would involve few extra abdominal incision for the operative ports.

The common condition that we operate on are:

  • Removing ovarian cysts
  • Removal of endometriosis form ovaries, uterus or peritoneum
  • Treatment of fibroids
  • Removing diseased ovaries  or damaged fallopian tubes.
  • Treating ectopic pregnancies
  • Scan tissues or adhesions around the ovaries and fallopian tubes

Care following the Laparoscopic Surgery:

The area around the belly button would be a little tender and feel bruised.  The CO2 gas used for distending the abdomen can cause a little discomfort in the chest, shoulders and abdomen.  Complications include abdominal pain, worsening nausea, drainage of pus form the incision and significant bleeding.  But complications are quite rate in safe hands.

Diagnostic Hysteroscopy:

Hysteroscopy is a useful procedure that can help in the evaluation of infertility in women.

  • It can be used to treat abnormal uterine bleeding
  • IT can be used to examine the uterine cavity as well.
  • It would help to locate abnormal conditions like scarring, fibroids protruding into the uterine cavity, congenital malformations and polyps.
  • It might help us to identify the cause of recurrent miscarriage.

A pelvic ultrasound, sonohysterogram (an ultrasound performed by introducing salt into the uterine cavity) and a hysterosalpingogram (an X-ray that uses dye to outline the fallopian tubes and the uterus) can be used to evaluate the uterus before hysteroscopy.

Operative Hysteroscopy:

If abnormalities have been found through diagnostic hysteroscopy or other imaging studies, they can be treated with the help of operative hysteroscopy.  The procedure is much similar to the diagnostic hysteroscopy except for the fact narrow  instruments would be placed through the channel for the procedure.

The physician might direct you to take medications in order to prepare the uterus  for surgery.  Antibiotics and oestrogen might be prescribed to prevent infection  and stimulate the healing of the endometrium

Care after the surgery:

Some vaginal discharge or bleeding might be experienced for some time following the surgery. There might be some cramping as well.  Most of the physical activites can be resumed within a few days. Antibiotics might be prescribed after the procedure.

Both procedures allow physicians to diagnose and solve many  gynecological disorders. The recovery time is shorter than most other procedures. You should undergo proper discussion with your doctor before the procedure about the risks and other details.

Authored by Dr. Radhika Meka

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