Laparoscopy Surgery

 A gynaecological laparoscopy is a procedure that allows a surgeon to look inside your pelvis, for example at your fallopian tubes, ovaries and uterus (womb). It can be used either to diagnose a condition or for treatment. Laparoscopy is almost always performed under general anesthesia. This means you’ll be unconscious for the procedure. However, you may still be able to go home the same day. A small tube called a catheter will be inserted to collect your urine. A small needle will be used to fill your abdomen with carbon dioxide gas. The gas keeps the abdominal wall away from your organs. It reduces the risk of injury. Surgeon will make a small cut in your navel and insert the laparoscope, which transmits images to a screen. This gives Surgeon a clear view of your organs. What happens next depends on the type of procedure. For diagnosis,  might take a look and then be done. If you need surgery, other incisions will be made. Instruments will be inserted through these holes. Then surgery is performed using the laparoscope as a guide.

Laparoscopy is usually performed on an outpatient basis under general anesthesia. After the patient is under anesthesia, a telescope is placed through the navel. Carbon dioxide gas is used to fill the abdomen, which pushes the abdominal wall away from the internal organs and decreases the risk of injury to surrounding organs such as the bowel, bladder, and blood vessels. Occasionally, alternate sites may be used for the insertion of the laparoscope based upon physician experience or the patient’s prior surgical or medical history. These incisions are typically small (usually less than 1 inch in length). While looking through the laparoscope, the physician can see the reproductive organs including the uterus, fallopian tubes, and ovaries.

A small probe is usually inserted through another incision, in the lower abdomen, in order to move the pelvic organs into clear view. Additionally, a fluid is often injected through the cervix, uterus, and fallopian tubes to determine if the tubes are open. If no abnormalities are noted at this time, one or two stitches close the incisions. If abnormalities are discovered, diagnostic laparoscopy can become operative laparoscopy.

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Laparoscopy Is Helpful In

* Unexplained infertility
* Unexplained pelvic pain
* A history of pelvic infection
* Endometriosis
* Uterine fibroids
* Ovarian cysts or tumors
* Ectopic pregnancy
* Pelvic abscess, or pus
* Pelvic adhesions, or painful scar tissue
* Pelvic inflammatory disease
* Reproductive cancers

Various Types of Laparoscopic Treatment Are

*Diagnostic Hystero laproscopy for fertility enhancement

*Hysterectomy (removal of the uterus)
* Ovariancysectomy (Removal of the ovarian cysts)
* Myomectomy(Removal of fibroids)
* Endometrial tissue ablation, which is a treatment for endometriosis
* Adhesion removal
* Tuboplasty (Reversal of a contraceptive surgery called tubal ligation)
* Mid urethral slings (MUS) – TOT tape for stress urinary incontinence
* Vault suspension to treat a prolapsed uterus

* Ectopic pregnancy/ gestation- Laprodcopic salpingectomy Removal of ectopic gestation.

Hysteroscopy

An examination of a woman’s internal pelvic structure can provide important information regarding infertility and common gynecologic disorders. Problems that cannot be discovered by an external physical examination may be discovered by laparoscopy and hysteroscopy, two procedures that provide a direct look at the pelvic organs. These procedures may be recommended as part of your infertility care, depending on your particular situation. Laparoscopy and hysteroscopy can be used for both diagnostic (looking only) and operative (looking and treating) purposes.

Diagnostic laparoscopy may be recommended to look at the outside of the uterus, fallopian tubes, ovaries, and internal pelvic area. Diagnostic hysteroscopy is used to look inside the uterine cavity. If an abnormal condition is detected during the diagnostic procedure, operative laparoscopy or operative hysteroscopy can often be performed to correct it at the same time, avoiding the need for a second surgery. Both diagnostic and operative procedures should be performed by physicians with surgical expertise in these areas. 

Critical Pregnancy Care

Operative Hysteroscopy

An examination of a woman’s internal pelvic structure can provide important information regarding infertility and common gynecologic disorders. Problems that cannot be discovered by an external physical examination may be discovered by laparoscopy and hysteroscopy, two procedures that provide a direct look at the pelvic organs. These procedures may be recommended as part of your infertility care, depending on your particular situation. Laparoscopy and hysteroscopy can be used for both diagnostic (looking only) and operative (looking and treating) purposes.

Diagnostic laparoscopy may be recommended to look at the outside of the uterus, fallopian tubes, ovaries, and internal pelvic area. Diagnostic hysteroscopy is used to look inside the uterine cavity. If an abnormal condition is detected during the diagnostic procedure, operative laparoscopy or operative hysteroscopy can often be performed to correct it at the same time, avoiding the need for a second surgery. Both diagnostic and operative procedures should be performed by physicians with surgical expertise in these areas. 

Critical Pregnancy Care

Diagnostic Hysteroscopy

Hysteroscopy is a useful procedure to evaluate women with infertility, recurrent miscarriage, or abnormal uterine bleeding. Diagnostic hysteroscopy is used to examine the uterine cavity, and is helpful in diagnosing abnormal uterine conditions such as fibroids protruding into the uterine cavity, scarring, polyps, and congenital malformations. A hysterosalpingogram (an x-ray using dye to outline the uterus and fallopian tubes), pelvic ultrasound or sonohysterogram (ultrasound with introduction of saline into the uterine cavity), or an endometrial biopsy may be performed to evaluate the uterus prior to hysteroscopy.

The first step of diagnostic hysteroscopy often involves slightly stretching the canal of the cervix with a series of dilators to temporarily increase the size of the opening. The hysteroscope (a long, thin, lighted, telescopelike instrument) is inserted through the cervix and into the uterus. Skin incisions are not required for hysteroscopy. Carbon dioxide gas or a fluid such as saline are then injected into the uterus through the hysteroscope. This gas or fluid expands the uterine cavity and enables the physician to directly view the internal structure of the uterus. Diagnostic hysteroscopy is an outpatient procedure that is performed in a physician’s office or operating room. It is often performed soon after menstruation has ended because the uterine cavity is more easily evaluated.

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Laparoscopy Surgery