Laparoscopic Surgery:
Laparoscopy is a type of surgical procedure, in which a small incision is made, usually in the navel and camera is passed through the cut , to visualize the internal organs.Even complicated surgeries like removal of uterus can be performed by this method.
Advantages
1.No admission required.
2.Small wound less than 1cm.
3.No need for rest.
4.Precise surgery.
5.Minimal blood loss.
6.Short time for surgery.
7.Surgery can be recorded and viewed later.
8.Enlarged and clear view compared to open surgery.
9.Cost is comparatively less, when the loss of
working hours is taken into account.
10.No help required at home.
11.Excellent treatment for infertility, especially for
checking tubes.
12.Chance for Infections is less compared to open surgery.
13.This procedure is optimal for obese patients as
laparotomy is difficult to perform on obese patients.
14.Minimal risk to diabetic patients
15.Less chance for thrombosis (blood clotting)
16.Hysteroscopy gives good vision of uterine cavity and
possible to remove polyp, fibroid or correct septum.
17.No weight gain risk, as patient do not need rest post
operation.
18.Risk of post operation adhesions less.
19.Laparoscopy can be repeated any number of time as leaves behind only a small scar.
20.Risk of injury to viscera minimal ie, ***
ADVICE
If pregnancy has not been achieved after 3-6 months of treatment, ideally laparoscopy should be done.Taking medicines blindly is bad for the body, as it may increase risk of cancer in future.Proper diagnosis can be reached if laparoscopy is done early.
The skill of surgeon is very important for good result.The equipments also play important role.
COMMON SURGERIES:
DIAGNOSTIC HYSTEROLAPAROSCOPY
Done to evaluate the inside and outside of uterus, B/L tubes, ovaries and pelvis.Tubes can be checked for block, Infection in vagina, cervix, and pelvis can also be detected.
LAPAROSCOPY & OVARIAN DRILLING
For PCOS,(Polycystic ovarian Syndrome) this is effective in getting rid of old follicles and stimulating the ovulation process.
LAPAROSCOPY TUBAL/ FIMBRIAL CYSTECTOMY
Small cysts on tubes make them ineffective in picking up the egg after ovulation, even if the tubes are open.This surgery effectively helps to overcome this problem.
LAPAROSCOPY & OVARIAN CYSTECTOMY
Different types of cysts formed can be managed by laparoscopy.
LAPAROSCOPY & CAUTERIZATION OF ENDOMETRIOSIS
The condition causes block in tubes, adhesions, stops ovulation and can cause pain.This surgery needs good skill and high precision and is very effective in infertility treatment.
LAPAROSCOPY FOR ECTOPIC PREGNENCY
Pregnancy occurring outside uterus can be removed by this method.
LAPAROSCOPIC MYOMECTOMY
Fibroids are benign tumours of uterus and can be removed if they are affecting fertility or if they are symptomatic.
LAPAROSCOPIC VARICOCELECTOMY
Is done for men with complaints of varicocele.
Other laparoscopy surgeries include laparoscopic hysterectomy, laparoscopic appendectomy, and laparoscopic cholecystectomy.
HYSTEROSCOPY
Diagnostic hysteroscopy
Is conducted to check if the cavity is normal in size, shape and if tubal opening is clear.
Others
Hysteroscopic polypectomy, hysteroscopic myomectomy, hysteroscopic septal division, hysteroscopic tubal cannulation etc.are also done.
