Laparoscopy & Hysteroscopy
Laparoscopy and Hysteroscopy are used to look for cause of infertility and treat it at the same time. These two procedures help in providing a comprehensive look and complete management of the uterus, tube, ovaries. Laparoscopy/hysteroscopy helps in managing unexplained infertility.
Laparoscopy
Laparoscopy is mini hole surgery through which a thin tube called a laparoscope is inserted through a cut near the navel to inspect the abdominal organs or the pelvic organs of a woman. It is used to treat ovarian cysts, chocolate cysts, fibroids, tubal blocks and adhesions. A doctor may recommend this procedure if a woman has experienced pain or pelvic infection in the past.
This procedure is performed under anesthesia and on an outpatient basis. A telescope is inserted through which the surgeon can take a look at the fallopian tubes, uterus and ovaries. In the lower abdomen, another probe is inserted to get a clearer view of the pelvic organs.
Risks associated with Laparoscopy
There are certain risks associated with laparoscopy such as skin irritation and bladder infection, pelvic or abdominal infections. Although rare, injuries do happen during the insertion of different instruments.
Diagnostic Hysteroscopy
Hysteroscopy is a procedure that is used to examine women with abnormal uterine bleeding, infertility and repeated miscarriages. The uterine cavity is examined and abnormal conditions such as polyps, septum, scarring, protruding fibroids and endometrial biopsy can be performed through hysteroscopy.
In the first step of this procedure, the canal of the cervix is stretched through a number of dilators to enlarge the opening. The hysteroscope is a lighted and long instrument resembling a telescope, which is inserted into the uterus through the cervix. Incisions are not needed for this procedure. Through the hysteroscope, saline is injected into the uterus. This helps in enlarging the uterine cavity thereby helping the physician to closely examine the uterus. This is an outpatient procedure and is mostly performed after menstruation is ended.
Risks Associated with Hysteroscopy
Complications are quite uncommon in hysteroscopy; nonetheless, perforation of the uterus may happen sometimes. Perforation may sometimes lead to bleeding or in some rare cases damage to the nearby organs. Certain cavity adhesions or infections may also arise after hysteroscopy. Severe complications are extremely rare.
Postoperative Care
After the surgical procedure, the patient may suffer from cramps, bleeding or vaginal discharge. Normal activities can usually be resumed after a day or two.
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