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Laparoscopy

LAPAROSCOPY (button/Key hole surgery) is a as minimally invasive procedure to evaluate the inside of the abdomen using a thin (3-10mm) telescope type instrument called the laparoscope. The laparoscope is connected to a camera system and the inside of the abdomen can be clearly visualized on the monitor (similar to hysteroscopy). Surgery can be done through these small ports (trocars) using special instruments and the patients are generally discharged home the same day. Benefits of laparoscopy include shorter recovery time, less pain medications and smaller incisions compared to laparotomy (open abdominal surgery). It is suture less procedure used as diagnostic lap for infertility patients, Laparoscopic Sterilization, for removal uterus (LAVH, TLH), PCOD /PCOS drilling

LAPAROSCOPY USE IN INFERTILITY:

Diagnostic laparoscopy: This procedure allows visualization of the abdominal and pelvic organs including the area of the uterus, fallopian tubes and ovaries. Woman’s reproductive organs sometimes cannot be found by a physical examination alone. X-ray, or ultrasound may still leave some uncertainty.

Infertility: Laparoscopy may be used to determine the cause of infertility. In some women the fallopian tubes are blocked. This can prevent sperm and egg from coming together, causing infertility. With laparoscopy, a simple test confirms this possibility. A colored fluid is injected through the uterus. If the tubes are open the fluid will flow out the ends of the tubes into the abdomen. The surgeon can see this through the laparoscope (Chromotubation)

Polycystic ovarian disease is one of the major cause of infertility in female. PCOS primarily treated with medication, if not relived laparoscopic drilling is best option to remove cysts and induce ovulation.

Endometriosis is an another cause of infertility as endometrial tissue obstruct fallopian tubes and some time adhesion around the ovum. Laparoscopy removes all adhesions around ovum and break endometrial cystic lesions, will enhance the chance of conception.

After surgery, we will explain what your options are for getting pregnant. If you had fibroids removed or a fallopian tube repaired, you may be able to try to get pregnant without help. Also, in the case of endometriosis or PID, the removal of scar tissue may make it possible to get pregnant without further treatment. If after a few months after surgery you do not get pregnant on your own, we may recommend fertility treatments

LAPAROSCOPY USE IN GYNAECOLOGY:

Laparoscopic surgery has revolutionized gynecological surgery. Today, it is only rarely necessary to perform open gynecological surgery. It is now possible to convert approximately 95% of gynecological procedures which formerly required an abdominal incision into a relatively minor same day/one day procedure. Pain abdomen of unknown origin especially lower abdomen require laparoscopic evaluation. It is useful for diagnosing endometriosis, scar tissue or adhesions, cysts, hernias and other diseases which cause pelvic pain. Laparoscopy is also used as a method of sterilization since you can see and destroy part of the fallopian tubes with clips, bands or electrical current.

Laparoscopic Hysterectomy–there are three broad types of hysterectomy which can be performed with a laparoscope saving you open surgery.

Treatment of endometriosis and pelvic adhesions– these can be destroyed either with a surgical laser or an electric knife. Sharp, deep pain in the pelvis during intercourse or at other times may be caused by endometriosis. Sometimes endomtrium (inner layer of uterus) tissue is seen on the surface of the tubes, ovaries, uterus, bowel, or on other parts of the body in the lower abdomen. This tissue bleeds at the end of each menstrual cycle and cause pain severe pain .

Adhesions occurs when, during the healing process, tissues grow together, which can occur with infection (PID), endometriosis, and surgery (previous pelvic surgeries) can also cause pain. Laparoscopic adhesinolysis will relieve pain.

Ovarian cyst : Ovaries sometimes develop cysts, or fluid-filled sacs. These cysts may be harmless, causing only mild pain and or menstrual disorders. Large cysts may cause severe pain / discomfort / torsion (may cause acute abdomen). Treatment of ovarian cysts– non-cancerous cysts can often be removed easily with laparoscopy which is patient friendly than open surgery

Tumors of the uterus can also be examined by laparoscopy. Laparoscopy Assisted Vaginal Hysterectomy (LAVH) / Total Laparoscopic Hysterectomy (TLH) in case of DUB/ En-explained excessive bleeding / Uterine fibroids not controlled with medication

LAPAROSCOPY IN OBSTETRICS:

Ectopic Pregnancies – Laparoscopy allows you to find the ectopic pregnancy and remove it by either opening or removing the fallopian tube. Pain in the lower abdomen can have many causes. If the pain occurs early in pregnancy, a diagnostic laparoscopy may be performed because of the risk of an ectopic pregnancy. In a normal pregnancy the fertilized egg develops in the uterus, but in an ectopic pregnancy, the egg may lodge elsewhere, such as in a tube. As the embryo grows, the thin wall of the tube balloons outward and eventually may burst. With laparoscopy, some pregnancies that develop outside the uterus can be diagnosed in time to protect the mother’s health and prevent severe damage to the tubes so that future pregnancies are possible.

Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy