Laparoscopy

Laparoscopy or Key Hole surgery as commonly known as is a procedure that allows the surgeon to visualize the abdominal and pelvic Organs clearly on a TV screen.

It’s a patient friendly day care surgery, the patient is admitted in the morning and is discharged the same day. Laparoscopy combined with hysteroscopy usually completes the pelvic evaluation. 

Where all is Laparoscopy Indicated ?

1.Diagnosing  tubal pathologies in infertile women and at the same time corrective procedures can be  done for tubal blockages like Fallopian Tubal Recanalization , Neosalpingostomy , Fimbrioplasty , Correction of hydrosalpinx .

2.Tubal Sterilization .

2.Hysterectomies   -(Removal of Uterus )

3.Corrective and pelvic resurrection and restoring pelvic anatomy  for Endometriosis 

4.Myomectomy ( Removal of Fibroid )

5.Ovarian cyst removal like Endometriosis or Dermoid cyst .

6.Adhesiolysis as in chronic pelvic pain or in  Pelvic  Inflammatory Disease . 

7.Surgeries for prolapse uterus and bladder neck suspension .

8.Radical Surgeries  for Gynaecological Malignancies like ovarian cancer , Endometrial cancer. 

How is it done?

Laparoscopy is a surgical procedure done under General anaesthesia  in Operation Theatre .One, two or three very small cuts are given in the abdomen, through which laparoscope and specialized surgical instruments are introduced. A laparoscope is a thin, fiber-optic tube, fitted with a light and camera. The pelvic organs are visualized on the TV Monitor, and the surgery is proceeded depending upon the case. 

Advantages of Laparoscopy in Infertility ?

Laparoscopy involves very small incisions with far less postoperative discomfort and a rapid recovery time

• Along with the tubes, it allows visualization of all pelvic pathologies like fibroids, endometriomas, peritubal and periovarian adhesions . 

• It also allows careful assessment of the external architecture of the tubes and in particular, visualization of the fimbria .

• Identified abnormalities like tubal obstruction, pelvic adhesions and endometriosis can be corrected simultaneously .

Disadvantages of Laparoscopy
It is an invasive procedure requiring anesthesia .

It requires advanced training, great skill and excellent hand eye coordination. 

Complications of Laparoscopy

Overall complication rate is 0.2%-10.3%. However , the complications are still less in the hands of expert surgeon and most of them  are minor and treatable . The various complications that can occur are  bleeding from the port site , subcutaneous emphysema , hernia at the trocar entry , post operative shoulder pain  , bladder and bowel injury . 

We are proud to say that our complication rate is far far less .