Laparoscopy

Laparoscopy is considered to be gold standard as it provides not only a magnified view of the pelvic and abdominal organs but also the opportunity to perform surgery in same sitting. Laparoscopy is done with thin fiber optic telescope which is just 10 mm and 5 mm thick that is inserted into the abdomen usually through the belly button. The fiber optic allow a light to used to see inside the abdomen with excellent resolution and magnification. We are able to diagnose tubal blocks, adhesions, endometriosis, fibroid, ovarian cyst, infection like tuberculosis.

Laparoscopy is performed using general anesthesia, the length of time needed for recovery will depend on the type of procedure and duration of procedure. The patient can eat and drink whatever she feels few hours after surgery. Due to anesthesia she should rest for 24 hrs.

Both laparoscopy and hysteroscopy are usually done together and they are complementary.

Which Procedures Can be Done Laproscopicaly?

• Diagnostic hysterolaproscopy

• Laproscopic myomectomy

• Laproscopic ovarian cystectomy

• Laproscopic tubal recanalization

• Management of hydrosalphinx

• Laproscopic ovarian drilling

Laproscopic Myomectomy

The surgery of fibroid removal is called Mymectomy. In this selective removal of fibroids, thereby preserving the uterus.

Myomectomy can be done by various surgical techniques-

• Mini-Laprotomy

• Hysteroscopic myomectomy

• Laproscopic myomectomy

• The route of myomectomy depends on the size, number, location of fibroid and other co-existing pelvic pathology

Laproscopic or minimal access myomectomy is the prefreed way of myomectomy. It requires less hospital stay, early recovery and less blood loss. With better instrumentation and advanced surgical skills laproscopic myomectomy can be performed by skilled surgeon. Fertility rates are satisfactory after myomectomy.