Many a times it becomes essential to do laparoscopy along with hysteroscopy for the diagnosis of infertility and further management
A laparoscope is a fibre-optic tube fitted with a light and camera. laparoscopy is a procedure where your doctor makes 1 to 3 small 5mm incisions over the abdomen through which the interior of the abdominal cavity is visualised. It can be done to diagnose abnormality (DIAGNOSTIC) as well as treat the abnormality (OPERATIVE) in the same sitting.
Indications:
- Diagnostic
- Unexplained infertility - all investigations in the couple are normal but they are unable to conceive
- Mild asymptomatic endometriosis - chocolate spots will be visible on laparoscopy
- Tubal patency check
- Pelvic infections
- Severe adhesions anticipated
- Chronic pelvic pain
- Operative
- Ovarian drilling for polycystic ovaries-multiple punctures are made in the ovary with mono polar current
- Cyst removal
- Endometriosis ablation
- Tubal cannulation -Opening the tubal block
- Fibroid removal
- Release of adhesions
Hysteroscopy is a procedure where a small metallic tube like structure fitted with light and camera is introduced through the vagina into the uterus for visualisation of the cavity of the uterus.this procedure will show any abnormalities in the cavity like polyps, fibroids adhesions. It will also show the position of the tubal opening and the endometrial texture. Operative hysteroscopy involves removal of polyps, fibroids, tubal block opening, septal resection (cutting of septa), adhesiolysis (release of adhesions).
These procedures could be done alone or in combination. Usually they are day care procedures where The patient is sent back home the same day. They involve minimal pain, lesser bleeding, lesser infections after surgery faster recovery and return to work