Advanced Laparoscopic & Hysteroscopic Surgeries
Laparoscopy :
Is to view peritoneal cavity through a small 5 to 10 mm incision on skin. It gives a panoramic view of intra-abdominal organs.
With facilities of video laparoscopy, most of the operations for abdominal organs are performed by using Video Laparoscopy technique
Advantages are
- On abdominal skin three to four 5 mm skin incisions are made & operative instrument is passed through them. Main incision through which telescope is passed may be 5 or 10 mm.
- Long abdominal incision & cutting of all abdominal layers is avoided.
- Less bleeding
- Less pain – mainly post-operative pain is due to cutting & suturing of abdominal wall layers.
- Patient is mobile on second day.
- May resume home or office work early.
Laparoscopic operations are same as open abdominal operations done through small incisions. They are very safe & as complete as open abdominal operations.
Variety of Gynaec Laparoscopic operations are done in this hospital namely
- Total Laparoscopic Hysterectomy
- Ovarian cystectomy
- Salpingostomy or salpingectomy for tubal pregnancy
- Adhesiolysis
- Laparoscopic Cervicopexy for uterine prolapse in young women
- Many others
Hysteroscopy :
Hysteroscopy is viewing inside the uterine cavity i.e. endometrial cavity. This is the only procedure by which we van view & diagnose the endometrial pathology. This is an important diagnostic & operative procedure for infertility.
With the advent of video operative hysteroscopy, we are doing many operative procedures like
- Releasing endometrial adhesion
- Tubal canulation to the patency of the fallopian tubes
- Where internal tubal osteum appears blocked, with Hysteroscopic forceps fibrosed area is tried to clear & Hysteroscopic & laparoscopic tubal canulation is done & in most of the cases, tubal patency is re-established.
- In cases of Uterineseptum, which is congenital, is resected.
- Endometrial polyps & sub mucus fibroids are resected.
Before the hysteroscopy, all these diagnosis used to be missed. Operative hysteroscopy has saved many hysterectomies & laparotomies.
