Laparoscopic Surgery

Laparoscopic Surgery

Laparoscopy is a minimally invasive surgical procedure used to diagnose or treat conditions within the abdomen or pelvis. It involves making small incisions through which a camera (laparoscope) and surgical instruments are inserted, allowing the surgeon to view and operate without the need for large open incisions.

Advantages:
  • Smaller Incisions: Reduces scarring and improves cosmetic outcomes.
  • Less Pain: Minimal tissue damage leads to reduced postoperative discomfort.
  • Faster Recovery: Shorter hospital stays and quicker return to normal activities.
  • Lower Risk of Complications: Reduced risk of infection and blood loss.
  • Enhanced Visualization: The laparoscope provides magnified, high-definition views of the surgical area.
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Advice

If pregnancy has not been achieved after 3-6 months of treatment, ideally laparoscopy should be done. Taking medicines blindly is bad for the body, as it may increase risk of cancer in future. Proper diagnosis can be reached if laparoscopy is done early.

The skill of surgeon is very important for good result. The equipments also play important role.

Common surgeries:
Diagnostic hysterolaparoscopy

Done to evaluate the inside and outside of uterus, B/L tubes, ovaries and pelvis. Tubes can be checked for block. Infection in vagina, cervix, and pelvis can be detected.

Laparoscopy & ovarian drilling

For PCOS, this is effective in getting rid of old follicles and stimulates the ovulation process.

Laparoscopy tubal/ Fimbrial cystectomy

Small cysts on tubes make them ineffective in picking up the egg after ovulation, even if the tubes are open. The surgery helps and is very effective.

Laparoscopy & ovarian cystectomy

Different types of cyst occur and can be managed by laparoscpy.

Laparoscopy & cauterization of endometriosis

The condition causes block in tubes, adhesions, stops ovulation and can cause pain. Surgery needs good skill and high precision and is very effective in infertility.

Laparoscopy for ectopic

Pregnancy occurring outside uterus can be removed by this method.

Laparoscopic myomectomy

Fibroid are benign tumours of uterus and can be removed if they affect fertility or if they are symptomatic.

Laparoscopic varicocelectomy

Is done for men with complaints of varicocele

Other laparoscopy surgeries include laparoscopic hysterectomy, laparoscopic appendectomy, and laparoscopic cholecystectomy.

Hysteroscopy
Diagnostic hysteroscopy

Is conducted to check the cavity is normal in size, shape and if tubal opening is clear.

Others

Hysteroscopic polypectomy, hysteroscopic myomectomy, hysteroscopic septal division, hysteroscopic tubal cannulation etc. are also done.

Authored by Dr. Anitha Mani - Infertility Specialist & Laparoscopy Surgeon

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