Laparoscopy Center in Yash IVF
What is laparoscopy?
Examination of abdominal cavity and its contents with the help of a telescope is called as laparoscopy. A complete examination of a woman’s internal pelvic and abdominal structures can provide important information regarding infertility and commom gynecologic disorders. Frequently, problems that cannot be discovered by external physical examination or ultrasound can be discovered by laparoscopy or hysteroscopy, two procedures which provide a direct look at pelvic and abdominal organs.
What is diagnostic laparoscopy?
When laparoscopy is performed for the purpose of diagnosing a disease in a patient, it is called diagnostic laparoscopy. laparoscopyis useful in diagnosing many gynecological problems including endometriosis, uterine fibroids and other structural abnormalities, ovarian cysts, adhesions, and ectopic pregnancy. Laparoscopy and hysteroscopy together is the gold standard in the complete evaluation of infertile female.
When diagnostic laparoscopy is performed in relation to menses?
Generally, the procedure is performed after the basic infertility tests, although the presence of pain, the history of a past infection or the other problems diagnosed on physical examination or ultrasound may indicate a need to perform diagnostic laparoscopy sooner in the evaluation. The procedure is usually performed after menses in case a hysteroscopy is also necessary. The uterine cavity is more easily evaluated after menses and there is little risk of interrupting a pregnancy. After the medical history, which consists of questions about the patients previous illnesses, treatment taken, menstrual cycle pattern, etc and physical examination are completed, laparoscopy is usually performed on an outpatient basis, under general anesthesia with minimal discomfort.
How laparoscopy is performed?
At our Yash IVF after giving general anesthesia, a 5mm or 10 mm port is inserted through or near the umbilicus and the abdomen is filled with carbon dioxide gas. The gas pushes the internal organs away from the abdominal wall so that the laparoscope can be placed safely into the abdominal cavity to avoid injury to surrounding organs such as the bowel, bladder and blood vessels. The laparoscope is a long, thin, lighted telescope like instrument that is inserted through the port. Video camera and light source is then attached to the laparoscope and the live picture of abdominal cavity wherever the camera is focused is seen on the monitor. The laparoscopic surgeon can see the reproductive organs including the uterus, fallopian tubes and ovaries. Another one to two small instruments (graspers) can be inserted through another 5mm port in order to move the pelvic or abdominal organs into clear view. To see the fallopian tube patency, a blue solution is instilled through the cervix, uterus and fallopian tubes. If abnormalities are detected, operative laparoscopy is performed in the same sitting.