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Procedure Desciption Diagnostic Hysteroscopy Hysteroscopy is a procedure where a thin, lighted tube (Endoscope) is inserted inside the uterine cavity through a cervix. ..................................................................................................................................... Endometrial Polyp Polyps are abnormal growths and projections of endometrial or myometrial tissues inside the uterine cavity giving rise to abnormal bleeding patterns and infertility. They can be removed under Hysteroscopic guidance with use of graspers or Energy Sources. ..................................................................................................................................... Septum Due
to defective or improper development of uterus a thick band (Septum)
divides the cavity in two parts. Giving rise to fertility problems or
recurrent pregnancy loss. It can be corrected (Cut / Released) under Hysteroscopic guidance using electrocautery Energy. ..................................................................................................................................... Diagnostic Laparoscopy The
laparoscope is inserted through a tiny incision in or near the navel.
Other instruments may be inserted through one or more other tiny
incisions. A video camera is attached to the laparoscope to enlarge and
record the view. Under
direct vision uterus, tubes and ovaries are inspected for pathology and
tubes are tested for patency by injecting Blue Dye from below.
..................................................................................................................................... Ectopic Gestation Condition
where pregnancy occurs outside the uterine cavity, commonly in the
fallopian tube. This can be confirmed and treated by Laparoscopy by
Linear Salpingotomy : Preserving the tube ( When the size of the
ectopic pregnancy < 5 cm, patient is hemodynamically stable) or
Salpingectomy : Removal of diseased tube. .....................................................................................................................................
Endometric Spot Fulguration Pelvic
Endometriosis: It is a condition where there is deposit of endometrial
tissue [lining of the uterus] outside the uterus. It appears as small
black dots “powder burns†seen over the uterosacral ligament or the
pouch of Douglas. There is scarring of peritoneum surrounding the
implants, the peritoneum is puckered and adherent to the back of the
uterus and adenaxae causing painful menses, chronic pelvic pain and
Infertility. .....................................................................................................................................
Chocolate Cyst of Ovary Chocolate cyst of Ovaries (Ovarian Endometrioma) - It is Endometriosis of ovary leading to collection of chocolate coloured fluid in the ovarian tissue causing their fixity and adhesion formation to surrounding structures. It gives rise to symptoms of Dysmenorrhoea( painful Menses ), Menorrhagia ( Bleeding problems Infertility, Dyspareunia ( Painful Coitus ) and pelvic and abdominal pain. Laparoscopic treatment for Chocolate cyst of Ovary:
..................................................................................................................................... Pelvic Endometriosis Endometriosis
may involve surrounding structures like rectum or bladder giving rise
to chronic pelvic pain and pain during urination or defecation or
Sexual intercourse. These condition requires proper preoperative preparation and extensive dissection of disease under Laparoscopic Guidance. No Video .....................................................................................................................................
PCO Drilling Polycystic Ovarian Disease: Condition associated with irregular scanty menses, subfertility, hirsutism and many a times obesity. One of the treatment option includes Ovarian Drilling where multiple punctures are performed targeting on the ovarian stroma with unipolar coagulation. .....................................................................................................................................
Ovarian Cyst Ovarian Cyst is abnormal collection of fluid or material in ovarian substance. Laparoscopy can be performed for drainage, removal or biopsy from such cyst. The material removed is normally sent for Histopathological examination. .....................................................................................................................................
Adhesions Performed in cases where different parts of genital organs (tubes,
ovary, uterus) are abnormally stuck (Adherent) with one another or with
bowel. It is performed using hydrodissection, scissor or laser and
atraumatic forceps.
. .....................................................................................................................................
Hydrosalpinx Abnormal dilatation with clear fluid collection in cases of distal tubal block is known as Hydrosalpinx. Linear / Cruciate incision Neosalpingostomy is surgical incision on this blocked distal part and creation of new healthy opening with dissection and monopolar energy under Laparoscopic guidance. .....................................................................................................................................
Tubal Recanalisation Abnormally
blocked tubes or tubes with previous tubal ligation can be opened using
microlaparoscopy known as Laparoscopic Tubal Recanalisation or
Tubotubal Anastomosis .....................................................................................................................................
Total / Subtotal Laparoscopic Hysterectomy Indications :
.....................................................................................................................................
Genital Prolapse Abnormal Descent of Genital organs from their usual position.
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