Endoscopy – Including Hysteroscopy & Laparoscopy

With the advent of cutting-edge technology, it has become a feasible option to perform ‘minimally invasive’ surgeries with precision and finesse. Laparoscopy and Hysteroscopy are two such surgeries used to diagnose and cure certain female infertility conditions.

Laparoscopy: Laparoscopic surgery is done with the assistance of a video camera and several thin instruments. During the surgical procedure, small incisions of up to half an inch are made and plastic tubes called ports are placed through these incisions. The camera and the instruments are then introduced through the ports which allow access to the inside of the patient .The camera transmits an image of the organs inside the abdomen onto a television monitor. The surgeon is not able to see directly into the patient without the traditional large incision. The video camera becomes a surgeon’s eyes in laparoscopy surgery, since the surgeon uses the image from the video camera positioned inside the patient’s body to perform the procedure. 

It enables doctors to see ovaries, outside of uterus and fallopian tubes inside the abdomen. Laparoscopy is done to determine the causes of infertility, symptoms like pelvic pain & abdominal pain and to check if there are any scar tissues or blockage in the fallopian tubes. The doctors use this technique to treat cysts, endometriosis and fibroids.

Benefits of minimally invasive or laparoscopic procedures are:

  • Less post operative discomfort since the incisions are much smaller
  • Quicker recovery times
  • Shorter hospital stays
  • Earlier return to full activities
  • Much smaller scars

There may be less internal scarring when the procedures are performed in a minimally invasive fashion compared to standard open surgery

Hysteroscopy: A tool called ‘Hysteroscope’ is used to see inside the womb. The tip of the tool is put inside the uterus and travelled gently. A light source and camera are attached to the tool. Hysteroscopy is usually done to determine the cause of abnormal bleeding and to remove growths in the uterus like fibroids & polyps. Also to see whether the uterine lining is good enough to support implantation, is there any synechiae or septum or polyp and to treat them accordingly at the same time.

Compared with other, more invasive procedures, hysteroscopy may provide the advantages of shorter hospital stay, shorter recovery time and less pain medication needed after surgery