Laparoscopy is the surgical method, in which a small camera is passed through the umbilicus, to see the internal organs on a monitor . the surgeon can do necessary procedure easily as the image is magnified .
Advantages of laparoscopy are that , no admission is required.
The wound is less than 1cm , and there is no need for rest.
As the surgery is short and very precise ,there is minimal blood loss .
Surgery can be recorded and viewed later.
The view is Enlarged and clear compared to open surgery.
Cost is comparatively less, when the loss of job and loss of work at home is taken into account. This is Excellent for infertility, especially for checking tubes and ovarian drilling in PCOS .
Infections are much lesser compared to open surgery and are easily treatable.
Hysteroscopy gives good vision of uterine cavity and surgery possible to remove polyp, fibroid or correct septum.
Risk of post op adhesions lesser.
Laparoscopy can be repeated any no: of times as adhesions are less.
Risk of injury to viscera are minimal .
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. The skill of surgeon is very important for good result.
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 laparoscopy.
Other procedures are cauterisation of endometriosis , Laparoscopy for ectopic,Laparoscopic myomectomy, Laparoscopic varicocelectomy , Hysteroscopic polypectomy, hysteroscopic myomectomy, hysteroscopic septal division, hysteroscopic tubal cannulation etc.