Diagnostic and Operative Laparoscopy and Hysteroscopy

Diagnostic Laparoscopy

Laparoscopy can help gynaecologists diagnose many problems including endometriosis, uterine fibroids and other structural abnormalities, ovarian cysts, adhesions, ectopic pregnancy, tubal disease, and genital tuberculosis. Many infertile patients require laparoscopy for a complete evaluation. Generally, the procedure is performed after the basic infertility tests, although the presence of pain, history of past infection or an abnormal ultrasound may signal a need to perform diagnostic laparoscopy sooner in the evaluation.

Operative Laparoscopy

Operative procedures include Adhesiolysis, treatment of blocked tubes, fulguration of endometriosis, removal of chocolate cysts, treatment of ovarian cysts, PCOD drilling, removal of diseased ovaries, removal of uterine fibroids, and treatment of ectopic pregnancy. Operations for female sterilization, hysterectomy, urinary incontinence and genital prolapse can also be performed laparoscopically.

Diagnostic Hysteroscopy

Hysteroscopy is an important tool in the study of infertility, recurrent miscarriage, or abnormal uterine bleeding. Diagnostic hysteroscopy is used to examine the inside of the uterus, also known as the uterine cavity and is helpful in diagnosing abnormal uterine conditions such as polyps, internal fibroids, scarring, and developmental abnormalities. A hysterosalpingogram (an x-ray of the uterus and fallopian tubes) may be performed before a diagnostic hysteroscopy.

Operative Hysteroscopy

A wider hysteroscope allow operating instruments such as scissors, biopsy forceps, graspers, electrosurgical or laser instruments to be introduced into the uterine cavity through a channel in the operative hysteroscope. Fibroids, polyps, adhesions can be removed from inside the uterus. After surgical repair, a Foley catheter or intrauterine device may be placed inside the uterus to prevent the uterine walls from fusing together. Antibiotics and hormonal medication may also be prescribed after uterine surgery to prevent infection and stimulate healing.