Understanding Gynecological Laparascopy

Hi!

This is Dr Manu, senior consultant in reproductive medicine and I have a specialized interest in dealing with polycystic ovarian syndrome treatment.

In this post, article lets understand a bit about laparoscopy.

A laparoscope is simply a telescope like device that is used to visualize the insides of your reproductive system. 

A laparoscopy combined with a hysteroscopy is commonly used by my most reproductive medicine experts to find out the reason for ‘infertility of an unexplained nature’

The advantage of combining both imaging modalities is that an accurate visualization of both the internal/external aspects of the reproductive system can be made.

Where necessary a diagnostic procedure can also be made therapeutic. 

In case, while doing a laparoscopy, a large endomteriosis or fibroid is detected, then this can easily removed. 

The advantage of laparoscopy is that, the healing times are shorter, and furthermore the scars left are minimal. 

laparoscopy


Laparoscopy has some specific indications. They are as follows

  1. Unexplained infertility
  2. Pelvic pain during intercourse
  3. Past surgical history or other pelvic infections

With laparoscopy, there are certain conditions that can be effectively treated. 

These include

A. Fibroids
B. Endometriosis
C. Pelvic Abscess
D. Scars/adhesions from a previous surgery
E. Tube blocks that would have been missed in a routine Salpingogram
F.Ovarian cyst
G.Other masses of unkonwn origin

A laparoscopy is usually done under anesthesia. 

You will need at-least a day’s rest to completely recover from it. 

Because, carbon dioxide gas is used to inflate the abdomen during laparoscopy, you may feel shoulder ache and a sense of abdominal bloating after the procedure.

All the port wounds created during laparoscopy will heal on its own. 

As with any procedure, laparoscopy has its complications. However, when done right, the risk of complications is usually minimal 

It becomes important to to look for certain symptoms post procedure and to inform your doctor immediately. 

These include:-

  1. Nausea and vomiting
  2. Severe abdominal pain 
  3. High fever
  4. Pus discharge from the incision site

All said and done,

Laparoscopy is still an invaluable tool in making a correct diagnosis.

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Dr Manu Lakshmi, MB, DA, MRCOG ( UK) FIMSA, FUSG. FRM.

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