Laparoscopy and Hysteroscopy
The Laparoscopy surgery also known keyhole surgery, is minimal invasive surgery which does not involve creating major cuts or incisions on the body. It is done with a small tube like camera that is inserted through the belly button and it is performed under anesthesia. This camera gives a clear vision of the pelvic organs and they are able to capture images too. The surgeons will be able to detect the problem and steps can be taken to improve your chances of fertility.
Why is it done?
- It helps to detect endometriosis, fibroids, cysts, adhesions, or other infections that may be leading to infertility.
- It may be used to find out and remove abnormal growth in pelvis or in the belly.
- To do a biopsy test.
- To treat hiatal hernia or an inguinal hernia
- To remove organs like uterus, fallopian tubes and ovaries.
- To figure out the cause of a continuous pelvic pain.
The recovery period after surgery is far less when compare to traditional surgery. Patients can resume their work within a week after this surgery. The whole process will take about 30 -90 minutes depending on the operation and the patient will be required to stay back for few hours. After which he or she can resume the normal routine.
- Initially prior to the surgery the patient would be required to clear his bowel an would be put on in Intravenous (IV).
- You will be administered by the anesthetist and will be put to sleep with a mask to breathe.
- A small incision of size 1-1.5cm will made though the naval and here the laparoscope will be inserted.
- They will supply carbon dioxide into the stomach through a special device inserted in the naval. Now this will help the surgeons to get a better vision during laparoscopy.
Hysteroscopy is done to get a detailed evaluation of the uterine cavity. This is done for women having problems like miscarriage, excessive bleeding or infertility.
Need for this hysteroscopy
- To understand the reason for repeated miscarriages.
- To view the fallopian tubes. If any blockage is located it is can removed by the doctor with the help of instruments.
- If patient experiences abnormal bleeding or cramping.
- To test for endometrial cancer.
- To remove small fibroids.
Initially the patient will be given anesthesia to fall asleep and relax. A few hours before the operation the bladder would also be cleared.
Next the cervix is dilated and the patient will also be given medications.
The hysterscope will be placed at the opening of the vagina and slowly moved through the cervix into the uterus.
Fluids will also be administered through the hysteroscope into the uterus and this greatly magnifies the vision for the doctors.
If the doctors find abnormalities they can introduce special instruments through the cavity to perform the operation.
After Laparoscopy/Hysteroscopy surgery the patient would be require to be on liquid diet for at least 2- 4 hours. They can resume work within a few days after this surgery. The recovery period is far less when compared to traditional surgery.
After the operation the patient might feel these following symptoms
- Slight nausea from the medications as well anesthesia.
- Pain in the point of incision
- Pain in the shoulders as gas has been given during the procedure.
- Menstrual cramps or discharge like mensuration for a few days.
Intrauterine Insemination or the IUI is an artificial insemination procedure wherein the sperm is place in the uterus for improving the chances of pregnancy. This is an apt solution for couples dealing with infertility problems and be blessed with the child. Here a thin caterer tube is used to place the sperm into the vagina of women. Once the sperm reaches the fallopian tubes it fertilizes the eggs. As compared to all other procedures this can be said to be one the least expensive and less invasive method.
This procedure is mostly used when there is an unexplained infertility problem or inability for the sperm to reach uterus due to some problem. Initially there would be a medical check to determine the hormone levels and if the woman’s body is able to sustain the pregnancy. Once this done is the collected sperm sample of your partner would be washed with chemicals. This is done to improve the sperm mobility and increases the success rate of this procedure. Next the sperm would be placed into the reproductive tract. Once this is completed there is no bed rest required and they can resume with their daily schedules.
IVF treatment is opted by couples who have infertility problems and this is known to have a high success rate. Now also known as test tube baby the procedure is simple and has been in operation for more 30 years. As per the treatment the woman would be required to take in some medical test and ultrasound procedure. Once this is done the patient would be subjected to hormone injections which creates multiple egg formation in place of just one. Some women have shown a slight reaction to hormone injections but this is procedure is done under the direct supervision of the doctor and all steps would be taken to reduce the reactions. Now once multiples eggs are formed they are collected and fertilized in the laboratory using the partner’s sperm. They would be kept in the incubator so that egg reach maturity. Once this completed they would be place into the uterus of the woman. Since multiple eggs are being used there is a chance for multiple births and also sometimes they may not lead to pregnancy. So the some collected eggs are also frozen so that they can be used in case the first one fails. In order to ensure better success for this procedure it would be recommended to opt this by women before reaching 35 years of age.