Laparoscopy & Hysteroscopy

Diagnostic laparoscopy

A diagnostic laparoscopy is an operation to look at the abdominal and pelvic organs using a small telescope (laparoscope). In some circumstances, minor treatments can be performed at the same time.

A diagnostic laparoscopy will help to find out if you have endometriosis, pelvic infection, adhesions, damaged fallopian tubes, an ectopic pregnancy, ovarian cysts, polycystic ovaries or fibroids. The procedure is usually combined with a dye test, where blue dye is inserted upwards through the womb cavity and its path is traced as it passes along the tube .This confirms whether the tubes are open or blocked

We make a tiny cut in the skin just below your navel. We pass the laparoscope through the abdominal wall, and pump your abdomen up with some carbon dioxide gas. This gives us a good view of the inside of your pelvis. We may also pass other instruments into the abdomen through one or two other cuts. These will help us to get a better view.

We may pass a fine instrument through the vagina and into the uterus to help us move the pelvic parts around as we look for the problem. Finally, we put a stitch into each skin wound. It usually takes about 20 minutes to complete the procedure.

Operative laparoscopy

Operative laparoscopy is performed to remove the pelvic adhesions, ovarian cysts, swollen / damaged fallopian tubes, treatment to poly cystic ovaries / endometriosis,fibroids, ectopic pregnancy.

A laparoscopy is done under general anaesthesia. The risk of any major complications is around 1- 3 :1000.

Diagnostic hysteroscopy

When your periods are not regular or heavy or repeated IVF failure you may need a diagnostic hysteroscopy to establish the cause.

We pass the hysteroscope (telescope) into the body of the womb through the neck of the womb (cervix). We examine all round the inside of the womb (uterus). We pass other instruments up the hysteroscope to take out a snippet (a biopsy) of the lining of the uterus. This goes to the laboratory to be examined under the microscope. We can sometimes smooth out any rough areas in the lining.

Operative Hysteroscopy

This is performed to improve the fertility and enhance the fertility treatments.
Operative hysteroscopy is undertaken to remove the intra cavity fibroids, polyps, adhesions, unblocking the tubal opening.

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