When is Laparoscopy needed?
Laparoscopy is the surgery performed by using a thin, lighted tube put through a cut (incision) in the belly to look at the abdominal organs through camera. This technique is used to find problems such as cysts, adhesions and infection.
The probability of pregnancy in any given month is assumed to be approx. 25% and includes the ability of conceiving or fertility potential of the partners. About 15% of the couples are unsuccessful in their attempt to conceive within first year. However, the number increases along with the couple’s age.
Traditionally, infertility is considered as the problem pertaining to female sex, which scientifically is proved to be far from facts. The infertility causes are typically multi factorial and have their roots in distinctive genetic and behavioural patterns. In some cases, it even depends upon the environment the female or male are exposed to.
The approximate statistics giving an idea of the prevalent reasons of infertility:
Combined male & female factor Infertility: 20%
Unexplained Infertility: 10-15%
Unfortunately, the reason of worry because of infertility is under mined within our country. It is less worrisome and monetarily benefiting to take various preventive investigative tests for avoiding any undesirable situation in future. For any further queries, approach the Best Gynecologist:
- Effective History and Physical Examination.
- Routine blood tests for both partner’s general health.
Ultrasonography (Scan): Generally done trans-vaginally; (TVS)-probe is inserted into vagina for visualizing the ovaries and uterus. Diagnoses: fibroids, ovarian cysts, polyps, endometriomas, uterine anomalies, hydrosalpinx, etc.
Semen Analysis: Sample testing is done on different parameters- PH, volume, viscosity, total Count, Liquefaction, motility, morphology etc.
Male Infertility Low Count –Oligospermia
Decreased Motility- Asthenospermia
Absent Sperms – Azoospermia
Dead sperms – Necrospermia
HSG: Test for checking whether the fallopian tubes are open or not. X-ray Technique: in this dye is injected into the uterus and recorded upon the X-Ray films. Approx 25-30% of infertile couples are not able to conceive because of tubal occlusion and anatomic distortion.
Blood Hormonal Assays: TSH (Thyroid), FSH, Estradiol, Prolactin, LH (PCOS), AMH (Ovarian reserve) etc.
Hysteroscopy: Performed in OT under local anesthesia or intravenous sedation. Hysteroscopy involves direct visualisation of uterine cavity and the cervical canal using a telescope like instrument known as Hysteroscope. It detects the presence of endometrium type, adhesion bands, polyps, uterine deformities (Septums), and tubes’ opening into uterine cavity.
Operative Hysteroscopy: The procedure includes introducing accessory instruments, like biopsy forceps, scissors, electrosurgical, etc, using the ways in hysteroscopy for cutting or burning the tissues. Usually the day-care procedure is performed under general anesthesia.
We perform Laparoscopy in Malakpet in OT under general anaesthesia. It is done using an instrument called laparoscope, a slender miniature telescope having a light source. It is used for inspecting the abdomen and pelvis. Used for detecting abnormalities of tubes, uterus, and ovaries – fibroids, endometriosis, cysts, tubal patency (dye test), adhesions, etc.
We offer the treatment: Laparoscopy by Gynaecologist in Madhapur, Hyderabad which includes inserting accessory instruments into abdominal cavity by separate ports (entry sites) for holding, cutting or burning tissues. The procedure is monitored upon a screen through a video camera, which is attached to the laparoscope. Example: Myomectomy, adhesiolysis, hysterectomy salpingectomy, cystectomy.