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Overview

Laparoscopy: Treatment, Procedure, Cost and Side Effects

What is the treatment?

A laparascopy is a type of surgery that is carried out to treat a number of diseases such as kidney, gall bladder or liver stones, endometriosis or other diseases of the pelvic region, and hiatal hernia among others. It is also performed as a biopsy and also to check if cancer or tumors have spread. Hence, it's not just a treatment method but also a process of diagnosis of certain diseases. In fact, this procedure can also be carried out to figure out the underlying problem that makes it difficult for a woman to conceive. However, in this case it is generally referred after other fertility tests have been carried out and failed to show what the problem is.

A laparascopy is considered to be advantageous for patients since it involves the making of a very tiny incision in the the body, which means reduced chances of infections. Besides, a laparoscopy also leads to faster recovery periods in patients. Morover, this type of surgery is also cost-effective. However, before patients go for this surgery, they have to prepare themselves to ensure it is successful and free of complications. Preparations include telling the doctor about any allergies and on-going medications as well as following guidelines laid down by the doctor concerning eating and drinking before the surgery. That said, just before the surgery, the patient will be asked to remove all ornamentations from his or her body including contact lenses, spectacles and dentures and not just jewelry. This surgery is very effective so patients need not very about negative outcomes.

How is the treatment done?

Once the patient is fully ready, the surgery is carried out by a qualified surgeon. Before the surgeon starts, the patient is given general anesthesia. After that, the surgeon may make some preparations such as cleaning the area of surgery and removing body hair that can get in the way. Once all the preparations have been made, the surgeon will make a small incision in the belly of the patient. In certain cases more than one such incision may be made to insert more tools that are needed for the surgery. Next, a tiny needle is inserted through the incision and carbon dioxide is pumped in to inflate the belly and make it ready for operation. After that, a very thin and lighted tube, known as a laparascope is inserted into the patient's body through the incision made previously. Now this tube can either be used to take tissue samples, drain liquid-filled cysts or fix the damage caused to a particular organ. In certain cases, the laparscope may have laser attached to help with the entire procedure. Once the purpose of the surgery has been served, the laparascope will be pulled out from the patient's body and the belly will be deflated back to its original state. The incision(s) made is then sutured up and covered with the help of a gauze or bandage. The entire surgery can take about half an hour to one and a half hour depending on why the laparascopy is being carried out. The patient is wheeled into the recovery room once the surgery is over where he is supposed to say for at least the next couple of hours. The patient is generally discharged on the very same day or the next day at the most.

Who is eligible for the treatment? (When is the treatment done?)

Patients who suffer from health problems such as stones in the kidney or gallbladder, hiatal hernia, abnormal tissue growths such as tumors in the abdomen or pelvis, damage to internal organs etc. are eligible for this surgery. Since a laparascopy is also carried out for diagnostic purposes cancer patients and those suffering from fertility problems are also eligible.

Who is not eligible for the treatment?

Pregnant women are not eligible for this surgery. Patients on blood thinners may not be eligible too unless they discontinue the medication for a certain period of time before the surgery. Moreover, this surgery is not performed on patients who have adbominal hernia, abdominal cancer and have gone through other abdominal surgeries previously.

Are there any side effects?

Side effects can take place after a laparascopy though they are not very common. These include torn stitches, pain at the site of incision, infection, bleeding from the incision, organ damage and or blood vessel damage.

What are the post-treatment guidelines?

Post-treatment patients are asked not to carry out strenuous activities such as exercising and/or lifting heavy weights. They may also be asked not to drive for a week. Patients will also not be allowed to have fizzy drinks at least one to two days after the surgery. Moreover, they will have to keep the area of incision clean and away from germs in order to prevent infections. With that being said, patients can return to leading their daily lives from the next day and to work a week after the surgery.

How long does it take to recover?

It does not take very long to recover from a laparscopy. Generally, patients are back on their feet just one week after the surgery.

What is the price of the treatment in India?

A laparoscopic surgery in India can border towards the expensive side. Price of this type of surgery start from Rs. 50,000 and go up to Rs. 4,00,000. This broad range of prices of is dependent on the cause of the surgery as well as the type of the surgery.

Are the results of the treatment permanent?

As far as the results of a laparascopy are concerned, they are more or less permanent, and the patient generally, does not experience the cause of the surgery again. However, in certain cases, complications can arise for which further medical intervention may be required.

What are the alternatives to the treatment?

There are no alternatives to a laparascopic surgery if it is being carried out as a treatment process. As a diagnostic procedure, alternatives might exist in the form of other tests. One should consult with their doctor to know about alternative tests that suit their particular condition.

Safety: High Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Low Price Range:

Rs 50,000 to Rs 4,00,000

Popular Health Tips

3D Laparoscopy In Gynaecology!

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Ahmedabad
3D Laparoscopy In Gynaecology!

3D laparoscopy has made a landmark achievement in the field of surgery for Gynaecology. It helps to provide in-depth perception along with correct measurement of the dimensions related to the anatomical spaces. Thus, it contributes towards increasing the skills of the laparoscopic surgeon in his attempt towards dissecting tissues and in designing strategies related to the surgery. 3D Laparoscopy helps a surgeon to perform the intracorporeal suture in an absolutely perfect manner. This is regarded as the World’s Best 3D Laparoscopy System. The very first installation has taken place in Gujarat.

3D laparoscopy helps to reduce the time frame of a gynaecologist and along with it, it increases the accuracy level of the surgeon. Even the complications involved with carrying out this surgery are reduced.

Surgeries Performed With The Help of 3D Laparoscopy

There are a number of surgeries, which surgeons can perform with the help of 3D Laparoscopy.

They include:

  1. Radical Hysterectomy - This is an operation mainly performed to treat cancer that affects the uterine cervix.
  2. Parametrectomy - This is an extremely viable technique for women suffering from invasive cervical cancer or a recurrent endometrial cancer of vagina after having undergone hysterectomy previously.
  3. Difficult TLH (Frozen Pelvis and Endometriosis) - Difficult TLH aims to solve a case for all patients, who suffer from the problem of containing Double Uterus, Double Cervix and Double Vagina with Severe Pelvic Endometriosis along with Diffuse Pelvic Adhesion after having undergone Hemi-Subtotal Hysterectomy previously.
  4. Completion - This surgery gets conducted for all those who are suffering from Endometrium and Ovarian cancers.
  5. TLH - This surgery involves a laparoscopic ligation of the arteries and veins present in the ovaries, with the removal of the uterus either through the vagina or abdomen. Finally, it involves the laparoscopic closure of the vaginal cuff.
  6. Adenomyomectomy - The surgery is performed in order to conserve the uterus for future pregnancy in patients, who are suffering from massive adenomyosis.
  7. Myomectomy - It involves the surgical removal of uterine fibroids. This is an extremely effective procedure.
  8. Adnexal and Retroperitoneal Masses - This 3D Laparoscopic Surgery even helps to get rid of these masses and avoid complications.
  9. Prolapse of Uterus and Bladder - This condition is caused due to the weakening of the muscles and tissues that provide support to the organs in the pelvis. The surgery helps to attach the vaginal vault to the sacrum with surgical mesh.
  10. Tuboplasty - This surgery mainly attempts to restore patency along with the functioning of the Fallopian Tubes, which can help women to achieve pregnancy.
  11. Sling Surgeries - Those who suffer from urinary stress incontinence, sling surgery can help ease out the symptoms of incontinence.
  12. Fertility Enhancing Surgeries - 3D Laparoscopic surgeries can help to perform even all those surgeries to enhance the rate of fertility like Endoscopic Reproductive Surgery.
  13. Ectopic Pregnancy - There are times when ectopic pregnancy can lead to heavy bleeding. Under those circumstances, 3D Laparoscopic Surgery helps in conducting an emergency surgery through an abdominal incision.

Advantages of 3D Laparoscopy

There are quite a number of advantages related to the use of 3D Laparoscopy towards carrying out surgeries for different organs.

The advantages include:

  • As this requires a minimum incision, hence there are almost no complications involved. So, there is a faster recovery period for the patients.
  • Shorter stay in the hospital
  • The improved manner of performing cosmesis or correction of a body part through surgeries.
  • This method of surgery ensures lot lesser amount of blood loss.
  • There is a very less amount of pain, which patients have to suffer after the surgery gets conducted.
3817 people found this helpful

Bariatric Surgery - Know Problems Of It!

MBBS, Fellowship In Minimally Invasive Bariatric Surgery, Fellowship In Minimally invasive(Keyhole) Surgery
Bariatrician, Bangalore
Bariatric Surgery - Know Problems Of It!

Bariatric surgery is unlike other surgeries, as its effects are not instant but gradual and are seen over the months. Like any other surgery, it is not without complication. But again unlike all other surgeries, the complication rate can be negligible if a strict protocol is followed. Moreover, the factors like technology advancements, development in the field of advanced laparoscopy, enhanced skillset of the bariatric surgeon, dedicated management of bariatric and metabolic surgeries by bariatric surgeons, play a vital role in the reduction of complication rate which eventually results in safe surgery.

As the procedure is done laparoscopically, the pain is just for a day and is minimally managed by analgesics.

The fear of increasing incidence of incisional hernias while operating an obese patient is so negligible or nil, as the procedure is performed through tiny key holes and all precautions are taken to suture the sheath through which the ports are put to perform the surgery.

Reduced hospital stay and early resuming to work is one of the biggest benefits of this laparoscopic bariatric procedure.

Sometimes, problems that may be faced are:- 

  1. Post-operative bleeding: Normally, this a nearly bloodless surgery involving 5 to 10ml loss of blood. However bleeding from the staple edges is known, but this can be managed well by the surgeon, by choosing the right size of the cartridge as well the right technique of application of the cartridge.

  2. Dehydration: We are normally accustomed to drinking water at long intervals (a few hours) as we can consume nearly 200 to 400ml at one go. Following bariatric surgery, gulping or drinking water in one go is not possible in the first 2 to 4 weeks, due to reduced capacity of the gastric pouch. Hence, care needs to be taken to drink small quantities of water at frequent intervals to avoid dehydration. This is possible only if the patient is counselled about this prior to surgery and is fully aware of this. Also, the patient needs to be given good and clear post operative instructions regarding the quantity and frequency of liquid consumption, not forgetting the type of liquids. Coffee taken frequently could be another cause for dehydration. Family members and colleagues and friends at work play a major role in reminding tthe patient about consuming water frequently. Special care needs to be taken in people who are not accustomed to consuming adequate quantities of water prior to surgery as a general habit.

  3. Vomiting/Fullness/ Discomfort/Indigestion: Following bariatric surgery, soft food is introduced in the diet in the third week, after the first 2 weeks of taking liquids. Due to the reduced capacity of the gastric pouch, the morsel size is significantly reduced and one has to chew the morsel well and eat slowly, giving a gap of 40 to 50 seconds between the morsels. This prevents distension or overdistension of the gastric pouch and thus avoids vomiting. This again requires good counselling prior to the surgery and on the follow up visit too before stating soft food. There is a subjective difference when we say small morsels and we cannot reach a standardization as the morsels size of each individual varies prior to the surgery itself. The best way to avoid this confusion is to make the person have the first soft food meal before you where in you can physically show the way food is expected to be eaten. However, by mistake, there is a chance that one can have a regular sized morsel as over years one is used to eating in that manner. If this happens, the person will vomit , and this will be a reminder to gauge the morsel size the next time the person eats. Following the vomiting, there could be a burning sensation in the stomach which will subside afer taking an antacid. If one follows the instructions of small morsel size, chewing properly and eating slowly, there is no chance that there will be vomiting. Another reason for vomiting could be keeping the stomach empty for a longer duration or having sicy food on an empty stomach. Avoid nuts, seeds, fried foods and processed foods. Very rarely vomiting could be due to reduced size of the joint between the gastric pouch and the small intestine. This could require an Endoscopy and necessary treatment.

  4. Vitamin and mineral deficiency: It is seen that many of the obese patients are seen to have vitamin B12, vitamin D, iron and protein deficiencies in their blood tests that are done prior to surgery. With the significant reduction in the amount of food consumed after bariatric surgery, the existing deficiencies are bound to increase. Hence, it is necessary to do these tests, before surgery and rectify the deficit prior to the surgery.     

  5. Gall bladder stones: Significant weight loss which is consistant over a short duration could lead to the formation of gall bladder stones, be it with or with out surgery in a small percentage of patients. To avoid this there are two schools of thought, one is have a prophylactic removal of the gall bladder along with the bariatric surgery and another is to put the patient on ursodeoxycholic acid (a tablet) for the first few months after surgery during which there is significant weight loss.

  6. Skin sagging: In the morbidly obese, when the skin is overstretched beyond a certain point, it tends to sag once significant weight is lost. This sagging is influenced by a number of factors like age of the patient, the BMI, pre existing sagging, pre-existing muscle tone and protein supplements taken during weight loss and exercises done during the weight loss period. Skin sagging is less if the age is less than 45, BMI less than 45, good protein intake during weight loss and good toning exercises done during the weight loss period.

  7. Hairfall: Significant weight loss either by diet and exercise, aerobics, bariatric surgery, will entail hair loss. But this can be minimised to a greater extent by ensuring good protein intake during the weight loss period and adequate supplements in terms of vitamins and minerals.

  8. Dumping syndrome: With a reduced size of the stomach, the food moves from the stomach into the smaller intestine much faster. This causes the pancreas to release excessive amount of insulin, leading to very low blood sugar levels , producing various symptoms like abdominal cramps, bloating, diarrhoea, sweating, dizziness, nausea, weakness, and anxiety. This is managed by eating less amount of sugars and fats and spacing out the meals through the day, having four to five small meals compared to  2 to 3 large meals. Having a high protein diet and avoiding liquids during meals is also an option.

3238 people found this helpful

Tips To Deal With Abdominal Laparoscopy!

MBBS, MS - General Surgery, Fellowship In Laparoscopic & Robotic Onco-Surgery, Fellowship In bariatric surgery, F.I.A.G.E.S
General Surgeon, Delhi
Tips To Deal With Abdominal Laparoscopy!

The outcome and the procedure of an abdominal laparoscopic surgery vary among patients. The extent of the surgery, the length of the procedure, the surgeon, the hospital nursing staff, and a number of other factors vary with each patient.

Moreover, the recovery or the healing time also varies among patients. What applies to one patient may not apply to another. Generally speaking, surgeons will tell you that it takes only a few days to recover from a laparoscopic surgery, but this is not true to specific cases as in many cases, the recovery time has been longer than expected. So, a laparoscopic surgery is subjective to the health of the patient and the extent of the procedure; however, there are some tips that may prove to be helpful for you to deal with a laparoscopic surgery and to improve your healing process.

Here are some useful tips that you can follow before the surgical procedure.

  • After you have consulted your doctor and made up your mind on the procedure, then it will be useful to watch some surgery videos and read about the procedure to prepare yourself mentally. The videos can be gory and hence discretion must be maintained.
  • You can read blogs by patients who have undergone laparoscopic surgery to get a better understanding of the procedure and its implications.
  • Eight hours prior to the procedure, do not drink or eat anything.
  • Ask someone to accompany you on the day of the procedure.
  • Make sure that you fix a pre-op appointment with the surgeon to clear any doubts about the surgery, anesthesia or any such concern.
  • You can shave the part of your body where the surgery will be performed by yourself or be prepared for someone else to do the same at the hospital.
  • Prepare your hospital bag with the necessary items and inform the person accompanying you about the items in your bag.

Here are some useful tips that you can follow after the surgery.

  • Keep yourself active after the procedure to enhance the healing process and to relieve any flatulence.
  • Stick to comfortable clothing and preferably loose clothes.
  • Avoid taking a bath for a week or as advised by your surgeon.
  • To avoid constipation and to stay hydrated drink at least 2-3 liters of water a day.
  • Hold a pillow against your stomach to lessen the pain while sneezing or coughing.
  • Don’t get up straight from your bed. Roll sideways and use the support of your arm to stand up.
  • Avoid driving for at least 2 weeks.
  • Go for regular check-ups with your surgeon or doctor to ensure that the incisions are healing properly.
2028 people found this helpful

Laparoscopy In Infertility

MBBS, Md - Obs & Gynae
Gynaecologist, Faridabad
Laparoscopy In Infertility

In this article we will be talking about Laparoscopy during Infertility and different other information about it which will be helpful for those who want to undergo a Laparoscopy.

What is Laparoscopy?

Laparoscopy is the method with the help of which doctors can diagnose infertility or treat different other problems related to fertility. Laparoscopy is a kind of surgery which is conducted with the help of two or three small cuts around the abdomen area. Through these small cuts the doctor inserts a laparoscope (thin, fiber optic tube) which allows the doctor to see inside the abdominal organs or they also insert any other important
surgical equipment.

Laparoscope is usually fitted with a light and camera which allows to monitor the inside of the women abdominal or genital system. Women are suffering from infertility and also if they experience pelvic pain, then it is highly possible that they will need to undergo a Laparoscopy. It can also be done once other infertility tests have been conducted.

Reasons For Laparoscopy Diagnosis

Your doctor may recommend you to undergo Laparoscopy because of many reasons.

Here are some of the most common and important reasons for Laparoscopy :

● If the woman experiences significant and frequent pain when she is engaged in
sexual intercourse.
● If the woman has severe and chronic menstrual cramps or pelvic pain at other
times of the cycle.
● If there has been a serious Pelvic inflammatory disease or severe pelvic
adhesions.
● If the doctor suspects that there is a chance of ectopic pregnancy and which can
be life threatening if left untreated.

So you can see that there are so many reasons because of which doctors can recommend you to choose Laparoscopy.

Why Is Laparoscopy in Infertility Important?

Infertility can be diagnosed with Laparoscopy and in many cases there have been instance that infertility was diagnosed only with this process. Laparoscope method not only helpa to identify the problem of infertility but also allows the doctor to check for much serious issues like cysts or tumors inside the abdominal system.

Laparoscopy is also very much beneficial for those who are suffering from significant pelvic pain. This process will help to remive the various scar tissues or endometrial residues which might be the reason for the pain.

Is Laparoscopy Safe?

Laparoscopy is a minimally evasive surgery which involves two or three very small incisions to be made around the abdomen. They will not hurt you much neither they will leave a mark of surgery for a long time. The Laparoscope is absolutely safe but there are some things to keep in mind that it is done in a medically induced environment which should not posses any threats of infection or pollutant. Laparoscopy is also recommended because there is not much postoperative problems which the patient face.

2470 people found this helpful

Open Or Laparoscopy Surgery - Which Is Better In Case Of Intestine?

MS - General Surgery
General Surgeon, Thrissur
Open Or Laparoscopy Surgery - Which Is Better In Case Of Intestine?

In order to maintain a healthy digestive system, your small intestine plays a major role. This is also called as the small bowel. The major function of the small intestine is that it absorbs fluids and nutrients from the food that you take in and discharges waste material to the large intestine. When there is a problem with the small intestine’s functioning, then your health is at total risk. It will not be able to absorb the essential elements from the food and will not send waste to the large intestine. You will need immediate intestine surgery for this. The doctor may even remove the damaged part of the small intestine if there is a blockage or any other infection inside. This surgery is also called as Small bowel resection.

Why do you need an Intestine Surgery?
There are many conditions that can cause some damage to the small intestine. Mostly, the damaged part of the small intestine is removed, but in rare cases, a small part of the same intestine is also removed to do some tests. When you have a severe ulcer, infection or bleeding in the small intestine, intestine cancer, any injuries to the small bowel or blockage in the small intestine then these can be some of the conditions which need an Intestine surgery.

Intestine Surgery procedure:
Usually, Intestine Surgery is performed in two different ways:
Open Surgery: Initially, you will be given anesthesia so that you will not feel the pain. Usually, depending on the severity of the problem, the surgery may take from one hour to eight hours also.

In Open Surgery, the abdomen part of the body is used to make an incision. The doctor will find the affected part of the intestine and will clamp it. Then the required part of the intestine is removed and stitched back to normal.
Laparoscopic Surgery: Coming to Laparoscopic Surgery, you will have small incisions compared to the incisions in Open surgery. Initially, the gas is sent inside the abdomen area in order to inflate the abdomen area. This will allow the surgeon to see things clearly inside. When small tools, camera, and lights are sent in the body and with the help of all these the affected part of the intestine is clamped. Now, that part is removed and the incisions are closed.

To finish the surgery, usually the two ends of the left out intestine are stapled or sewed together to make it into one. But in some cases, this may not be possible and hence they will make a new opening and that is called as Stoma. The intestine will discharge through the Stoma into a drainage bag. This entire process is called as an ileostomy.
You will have to stay on a liquid diet for at least seven-days post-surgery. If it was an emergency or a major part of the intestine gets removed, then you will need to stay in the hospital for two weeks.

 

2980 people found this helpful

Popular Questions & Answers

Hello, I'm getting problem in having pregnancy. I had two miscarriages of two months each thn aftr I had hyproscopy & laparoscopy operations too, laparoscopy operation had 5 months ago but still problem persists, laparoscopy report were normal no issues in fallopian tube nor any blockages. My husband's tests reports are also normal no issues in that as we had tests time to time. Both blood group is AB+. We have completed 5 years of married life. Please suggest. Thanks.

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
See. If the reports are normal, then it is a matter of time only to click. Do not loose heart and try. 2nd week of menstrual cycle is crucial for conception. So try daily throughout the 2nd week if possible. It is better to avoid long travel,
1 person found this helpful

I am suffering from Fistula in ano. I went for a laparoscopy surgery for fistula in oct" 2017 but it was unsuccessful. Presently I do not know what should I do. Please help me.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, Warm welcome to Lybrate.com I have evaluated your query thoroughly. This requires revision surgery. I have clinical experience of more than 18 years in these types of cases, can assist further in details very authentically if you want. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care.

I take 4 time clomiphene and 2 times hormonal injection Lupi FSH but not conceive. My Dr. tell me for laparoscopy. What to do. I go for laparoscopy or any other treatment.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear lybrate-user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly.* In our clinic, we recommend a minimum trial of 6 - 9 months of conservative treatment to conceive, before going for laparoscopy. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care.
1 person found this helpful

I had laparoscopy on 13th Nov. I had three stitches which were removed after 10 days. Today I observe my naval and saw a black thread coming from there. Kya mere stitches dang se remove Nahi Kiye gye? What should I do now? Will this thread affect my chance of conceiving?

Fellowship in Laparoscopy, MS - General Surgery
General Surgeon, Chennai
Usually absorbable sutures are not needed to be removed as it automatically falls. Sometimes there can be delayed fall of the sutures. It would be better to see the doctor.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Laparoscopy Surgery: A Boon for Patients
Good Afternoon

I am Dr. Chetna. Today we are doing to talk about the benefits of Minimal Access Surgery. So Minimal Access Surgery is more commonly known as Keyhole Surgery or a Laparoscopic Surgery. Now this is a revolution in the medical science which is now we are practicing for the last fifteen twenty years and it has given excellent result. A lot of people still in theato cities or otherwise metro cities also still have fear about laparoscopic surgeries. When they come to OBT, they start talking that you know the surgery remains and complications and stuff. Now here I would like to bust this myth and explain to you that why a Minimal Access Surgery is far superior to an open conventional surgery. Now a Minimal Access Surgery or a Laparoscopic Surgery is done through making punctures in abdomen void. Now this can be used for a various Diseases like to remove the uterus, to remove the ovarian cyst, to correct the polycystic, to remove endometriosis, to correct ectopic pregnancy and other further related surgeries. So we can remove large fibroids ad large as seven months pregnancy sized to large ovarian cysts. Yes, there are certain pre-requisites which we need to see before we decide whether this patient is fit for Laparoscopic Surgery or not. Majority of the women who are otherwise fit that means they have a normal exercise and urines and stuff are able to withstand Minimal Access Surgeries. So I was coming to advantages. Advantages no. 1, there are no major cuts on the tummy so there are some punctures. They may vary in numbers between two to four or sometimes even five and the size of these punctures would be largest to be about ten or twelve centimeters so you can believe these are very small punctures. The second advantage is that the surgeon is operating under the magnification of 6X or more. So that gives a lot of access to the pelvis so we can see it very properly. If required we can rotate the camera and go in the upper abdomen and see that as well. So there is a lot of benefits when it comes to the visual appearance of the organs and the operation skill. Then the instrument that we use in the Laparoscopy are very fine. To explain, my scissor blade is no longer than the nib of the pen that we use, not the ink pen we are talking, the regular gel pen. So that is the size of the blade that we use so that gives a very fine precision. Then the blood loss is quite less since the abdomen is not open to the air outside so the recovery is quite fast. That means the less number of hospital stay, less chances of blood transfusion or almost no chances of blood transfusion. You can go home fast. You can . I have had patients who did the surgery, second day we went to work, fifth day you see them coming from the office to remove their stitches. So this is brilliance you can t expect.so very next day the patient sits and starts eating and starts eating and talking, everything feels normal. So this is a blessing, it is a boon and since majority of the surgeries can be done by Laparoscopy. I would say before going in for an open surgery. They should be considered for laparoscopy. Yes, there are certain candidates are not fit for laparoscopy and these can have an open surgery but majority of who had fibroids, endometriosis, ovarian cysts, polycystic ovaries, pelvic infections, ovarian mass, some of the cancer patients also, uterus removal for heavy bleeding. So all these things can be done through a laparoscopy. So I believe this is a blessing by the modern science and we should all avail of this benefit.

So if any questions we can always meet me up at Medicals Medi-clinic Sector-14 and also part of Apollo cradle hospital. So you are welcome.
Play video
Laparoscopy and Hysteroscopy
Difference Between Laparoscopy and Hysteroscopy Surgery
Play video
Know More About Laparoscopy
Briefing on Laparoscopy
Play video
Infertility Treatment
Treatment of Infertility by Laparoscopy and Hysteroscopy

I am Dr. Vishakha Munjal. I am a laparoscopy surgeon and infertility specialist. Today, I am going to talk about the role of laparoscopy and hysteroscopy in treating infertility.

Today, infertility has almost become an epidemic. This is because of multiple reasons like late marriages, late planning of pregnancy, various diseases like tuberculosis and pelvic infections which affect the fallopian tubes and cause their blockages. Then there is a certain disease like Endometriosis and fibroids which are at times the reason for infertility. These days lifestyle changes and an increase in stress level is also one of the reasons for ovulatory dysfunction and decreased sperm count. Couples facing infertility should consult an experienced gynecologist to understand the reason for infertility and how best it can be solved. Laparoscopic and Hysteroscopic surgeries can greatly help in diagnosing as well as many factors of infertility, thus, helping a woman to conceive naturally. Also, certain conditions like fibroids, endometriosis, and tubal factors need to be treated prior to IVF to increase the success rate of IVF else the woman will undergo multiple cycles of IVF and will get no results. So, it is very important to treat disease prior undergoing IVF.

The major Fertility Enhancing Surgery is Fibroid Removal, which is also called Myomectomy. Almost, any size of the fibroid can be taken care of laparoscopically. Compared to an open surgery, Laparoscopic Myomectomy has lesser blood loss and leads to lesser addition formation. It is also less painful for the patients. Patients can return back to work more quickly and they can plan for pregnancy also more quickly. Then, there is Endometriosis which is a chronic painful condition which causes severe pain during periods and during sex along with fertility. It is one of the major reasons for infertility in today s age. It is also associated with cyst formation at times which is called the chocolate cyst. Laparoscopy is a gold standard for treating Endometriosis. After Endometriosis, a woman gets not only relieve her pain but also she is able to conceive quickly. Then there are variances which are a hindrance for conception. Any size of the ovarian cyst can be treated laparoscopically.

First of all, get a histopathological diagnosis to rule out any malignancy in the cist as well as we remove the hindrance which is coming in the way of conception. Then, talking about tubal factors, tubal blockage at any level can be treated laparoscopically and if the blockage is at the starting of the fallopian tube then there are very fine cannulas available along with guide wires available which we used to cannulate the fallopian tubes and this can be done very effectively and it increases the chances of conception naturally. Now, let me talk about hysteroscopy. Well, hysteroscopy is a small telescope which is passed into the uterine cavity to see the cavity from inside for any pathology and to see the opening of the fallopian tube. Certain factors like presence of a fibroid, a polyp, a polyp is a sort of growth inside the uterine cavity, a septum which is like a wall causing a partition inside the uterine cavity. They all can be removed hysteroscopic ally, once this thing is removed hysteroscopic ally, the chances of the conception of a woman in creases greatly. All in all laparoscopy and hysteroscopy are a boon for infertility management. Laparoscopy is technically as much superior procedure than an open surgery. Since it is done through small punctures it is cosmetically very appealing, it causes less pain, less blood loss, less hospital stay, early recovery and early return to work for a patient.

If you wish to contact me for any laparoscopic enhancing surgery or infertility related problems, you can contact me at MediClinic, E16 Lajpat Nagar 3. Thank you.
Having issues? Consult a doctor for medical advice