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Laparoscopy In Infertility - Know More About It!

Written and reviewed by
Gynaecologist, Navi Mumbai
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Hi everybody,

I am Dr. Shubhangi Adate. Hum aaj ek aise topic par baat karna chahenge jisse bahut sare logo ka hamesha ek question rehta hai laparoscopy jo infertility ke cases kari jaati hai. Actually laparoscopy hoti kya hai? Laparoscopy ek aisa procedure hai jahan par hum log pet par ek nabhi ke upar 1 centimetre incision aur pet ke baki ke do hisso mein aadha-aadha centimetre ki maybe 1 yeh 2 incisions late hain.

Hysteroscope, hysteroscopy ek or procedure hota hai jo hamesha hum laparoscopy ke saath combine karte hain ab ye hysteroscopy kya hoti hai? isme hum kya karte hain ek chhota sa camera hum log vagina ke raaste se uterus ke andar entry karate hain isse humko ye pata chalta hai ki vagina kaisa hai, vaginal walls kaise hai, cervix ka nichla hisaa wo kaisa hai wahan par koi spot to nahin hai, cervix ke andar ka hissa inner wall,internal os, external os ye sab dekhte hain aur iske baad jab uterus mein entry hoti to uterus ke inner walls, tubes ki entry ye sab hum isme check karte hain ismein se ager kuch bhi chhota growth like polyp ho, endometrial lining abnormal ho ya fir kisiko tuberclosis mein pregnancy ho ye bhi humko yahan se pata chal sakta hai.

Jis kisi ko TB hai garbh-thaili ka ya fir kisi mein small miso mucous fibroid ho to in sab cases mein hum log hysteroscopy se bhi nikal sakte hain ab ye laparoscopy kab karani chahiye, iska exact karne ka matlab periods ke baad aap ki bleeding rukne tak aur maybe periods ke 8vein ya 9vedin tak hum ye kar sakte hain, is mein aap ko kafi saari taariyan hoti hai matlab kaun right candidate hai ye laparoscopy or hysteroscopy karne ka. Jo ek ya usse bhi jyada salon se try kar rahe hai aur bachcha nahi kar pa rahe hai aur do jinko fibroid ki takleef hai, teen jinko apne andashay mein koi gaanth ho jisko hum ovarian cyst bolte hain ya fir kisi Ko jisko polycystic ovarian syndrome ho jinki ovary bahut bulky hai aur unko ovarian drilling karne ki jarurat hai, jinko tubal checking karni hai ki tubalblock to nahi, endometriosis hai ya fir kisi ko unknown reason hai ki kyo pregnancy nahi ho rahi aur hum sare IVF cases ke pahle diagnostic hysterolaparoscopy karte hain.

Pehale se hame kya karna chahie. On the day prior to surgery matlab procedure ke ek din pehle aap ko kya karna hai, suppose aap ka procedure next day morning mein hone wala hai to hum aapko ek din pahle se soft diet matlab naram khane par daalte hain isse hum aapka pet saaf karte hain jisse uske baad aap jab liquids par jab jayenge to pet saaf karne ke liye ek liquid diya jata hai jisse aapko kind of julaab hote hai wo ek ya do baar hote hain agar usme aisa kuch hai ki bahut baar hogye to hum apko tabhi admit karne ko bolege but aise bahut kam cases mein hota hai ye hone ke baad aapko raat ke baad kuch bhi khana Pina nahi matlab operation ke din subah jab aap aate hain to bhi khaana ya peena nhi hota ye hone ke bad operation ke din kya hone wala hai jis din aap admit hote ho us din aap ko antibiotics die jayenge procedure ke aadhe ghante pahle jaise aap ka procedure 9 baje hai to aap 8 baje admit ho jayenge aur ye procedure 9 baje start hoke maybe aadha yeah ek ghante ka hota hai.

Ye hone ke baad aap ko immediately OT ke bahar shift karte hain aur iss main aapko 4 se 6 ghante mein wapas pani deke khana chalu kar sakte hain aur aap ko same day discharge ho jata hai to iske baad aapko koi aaram ki jarurat nahi hai aap uth sakte hain, baith sakte hain, niche baith sakte hain, sidiyan chad sakte hain ye sari cheezein aap operation ke baad bhi bakhubi kar paynge to iska matlab hai minimal access surgery hum log isi ko kehte hain jisse aap ke din hi din cheezon ko aap is affect nahi hote hain, aap operation ke dusre din se aap kaam par lag sakte hain shayad isliye usko ek bahut hi growing procedure bolte hain aajkal or log prefer karte hain ki apna laparoscopy hi karein.

Thank you so much.

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