endoscopy

 

 

Procedure Desciption

Diagnostic Hysteroscopy

Hysteroscopy is a procedure where a thin, lighted tube (Endoscope) is inserted inside the uterine cavity through a cervix.

Watch this Video Video Icon

.....................................................................................................................................


Endometrial Polyp

Polyps are abnormal growths and projections of endometrial or myometrial tissues inside the uterine cavity giving rise to abnormal bleeding patterns and infertility.

They can be removed under Hysteroscopic guidance with use of graspers or Energy Sources.


Watch this Video Video Icon

.....................................................................................................................................


Septum

Due to defective or improper development of uterus a thick band (Septum) divides the cavity in two parts. Giving rise to fertility problems or recurrent pregnancy loss.

It can be corrected (Cut / Released) under Hysteroscopic guidance using electrocautery Energy.


Watch this Video Video Icon

.....................................................................................................................................


Diagnostic Laparoscopy

The laparoscope is inserted through a tiny incision in or near the navel. Other instruments may be inserted through one or more other tiny incisions. A video camera is attached to the laparoscope to enlarge and record the view.

Under direct vision uterus, tubes and ovaries are inspected for pathology and tubes are tested for patency by injecting Blue Dye from below.


Watch this Video Video Icon

.....................................................................................................................................

 

Ectopic Gestation

Condition where pregnancy occurs outside the uterine cavity, commonly  in the fallopian tube. This can be confirmed and treated by Laparoscopy by Linear Salpingotomy : Preserving the tube ( When the size of the ectopic pregnancy


Watch this Video Video Icon

.....................................................................................................................................


Endometric Spot Fulguration

Pelvic Endometriosis: It is a condition where there is deposit of endometrial tissue [lining of the uterus] outside the uterus. It appears as small black dots “powder burns” seen over the uterosacral ligament or the pouch of Douglas. There is scarring of peritoneum surrounding the implants, the peritoneum is puckered and adherent to the back of the uterus and adenaxae causing painful menses, chronic pelvic pain and Infertility.

These lesions can be diagnosed and treated under direct vision using bipolar energy source via laparoscopic guidance.


Watch this Video Video Icon

.....................................................................................................................................


Chocolate Cyst of Ovary

Chocolate cyst of Ovaries (Ovarian Endometrioma) -  It is Endometriosis of ovary leading to collection of chocolate coloured fluid in the ovarian tissue causing their fixity and adhesion formation to surrounding structures. It gives rise to symptoms of Dysmenorrhoea( painful Menses ), Menorrhagia ( Bleeding problems  Infertility, Dyspareunia ( Painful Coitus ) and pelvic and abdominal pain. 

Laparoscopic treatment for Chocolate cyst of Ovary:

  • When the ovarian implant is
  • When > 2 cm complete Adhesiolysis is followed preferably by the cyst aspiration and cyst wall (capsule) removal to avoid recurrence.


Watch this Video Video Icon

.....................................................................................................................................


Pelvic Endometriosis

Endometriosis may involve surrounding structures like rectum or bladder giving rise to chronic pelvic pain and pain during urination or defecation or Sexual intercourse.

 These condition requires proper preoperative preparation and extensive dissection of disease under Laparoscopic Guidance.


No Video

.....................................................................................................................................


PCO Drilling

Polycystic Ovarian Disease: Condition associated with irregular scanty menses, subfertility, hirsutism and many a times obesity.

One of the treatment option includes Ovarian Drilling where multiple punctures are performed targeting on the ovarian stroma with unipolar coagulation.


Watch this Video Video Icon

.....................................................................................................................................


Ovarian Cyst

Ovarian Cyst is abnormal collection of fluid or material in ovarian substance.

Laparoscopy can be performed for drainage, removal or biopsy from such cyst. The material removed is normally sent for Histopathological examination.


Watch this Video Video Icon

.....................................................................................................................................

 

Adhesions

Performed in cases where different parts of genital organs (tubes, ovary, uterus) are abnormally stuck (Adherent) with one another or with bowel. It is performed using hydrodissection, scissor or laser and atraumatic forceps.

.


Watch this Video Video Icon

.....................................................................................................................................

 

Hydrosalpinx

Abnormal dilatation with clear fluid collection in cases of distal tubal block is known as Hydrosalpinx.

Linear / Cruciate incision Neosalpingostomy is surgical incision on this blocked distal part and creation of new healthy opening with dissection and monopolar energy under Laparoscopic guidance.



Watch this Video Video Icon

.....................................................................................................................................

 

Tubal Recanalisation

Abnormally blocked tubes or tubes with previous tubal ligation can be opened using microlaparoscopy known as Laparoscopic Tubal Recanalisation or Tubotubal Anastomosis


Watch this Video Video Icon

.....................................................................................................................................

 

Total / Subtotal Laparoscopic Hysterectomy

Indications :

Symptomatic fibroids, Adnexal Mass, Adenomyosis, Endometriosis, Abnormal Bleeding, Chronic PID. Stage 1: Endometrial and Ovarian carcinom.

    
Why Laparoscopic hysterectomy is better than Abdominal hysterectomy? 

  • Less blood loss.
  • Shorter hospital stay.
  • Speedier return to normal activitie.
  • Fewer wound infections and febrile illness episodes.


Watch this Video Video Icon

.....................................................................................................................................

 

Genital Prolapse

Abnormal Descent of Genital organs from their usual position.

  • Advantages of Laparoscopic Prolapse repair.
  • Less blood loss, Shorter hospital stay  
  • Better tissue visualization and dissection.
  • More physiological and compartmentwise repair possible.


Watch this Video Video Icon