Laparoscopy can be used to directly examine the issues or diseases associated with the uterus, ovaries, and the tubes by inserting instruments into the lower abdominal cavity through 3 - 5-mm holes. If required, surgery can be performed using laparoscopy.
Laparoscopy is performed for the following conditions:
Hysteroscopy
Hysteroscope is a device, which allows for visualizing the intrauterine cavity and making the diagnosis of uterine fibroids, polyps, and intrauterine membranes. The method also allows for providing treatment in the same session.
The hysteroscope is in the form of a tube with a camera at its end. It is extended from the neck (cervix) of the uterus to the intrauterine cavity to examine and identify intrauterine problems. Your doctor may collect a small sample of tissue during the procedure if necessary.
Hysteroscopy is performed in the following conditions:
How is hysteroscopy performed?
Hysteroscopy involves using a small telescopic camera system, which is proceeded through the cervix (neck of the uterus) and the intrauterine cavity. No incisions are required to perform the procedure. During the hysteroscopy procedure, the inner walls of the uterus is visualized after injecting a sterile solution into the uterus. The telescopic camera is used during the procedure, which helps to find out uterine fibroids, polyps, adhesions, and septum. Biopsy samples can be collected during the procedure, too, if necessary.
After the diagnostic procedure, a surgical hysteroscopy is also possible in the same session to treat the identified problems. General anesthesia is used for surgery most commonly; however, the procedure can also be performed under local anesthesia and sedation. You can return home on the same day of the surgery unless you do not undergo surgery for the excision of large uterine fibroids. In this case, an adult should accompany you 24 hours a day.
Hysteroscopy is not performed during menstrual bleeding or it is not used in the patients who can conceive potentially because it may cause a miscarriage. Sexual intercourse should be avoided for a menstrual cycle after hysteroscopy unless a reliable contraception method is used.
After hysteroscopy, there may be mild vaginal bleeding and some pain similar to that experienced during menstruation. Simple painkillers can be used for pain relief. The bleeding will diminish gradually and stop in a few days. The bleeding will not be problematic unless it becomes severe or turns into a discharge with a foul odor. Tampons should not be used and sexual intercourse should be avoided for 1 week.
Myomectomy - Fibroid Surgery
Myomectomy is the removal of uterine fibroids, which may prevent conception. Myomectomy can be performed either as open or closed surgery.
Before undergoing IVF, a series of diagnostic examinations and tests will be carried out to identify the factors which may interfere with the implantation of the embryo, hindering conception. These examinations will help find out whether there are fibroids or polyps in the reproductive system of the prospective mother.
Surgical treatment of uterine fibroids requires administration of general anesthesia to patients and uterine fibroids are removed one by one during the procedure. These operations are usually performed by open surgery in the abdominal region. Also, they can be performed using laparoscopic or hysteroscopic methods.
A high number of uterine fibroids may make treatment processes difficult. In some cases, patients may need to repeat surgery.
Not all uterine fibroids impose great risks for pregnancy; therefore, treatment should be planned at the physician's discretion.
During pregnancy, fibroids may develop in the internal or external walls of the uterus. When these fibroids show growth and proliferation, they may block the intrauterine cavity. They may adversely affect the fetal development or they may even cause a preterm labor.
Surgery will be scheduled based on the complaints making the patient suffer. In one out of