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FAQs

Although there is very less risk of complications in laparoscopic procedure but general complications of any surgical procedure like bleeding and infection cannot be eliminated. Very rarely it can cause injury to the abdominal organs, intestines, urinary bladder or blood vessels.

There is a chance of “conversion” of laparoscopic surgery to the open procedure in some rare cases where abnormality cannot be traced via small incisions.

Although there is high risk of laparoscopic procedure being converted into these individuals but it also depends upon the need and possibility of laparoscopic procedure.

Laparoscopic surgery is not completely “pain-less”, but definitely “less-painful”. It is majorly because of small incisions as compared to larger incisions of traditional open surgery.

 The risks are similar for both laparoscopic and open surgery but there are fewer chances of risks after laparoscopic surgery as compared to open procedure.

  • Wound infection
  • Bruising
  • Hematoma formation
  • Anaesthesia-related complications
  • Injury to blood vessels

Patient should not hesitate to call or visit the doctor in case of any of the following symptoms:

  • Heavy bleeding
  • Fever or chills
  • Nausea or vomiting
  • Urination or bowel related problems
  • Severe or increasing abdominal pain
  • Redness or discharge from the skin incisions
  • Shortness of breath
  • Chest pain

Hysteroscopy is a procedure performed with a thin telescope (hysteroscope) that is inserted through the cervix into the uterus to diagnose and operate abnormalities of the uterus.

  • Very gentle and quick procedure
  • Mostly performed under local anaesthesia
  • Minimal discomfort
  • Patient is able to get up and return to their normal activities immediately
  • Early return to  routine activities
  • Minimal scarring
  • Less postoperative complications

 It should be ideally performed during the first week or so after menstrual period as physician can best view the inside of the uterus.

Hysteroscopy may be used either as diagnostic or operative to diagnose and operate on various abnormalities of uterus and may also be used to confirm the results of other tests such as hysterosalpingography (HSG).

Diagnostic hysteroscopy can diagnose certain conditions like:

  • Abnormal uterine bleeding
  • Infertility
  • Repeated miscarriages
  • Adhesions
  • Fibroid tumors
  • Polyps
  • To locate displaced intrauterine devices (IUDs)
  • Uterine adhesions
  • Septums
  • Fibroids

Like any other procedure, following risks & complications are associated with hysteroscope:

  • Bleeding
  • Infection
  • Perforation of the uterus
  • Damage to the urinary or digestive tract
  • Absorption of fluid (into general circulation) used to distend abdominal cavity

     

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Dr. Deepak Rao is a gynaecologist and laparoscopic surgeon. A pioneer of endoscopic surgery (laparascopy and hysteroscopy) in Bangalore

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