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Laparoscopy

Laparoscopy is a game-changer in the arena of surgeries. It is a minimally invasive, accurate and a highly reliable procedure. With laparoscopy, doctors can now see the affected site inside one’s body with just a small incision through which a laparoscope is inserted, without in making any huge cuts on the body. A camera is attached with the laparoscope that takes snaps of the affected area, which are thereby studied by the doctor to make precise decisions, making the surgical procedure highly effective.

In gynaecology, where women are often scared of the surgical procedures owing to the ugly scars and marks left behind, laparoscopy has been immensely beneficial and is being opted by most patients.

There are several gynaecological issues faced by women time and again that requires surgical treatments. Laparoscopy helps in such cases. The several gynaecological conditions that can be treated by laparoscopy are as follows:

  • Ovarian cysts: Ovarian growths or cysts need to be looked at closely. Thus a uses laparoscopy for this purpose and uses it to diagnose problems such as ovarian cysts, fibroids, adhesions, and pelvic infection
  • Tubectomy: Laparoscopy helps in tubectomy which is crucial for family planning. It is a procedure with which a lady's fallopian tubes are blocked or clasped to keeps eggs from reaching the uterus for implantation.
  • Fibroid surgery Laparoscopic Myomectomy: This procedure helps a surgeon to avoid making a huge abdominal cut but rather make small incisions to remove the fibroids formed inside.
  • Removal of the uterus Laparoscopic Hysterectomy: Many women face issues with their uterus with increasing age. Uterus cancers are also quite common. In some conditions removal of the uterus from the body emerges as the only option left and thus laparoscopy is used in such cases.
  • Laparoscopic hernia repair- Different types of hernia like Incisional, Umbilical and Inguinal can also be treated effectively with the help of laparoscopic surgery.
    • Diagnosis laparoscopy for infertility- Laparoscopy is used to diagnose infertility or to treat infertility. It is a surgical procedure, in which the doctor makes small cuts in the abdominal region and inserts laparoscope ( a thin fibre fitted with a camera). This procedure allows the doctor to clearly observe the reproductive structures such as ovaries, fallopian tubes and uterus.
    • Dye [Tube] Testing- Laparoscopy and the dye test is a procedure using keyhole surgery to find out the reason that prevents one to be pregnant. The laparoscopy helps to find abnormalities in endometriosis, pelvic region and ovary. The dye test finds out whether fallopian tubes are blocked.
    • Surgery for ectopic pregnancy (tube pregnancy)- Ectopic pregnancy is a complication in which the embryo attaches outside the uterus. It happens in the first few weeks of the pregnancy. The fertilized embryo cannot stay outside uterus so to place it in a right position laparoscopy surgery is carried out.
    • Ovarian drilling for PCOD- Ovarian drilling is an effective treatment with the help of laparoscopy that can stimulate ovulation for women with Polycystic Ovaries. The procedure is mainly used for the women who are not ovulating even after trying fertility treatments.
    • Adhesiolysis- Adhesions are caused due to infections or injury in endometriosis. Laparoscopic resection is an effective and safe treatment option for releasing adhesions.
    • Endometriosis- Laparoscopy is the common procedure used in diagnosing and removing the mild endometriosis. Endometriosis is a condition in which the tissue that normally lies in the uterus grows in other places of the body. Laparoscopy is the only way to diagnose and treat the disease accurately. 
Authored by Dr.Deepak Rao

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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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