Medical science has come a long way from terribly painful surgeries to skilled procedures that involve very less pain and cuts. Now, it is all possible to have a look inside the abdomen of a person and even perform a surgical operation, all this without making painful long incisions that take a long time to heal. These types of surgeries are called minimally invasive surgeries and are safer to perform than the conventional surgery. In the field of gynecology, there are two major types of minimally invasive surgeries – Laparoscopy and Hysteroscopy.
Laparoscopy and hysteroscopy are two common minimally invasive surgeries which are both used in the diagnosis and treatment of some infertility problems in the females. To make sure about the state of the uterus and the uterine cavity is really important while giving some infertility treatment to the females. This becomes more important when the patient is suspected of having fibroids, endometriosis or polyps and in cases where the female has a history of some pelvic infection. Laparoscopy and hysteroscopy can then be used to be certain of the problem and to start the treatment accordingly.
Laparoscopy is a surgical procedure to look into the abdomen and the pelvic region with the help of a special tool called Laparoscope. The laparoscope is a small, specially designed probe which has a camera and a light source attached. It’s about 12 cm. long and thick like a pen.
In laparoscopy, small incisions are made into the abdomen through which the laparoscope and other surgical tools are inserted. This procedure helps to see the uterus, ovaries, tubes’ external region and other organs inside the abdomen.
Laparoscopy is mainly used to diagnose the pelvic and abdominal region of the body, find the cause of any pain or problem being felt in this region and as a part of the investigation for the cause of infertility in a woman.
Laparoscopy is not limited to just observe the inside of the abdomen but is also used to perform a surgery in this region with the help of fine surgical tools. As there are a few small incisions made to perform the surgery contrary to the conventional surgery where long cuts are made, this type of surgery is called a “minimally invasive surgery” or a “keyhole surgery”. Laparoscopy can be used to treat problems like fibroids, endometriosis, cysts, perform hysterectomy and can even be used for pelvic floor reconstruction surgery.
Compared to a conventional surgery, a laparoscopic surgery is very beneficial as it has several advantages like:
- Small scars that heal quickly
- Less pain after the surgery
- A shorter stay in the hospital
- A quicker recovery
Much similar to laparoscopy, hysteroscopy is a surgical procedure which includes inserting a telescope inside the uterus to observe the uterine lining. The name hysteroscopy comes from two word – hystero, meaning uterus and scopy, meaning to see. Hysteroscopy is a useful procedure which can be implemented in the examination of different conditions in the uterus which can directly or indirectly affect the fertility or are the cause of infertility in a woman, such as:
- Scarring in the uterine lining (adhesions or synechiae)
- Uterine septa and other congenital malfunctions
- Endometrial polyps
- Submucous fibroid (internal)
Before a hysteroscopy is performed, an x-ray of the fallopian tubes and the uterus called a hysterosalpingogram is usually performed. This x-ray gives the additional useful information about the uterus, fallopian tubes and the uterine cavity which is helpful for the surgery. Other diagnostic procedures like vaginal ultrasound can also be recommended by some doctors. A diagnostic hysteroscopy is a minor procedure which can be performed with general or local anesthesia and usually is done under an hour.
Minimally invasive laparoscopy and hysteroscopy can be utilized as primary examination method and ought to be incorporated into the fertility workup of female patients prior to seeking in vitro fertilization (IVF). Some fertility clinics do IVF without completely examining the couple or what the issue is. There could be scarred tissues, endometriosis, or another condition that influences the fertility. With regards to the treatment of endometriosis, there are two major beliefs: evacuating endometrial scar tissue before starting infertility treatment or bypassing the scar tissue with IVF. While IVF may effectively sidestep scar tissue and enable the patient to become pregnant, there are more serious dangers of premature delivery and implantation issues also.
Laparoscopy is a significant procedure to reveal fertility problems like endometriosis in women who were diagnosed for any infertility issues previously but unable to find the cause for it. In our own particular experience, we have observed this to be valid in near 70% of unexplained infertility cases – withor without the presence of uterine scarring. There is no relationship between the measure of endometriosis and the effect it has on fertility. A lot of women either have pelvic pain or bleeding. They may have been a couple of side effects of endometriosis running from gentle to extreme. The primary symptom might be the failure to get pregnant yet nobody considers endometriosis if the patient does not have pain yet.
Laparoscopy and hysteroscopy are helpful to all patients unless there is an obvious cause of infertility and critical male infertility with no other confirmation of female’s infertility problem. Thus the treatment of the patient’s fertility becomes relatively easy. Numerous patients who experience laparoscopy and hysteroscopy go forward to get pregnant.
At Aveya IVF, we have a team of highly experienced doctors and IVF specialists who will properly diagnose the patients before starting any major procedure. This is accompanied by our state-of-the-art labs and highly experienced technical staff who all are here to help the patients in every possible way.