Laparoscopy and Hysteroscopy
Laparoscopy is a procedure to examine the reproductive organs through an instrument called a laparoscope. A laparoscope is a long, thin tube with a high-intensity light and high resolution camera.
Laparoscopy is performed under general anesthesia. Once the patient is sedated, a needle is inserted through the navel and the abdomen is filled with carbon dioxide gas. This allows the abdominal walls to expand and move away from the internal organs so that the laparoscope can be placed safely into the abdominal cavity. It decreases the risk of damaging the surrounding organs such as bowl, bladder and blood vessels. The laparoscope provides a better viewing of the uterus, ovaries and the fallopian tube. A uterine manipulator can also be inserted through the cervix into the uterus for the surgeons to view the pelvic organs. The instrument and gas from the body is removed and the incisions are stitched up once the procedure is complete.
Hysteroscopy is a procedure used to evaluate infertility and recurrent miscarriage in women.
A hysteroscopy is carried out in the first week after the menstrual period is over as it allows the doctor the best view of the inside of the uterus. No incisions are required for hysteroscopy.
In this procedure, carbon dioxide gas or a lubricant known as speculum is injected into the uterus through the cervix. This slightly stretches the canal of the cervix with a series of dilations to temporarily increase the size of the opening. Once dilated, a thin, lighted telescope-like device called hysteroscope is inserted into the uterus through the vagina, which transmits the image of the uterus onto a screen. This allows the doctor to see the lining of the uterus and what is wrong with the uterus.