Diagnostic and advanced operative hysterolaparoscopy

An essential tool for the evaluation of female infertility, Diagnostic & advanced operative hysterolaparoscopy gives a detailed and direct visualization and analysis of the uterine cavity, endometrium, tubal morphology and uterine and ovarian pathology. The problems that cannot be detected via external examination can be spotted through the procedures that offer a direct look at the internal organs, helping to choose the required fertility care and operative procedures, if needed.

Why Diagnostic laparoscopy and hysteroscopy? 

Diagnostic laparoscopy may be recommended to look at the outside of the uterus, fallopian tubes, ovaries and internal pelvic area. It, therefore, allows a definite diagnosis where clinical examination and less invasive techniques such as ultrasound, SSG and HSG fail to identify the problem.

Diagnostic Hysteroscopy evaluates women with infertility, recurrent miscarriage or abnormal uterine bleeding. If an abnormal condition is detected during the diagnostic procedure, operative laparoscopy or operative hysteroscopy can often be performed to correct it, ruling out the need for a second surgery.

Diagnostic and advanced operative hysterolaparoscopy: The procedures

The first step of diagnostic hysteroscopy involves slight stretching of the canal of the cervix with a series of dilators to temporarily increase the size of the opening. The hysteroscope is inserted through the cervix and into the uterus, carbon dioxide gas is then injected to the uterus through the hysteroscope to expand the uterine cavity and enable the physician to directly view the internal structure of the uterus.

Operative hysteroscopy, on the other hand, is similar to diagnostic hysteroscopy except that the narrow instruments are placed into the uterine cavity through a channel in the operative hysteroscope. Fibroids, scar tissue and polyps can be removed from inside the uterus apart from correcting a few structural abnormalities like a uterine septum.

The physician may want the patient to be on medication to prepare the uterus for the surgery after which the doctor might insert a balloon catheter or other device inside the uterus. To prevent infection and stimulate healing of the endometrium, antibiotics or oestrogen will be prescribed.

How long does it take to complete a diagnostic hysteroscopy?

A complete diagnostic hysteroscopy should take anywhere between 10 to 15 minutes. Recovery after diagnostic hysteroscopy is prompt. If no anaesthesia is used, patients can return to their usual diet and activities later that operative day. Some mild postoperative bleeding is normal and typically stops within two to three days