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Laparoscopy Treatment

Laparoscopy Treatment

For examining tubal issues that cause infertility, laparoscopy is the gold standard (the best approach). After a male causal factor has been eliminated and ovulatory functions have been restored to normal or rectified, the operation is carried out.

Overview Laparoscopy

Many patients employ treatment techniques like IVF, laparoscopic surgery, and ART to help them achieve their infertile goals. Despite advances in medical technology, some disorders still necessitate surgery, which increases the chances of fertility.
Despite this, many patients are afraid of undergoing major surgery. Laparoscopy comes to the rescue in this situation because it is a less intrusive surgery with a shorter recovery time and less pain.
Overview Laparoscopy

What is laparoscopy for infertility?

Infertility in women is caused by a variety of reasons, but 30-40% of instances involve tubal and peritoneal issues, which require surgical intervention to address. It means that roughly 30-40% of instances have a tube obstruction, fallopian tube adhesions, fibroid uterus, endometriosis, congenital deformity of the uterus, and other conditions that necessitate laparoscopic surgery.

These are some of the most prevalent signs that you might be a suitable candidate for laparoscopy:

  • If you are over the age of 35
  • You have an abnormal HSG level when being tested.
  • If you haven’t been able to conceive despite having a normal HSG
  • If you have any type of endometriosis
  • Have unexplained infertility
  • A benign development in the fallopian tubes or ovaries that is unrelated
  • Prolapse of the genitalia
  • Is PCOS a problem for you?
  • Reconstructive tubal surgery is required.
  • Adhesiolysis is required

You may not be eligible for diagnostic or therapeutic laparoscopy in certain conditions.

  • More than 16-week pregnancy
  • Cardiopulmonary illnesses that are severe
  • Infections in the pelvis that are severe
  • Generalized peritonitis
  • Obstruction of the intestine
  • Large pelvic tumour in advanced malignant stage
  • A person is undergoing anticoagulant therapy.

Before the procedure – your doctor conducts a series of tests to rule out any contraindications, and then obtains your approval to proceed. You must eat a light diet the day before surgery, and you are not allowed to eat anything in the morning on the day of operation. However, it is advised that you do not eat or drink anything for at least 8 hours before the surgery. Furthermore, the cleansing enema is given the evening before surgery to clean your abdomen. Your pubic hair will also be shaved. After an IV line is put into your hand or arm, you will be given general anaesthesia.
Throughout the treatment – You will lie in a lithotomy posture on an operating table, with your back to the table, your legs bent at 90-degree angles at the hip and knee, and your feet resting on a pad fastened to the table during the surgery. A small cut is made below the umbilical area to inject a needle into your abdomen after you are in a comfortable posture. Your doctor will inflate your belly with gas so that he or she can see your abdominal organs. A laparoscope is then inserted into the body. After inserting the laparoscope, a thorough examination of the pelvic and abdominal organs is carried out in order to identify and visualise the cause of infertility. The operation is thoroughly viewed when laparoscopy is used as part of a diagnostic procedure. Even so, if it’s part of an operating process, all of the necessary surgical instruments are introduced first, followed by the procedure.
After operational laparoscopy- careful care is essential, just as it is after any other surgery. As a result, your doctor prescribes an antibiotic course, and you can resume your regular diet within the next 12 hours. After 10-12 days, it’s also a good idea to start doing some physical exercises. Following the operation laparoscopy, you should refrain from sexual activity for six weeks.

Laparoscopy has a number of significant advantages, including:

  • Adhesions can be observed and treated using laparoscopy to determine tubal patency, block (site and side), and adhesions.
  • Endometriosis and PID, both of which can cause infertility, are diagnosed.
  • When uterine fibroids are treated by laparoscopy, it has an advantage.
  • Laparoscopy is a simple and effective way to treat PCOS.
  • Laparoscopy is used to treat peritoneal factors such as adhesions, PID, and TB.
  • Postoperative recovery is quick.
  • Fewer analgesics are required.
  • A shorter stay in the hospital
  • Surgical pain is reduced.
  • There are fewer complications after surgery.
  • There are no significant abdominal scars.
  • Early return to everyday activities is possible.
  • Reduced blood loss There were no adhesions after surgery.
  • Incisional hernias are less likely to occur.

Some of the issues include:

  • Arrhythmia of the heart
  • Damage to the blood vessels
  • When there are adhesions, a laparoscopic instrument can cause injury to the bowel.
  • Organ injuries, such as those to the bowel or bladder
  • Hypoventilation
  • A blood clot (Blood Loss)
  • Complications resulting from the use of gas during laparoscopy
  • Infection

The laparoscopy for infertility for diagnostic and therapeutic purposes is well-executed and decreases the chances of complications with our fertility expert’s assistance. In addition, all instruments and equipment are sterilised and well-maintained, as is essential for laparoscopy.

In a nutshell, laparoscopy is a convenient method of surgery and diagnosis that has few complications, according to fertility experts. It is appropriate because the length of stay in the hospital is decreased, and postoperative care is simple.

Laparoscopy helps many infertile women who have tubal obstruction, adhesions, or unexplained infertility. Because it can help you conceive more easily, whether naturally or through IVF.

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