Hysteroscopy

Hysteroscopy is a minimally invasive procedure that allows doctors to examine the inside of the uterus using a thin, lighted telescope called a hysteroscope. This procedure is used for both diagnostic and therapeutic purposes in gynecology.

Purpose of Hysteroscopy:

Diagnostic Hysteroscopy:

To investigate abnormal uterine bleeding

To detect uterine abnormalities such as polyps, fibroids, adhesions, or congenital anomalies

To evaluate causes of infertility or recurrent pregnancy loss

Operative (Therapeutic) Hysteroscopy:

Removal of uterine polyps or fibroids

Treatment of adhesions (Asherman’s syndrome)

Removal of retained products of conception

Correction of uterine septum or congenital malformations

Procedure:

A hysteroscope is gently inserted through the vagina and cervix into the uterus.

Distention of the uterine cavity is achieved using saline or carbon dioxide to provide clear visualization.

The doctor examines the uterine lining and may perform surgical interventions if necessary.

The procedure is usually outpatient, with local, regional, or general anesthesia depending on the complexity.

Advantages of Hysteroscopy:

Minimally invasive with short recovery time

Precise diagnosis of intrauterine problems

Allows simultaneous treatment during the same procedure

Reduces the need for open surgery

Improves outcomes in fertility treatments and recurrent miscarriage management

Indications for Hysteroscopy:

Abnormal uterine bleeding

Infertility or repeated IVF failure

Suspected uterine polyps, fibroids, or adhesions

Congenital uterine anomalies

Retained tissue after miscarriage or childbirth


Laparoscopy

Laparoscopy is a minimally invasive surgical procedure that allows doctors to examine and treat organs within the abdominal and pelvic cavity using a thin, lighted tube called a laparoscope. In gynecology, laparoscopy is commonly used for both diagnostic and therapeutic purposes related to female reproductive health.

Purpose of Laparoscopy:

Diagnostic Laparoscopy:

Evaluate causes of infertility

Investigate chronic pelvic pain

Diagnose endometriosis, ovarian cysts, or pelvic adhesions

Examine uterine, ovarian, and fallopian tube structure

Therapeutic (Operative) Laparoscopy:

Removal of ovarian cysts, fibroids, or endometriotic lesions

Tubal surgery, including repair or removal of blocked tubes

Hysterectomy or myomectomy in selected cases

Treatment of ectopic pregnancy

Removal of pelvic adhesions

Procedure:

Small incisions (usually 0.5–1 cm) are made in the abdomen.

The abdomen is inflated with carbon dioxide gas to create space for visualization.

A laparoscope is inserted to view the pelvic and abdominal organs.

Additional instruments may be inserted through other small incisions for surgical interventions.

The procedure is usually performed under general anesthesia.

Advantages of Laparoscopy:

Minimally invasive with smaller scars

Shorter recovery time compared to open surgery

Less postoperative pain and faster return to normal activities

Allows both diagnosis and treatment in the same procedure

Improves outcomes in fertility treatments and management of gynecological disorders

Indications for Laparoscopy:

Infertility evaluation

Endometriosis or ovarian cysts

Chronic pelvic pain

Ectopic pregnancy

Pelvic adhesions or scarring

Selected cases of fibroids or uterine surgery


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