Endoscopy

IHR is the first institute to start laparoscopy surgery in North Eastern Region in 1983.

ENDOSCOPY AT IHR

Dear friends,

We have performed more than 15000 laparoscopic and hysteroscopic surgeries during these years. We have continuously improved our skill and equipment in the field of gynaecological endoscopy. At present we perform all advanced laparoscopic surgeries like Hysterectomy (TLH, LAVH, LSH), myomectomy, cystectomy etc.

People generally think that laparoscopy surgery is more expensive than open surgeries. But, at IHR all laparoscopic surgeries are performed within affordable limit of all classes of people.

We thank you for your faith on us.

Dr. M. L. Goenka
Dr. Deepak Goenka

Laparoscopy

Laparoscopic surgery, also called minimally invasive surgery (MIS), Band-Aid surgery, keyhole surgery is a modern surgical technique in which operations in the abdomen are performed through small incisions (usually 0.5-1.5cm) as compared to larger incisions needed in traditional surgical procedures.

Laparoscopy is a procedure that allows to look directly at the contents of a patient's abdomen or pelvis, including the fallopian tubes, ovaries, uterus, small bowel, large bowel, appendix, liver, and gallbladder and if necessary surgery can be performed through laparoscopy only.

Why the Test is Performed?

Gynecologists use laparoscopy to treat a variety of female health problems. The range of procedures and operations being performed at IHR are:

Major Laparoscopic Surgery:

  • Total Laparoscopic Hysterectomy (TLH)
  • Laparoscopic Assisted Vaginal Hysterectomy ( LAVH)
  • Laparoscopic Supracervical Hysterectomy (LSH)
  • Laparoscopic Myomectomy
  • Reconstructive surgery for various uterine anomalies (Mullarian defects)

Intermediate Laparoscopic & Hysteroscopic surgery:

  • Laparoscopic Ovarian Cystectomy
  • Laparoscopic Management of Ectopic Pregnancy
  • Laparoscopic surgery for infertility
  • Laparoscopic surgery for Endometriosis
  • Laparoscopic adhesiolysis
  • Hysteroscopic resection of fibroids (TCRF)
  • Hysteroscopic resection of endometrium (TCRE)
  • Hysteroscopic proximal tubal cannulation
  • Hysteroscopic resection of septum
  • Tubal reconstructive surgery for infertility
  • Sterilization (laparoscopic Sterilization).

Minor Laparoscopic Surgery:

  • Diagnostic Laparoscopy
  • Diagnostic Hysteroscopy & Dye Test
  • Laparoscopic tubal ligation / sterilization
  • Ovarian drilling for polycystic ovaries
  • Thermal Ballon Therapy (TBT) for DUB/ Menorrhegia

How the Test is Performed?

Laparoscopy requires admission to hospital for a day. It is performed under general anesthesia (the patient is unconscious and pain-free). Usually i t is a day care procedure.

Carbon dioxide (CO2) is put into the abdomen through a special needle that is inserted just below the navel. This gas helps to separate the organs inside the abdominal cavity, making it easier for the surgeon to see and operate on the reproductive organs during laparoscopy. The gas is removed at the end of the procedure

A surgeon makes a small cut below the belly button (navel) and inserted a needle into the area. Carbon dioxide gas is passed into the area to help move the abdominal wall and any organs out of the way, creating a larger space to work in. This helps the surgeon see the area better.

A tube is placed through the cut in your abdominal area. A tiny video camera (laparoscope) goes through this tube and is used to see the inside of your pelvis and abdomen. Additional one to four small cuts are made for other instruments.

Advantages

There are a number of advantages to the patient with laparoscopic surgery versus an open procedure. These include:

  • Smaller incision, which reduces pain and shortens recovery time.
  • Less pain, leading to less pain medication needed.
  • Although procedure times are usually slightly longer, hospital stay is less, and often with a same day discharge
  • Quicjer recovery to normal activities
  • Reduced exposure of internal organs to possible external contaminants thereby reduced risk of acquiring infections.
  • Less chances of post operative adhesions
  • Reduced bleeding , which reduces the chance of needing a blood transfusion.
  • Minimal post operative discomfort
  • Greater cosmetic value with smaller or no cut marks

Risk

There is some risk of infection. However, antibiotics are usually given to prevent this complication.

Rarely there is a risk of puncturing an organ, which could cause leakage of intestinal contents, or bleeding into the abdominal cavity. Such a complication could lead to immediate open surgery (laparotomy).

Hysteroscopy

Hysteroscopy refers to the procedure by which the inside of the womb is viewed by means of a telescope. Diagnostic hysteroscopy is an ordinary outdoor procedure which is quite safe and may be done with local or general; anesthesia.

Many of the operations involving uterine cavity like removal of adhesions, septum (a birth defect), fibroid, polyp and some bleeding disorders of the uterus can be managed by operative Hysteroscopy.

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