Diagnostic Hystero laparoscopy

A hystero-laparoscopy uses a small telescope-like tube called a laparoscope to let the doctor see the outside of the uterus, ovaries, fallopian tubes and internal pelvic area.
It helps diagnose many problems including:

 

  •  Endometriosis,
  •  Uterine fibroids, and other structural issues,
  •  Ovarian cysts,
  •  Adhesions,
  •  Ectopic pregnancy
  •  Tubal patency

 

A hystero-laparoscopy can take up to 30 to 40 minutes. It is usually done under general anaesthesia. The process is a day-care, outpatient procedure, and is conducted at Motherhood Hospital.

Usually if an abnormal condition is detected during the diagnostic procedure, operative laparoscopy or a hysteroscopy can be conducted at the same time.

 

The Procedure

 

  •  Before beginning the procedure the patient will be given general anaesthesia.
  •  Then a needle is inserted through the navel, into the abdomen.
  •  Slowly carbon dioxide from the needle enters the abdominal cavity
  •  The gas helps create a space inside by pushing the abdominal wall and the bowel away from the organs in the pelvic area, to allow a clear view of the reproductive organs.
  •  At this time, a long, thin telescope or laparoscope with a camera at the end is inserted through the insertion in the navel. The camera sends images to a monitor that helps the surgeon see the uterus,fallopian tubes, ovaries and nearby structures.
  •  The last step involves the injection of a blue fluid through the cervix to check for blocks in the fallopian tubes.
  •  If no abnormalities are noted at this time, the surgeon will close the incisions with one or two stitches
  •  If defects or abnormalities are discovered, the surgeon might conduct an operative laparoscopy in the same sitting.

 

After the procedure

 

  •  You will need to rest in a recovery room for an hour or two to recover from the anaesthesia.
  •  You can have liquids after 4 hours and a soft diet in the evening.
  •  If you feel mild nausea from anaesthesia, pain in the shoulders from the gas used in laparoscopy, pain at the site of the incisions, cramps and discharge like menstrual flow, it is normal and you can expect it to for a day or two after the procedure.