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Laproscopy & Hysteroscopy







Complete examination of a woman’s internal pelvic structures can provide important information regarding infertility and common gynecologic disorders. Frequently, problems that cannot be discovered by an external physical examination can be discovered by laparoscopy and hysteroscopy, two procedures that provide a direct look at the pelvic organs. These procedures may be recommended as part of your infertility care, depending on your particular situation. Laparoscopy and hysteroscopy can be used for both diagnostic (looking only) and operative (looking and treating) purposes.

Diagnostic laparoscopy may be recommended to look at the outside of the uterus, fallopian tubes, ovaries, and internal pelvic area. Diagnostic hysteroscopy is used to look inside the uterine cavity. If an abnormal condition is detected during the diagnostic procedure, operative laparoscopy or operative hysteroscopy can often be performed to correct it at the same time, avoiding the need for a second surgery. Surgeon should perform both diagnostic and operative procedures with surgical expertise in these areas. The following information will help patients know what to expect before undergoing any of these procedures.

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Hysteroscopy


Hysteroscopy is a valuable modality in the management of infertility.It can be both diagnostic as well as therapeutic(operative).It involves direct visualisation of uterine cavity and ostia.The operative hysteroscopy is a minimally invasive gynec procedure in which an endoscopic optical lens is inserted through the cervix into the endometrial cavity to direct treatment of various types of intrauterine pathology.
The introduction of smaller diameter hysteroscopes has allowed operative hysteroscopy to become a predominantly office and outpatient procedure.

Indications

  • Submucosal leiomayomas
  • Uterine Polyps
  • Uterine Septum
  • Lysis Of Adhesions In C/O Asherman’s Syndrome
  • Cannulation Of Fallopian Tube Ostia For Proximal Tubal Block
  • Removal Of Foreign Body
  • Metroplasty In Case Of,
    • Recurrent Pregnancy Loss
    • Primary Or Secondary Infertility
    • Preterm Births
    • Dysmenorrhoea
    • As A Preventive Measure Before IVF Treatment
    • Hypoplastic Uterus

Laparoscopy


Currently laproscopy is considered to be the gold standard as it provides panoramic and magnified view of the pelvic and abdominal organs.It can be diagnostic and therapeutic.Diagnostic laproscopy involves direct visualisation of uterus ,tubes and ovaries and anatomical relationship with surrounding structures and cheking the patency of tubes.

Operative laproscopy Indication

  • Tuboplasty
    • Reversal Of Sterilization
    • Mild Tubal Block Secondary To Pathology.
    • Tubal Occlusion Secondary To Ectopic Pregnancy Treatment.
    • Salpingitis Isthmica Nodosa.(SIN)
    • Failed Tubal Cannulation For Proximal Block.
    • Failed Previous Macrosurgical Sterilization Reversal.
    • Tubal Transpostion For Unicornuate Uterus,Discrepant Tubo-Ovarian Anatomy.
  • Endrometriosis
    • Excision Of Endometriotic Implants.
    • Removal Of Endometriomas( Chocolate Cyst)
  • Uterine Fibroids
    • Laparoscopic Myomectomy
  • Pelvic Tuberculosis
    • Adhesiolysis

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