|
|
 |
Indications of Gynaecological laparoscopy Gynecologists use laparoscopy to treat a variety of female health problems. General surgeons also now use laparoscopy to perform surgeries such as appendectomies and removal of the gall bladder (cholecystectomy). Indications for gynaecological laparoscopy include the following: Removal of fibroids (Myomectomy).or destroying them (Myolysis ) Infertility, lysis of adhesions. Infertility, checking the condition and patency of the fallopian tubes. Pelvic infection (Pelvic Inflammatory disease ). Egg collection for assisted reproduction. Sterilization(laparoscopic Sterilization) Diagnosis and treatment of some uterine anomalies. Pelvic floor and vaginal prolapse
Urinary incontinence An Enlarged ovary could be due to cystic area within the ovary or due to solid mass. The surgeon could differentiate between them and remove any cyst or tumour through the laparoscope or take a biopsy if cancer is suspected, or remove the whole ovary if needed.
Removal of fibroids (Myomectomy).or destroying them (Myolysis ) Fibroids are benign tumours (growth) which arises from the wall of the uterus. Around 20% or more of women over 35 years old have fibroids. Women might suffer from painful periods or heavier periods. In pregnancy it could lead to complications e.g. premature labour.
Fibroids Adhesions are a major cause of infertility, this usually happens as a result of previous surgery or pelvic infection. By operative laparoscopy the adhesions are cut and there is less chance of them recurring than if the same operation is done by opening the abdomen in the conventional technique.
Infertility, checking the
condition and patency of the fallopian tubes. The fallopian tubes are checked at the time of laparoscopy, their condition and patency is noted, dye is injected through the neck of the uterus and if the tubes are patent free spill is noted. Repairing damaged fallopian tubes. In this condition part of the
lining of the uterus (endometrium) implants outside of the uterus in the pelvis
and abdomen e.g. on the ovary and the intestine. On the ovary it could form
a collection of blood in a cystic cavity where it is called a chocolate cyst.
This condition leads to adhesions, cause pain during and before periods, painful intercourse (dyspareunia), painful defecation or painful urination. This condition could lead to infertility and diagnosis is usually by laparoscopy and if adhesions are found they are dealt with promptly. In cases of intraperitoneal haemorrhage where the cause is unknown, laparoscopy is used to find the source, once found it can be dealt with. in some cases this could be the result of pregnancy in the fallopian tube [Ectopic Pregnancy] and it is dealt with using the laparoscopy equipment.
This condition affects one in five women as a result of disorder in the function of the ovary where many follicles are formed (much more than normal) but they stay small and don’t mature. It is usually diagnosed by ultrasound and treated by medicines. Surgery is only resorted to in resistant cases where multiple ovarian drilling is done using the laparoscope. Pelvic infection (Pelvic Inflammatory
disease ): This is diagnosed using the laparoscopy especially in chronic cases where the cause of pelvic pain is unknown, A sample is taken and sent for bacteriological culture and the appropriate antibiotics is given. Egg collection for assisted reproduction: This is done in some case e.g Gamete Intrafallopian transfer or in some cases of in vitro fertilization where the ovaries are high up in the abdomen and the eggs could not be collected using the vaginal ultrasound Sterilization ( laparoscopic sterilization) Couples who don’t want to have any more children could have this procedure done where the women undergo laparoscopic sterilization (the tubes are closed using clips or rings or cauterized).
Severe period
pain Pelvic floor and vaginal prolapse
Urinary incontinence Where it is indicated to remove the uterus, this procedure is done either completely using the laparoscopy or through the vagina ( Laparoscopic assisted vaginal hysterectomy). Hysteroscopy | Laparoscopy Video clips | Laparoscopy Photos Laparoscopic Adhesiolysis In Infertility (Slide presentation) large file Endoscopy Links | Medical Search Page | Site Index All
data at this web site are copyright (c) last modified 09/02/07 |
