Other ART Services
Tube Recanalisation | Endoscopic
Surgery | Recurrent
Pregnancy Loss |
High Risk Obstetrics
| Sonography | Sexual
(Diagnostic -Operative Laparoscopy & Hysteroscopy)
This is routinely carried out on the woman partner, if she
fails to conceive within one to two years of standard treatment.
The procedure is an OPD based procedure, which is carried
out under general anesthesia. Most patients can be discharged
within 6 to 8 hours of the procedure.
In this, the
wife is given general anesthesia. A small 1 cm cut is made
on the skin at the navel and a telescope called the laparoscope
is inserted inside the abdomen. This procedure is done using
a carbon dioxide gas to distend the abdomen, so that the organs
can be well visualized. Normally the uterus, the fallopian
tubes on both sides, the ovaries on both sides and the region
surrounding these organs is visualized. If there is any abnormality
noticed, it is corrected at the same sitting, if possible.
For example a uterine fibroid can be removed if it is thought
that it is hampering fertility. This operation is called Myomectomy.
We have been able to remove fibroids as large as 10 cm in
diameter with the aid of laparoscope, without opening the
abdomen. If the ovaries are enlarged and polycystic multiple
small holes are burnt in the ovarian surface, a procedure
called ovarian drilling. If there is a endomeriotic or a fuctional
cyst it is removed. Endometrial deposits on the peritoneal
surface are burnt or fulgurated using cautery or laser. Recently
we are using a new machine called Harmonic Scalpel to operate
many of these pathologies. In all cases where operative laparoscopy
is performed two to three additional half to onecentimeter
cuts have to be made, to pass other instruments into the abdomen.
However these cuts are very small, and heal very well.
we also conduct a Dye test or Chromopertubation to find out
whether the tube are patent. In this a blue coloured dye called
methylene blue is pushed into the womb from the vaginal route.
In case of patent or open tubes, one can see the blue coloured
dye coming out of the tubes, with the aid of laparoscope.
a small telescope is inserted into the womb to look at the
inside of the womb. If there are any fibroids they are removed
by an instrument called a Resectoscope. Alternatively recently
one can also use the latest instrument which is called the
VersaPoint. Both these procedures are carried out at the BAUfII
In cases of
blocked tubes one can also pass a guide wire into the tubal
opening with the aid of the hysteroscope and try to clear