At Bedaya Hospital we use endoscopical procedures like a laparoscopy or hysteroscopy to diagnose certain conditions and if possible treat them on the spot without being invasive. These are very meticulous procedures that need a gynecologist with extensive expertise and skills in the use of surgical laparoscopy and hysteroscopy. Bedaya Hospital has a team with some of the best trained gynecologists in the Middle East for these procedures.
Gynecologic laparoscopy is an alternative to open surgery. It uses a laparoscope to look inside your pelvic area. Open surgery often requires a large incision.
A laparoscope is a slender, lighted telescope. It allows your doctor to see inside your body. Diagnostic laparoscopy can determine whether you have conditions such as endometriosis or fibroids. It can also be a form of treatment. With miniaturized instruments, your doctor can perform a variety of surgeries. These include:
- ovarian cyst removal
- tubal ligation, which is surgical contraception
Indications for Gynecologic Laparoscopy
Laparoscopy can be used for diagnosis and/or treatment. A diagnostic procedure can sometimes turn into treatment.
A diagnostic laparoscopy should always be considered when there is unexplained infertility, unexplained pelvic pain or a history of Pelvic Inflammatory Disease PID. During a diagnostic laparoscopy done for the reasons prior mentioned we can diagnose endometriosis, uterine fibroids, ovarian cysts or tumors, ectopic pregnancy, pelvic abscess, or pus, pelvic adhesions, or painful scar tissue, tubal issues.
Some types of laparoscopic treatment include:
- Hysterectomy, or removal of the uterus;
- Removal of the ovaries;
- Removal of ovarian cysts;
- Removal of fibroids;
- Blocking blood flow to fibroids;
- Endometrial tissue ablation, which is a treatment for endometriosis ;
- Adhesiolysis (removal of adhesions;
- Tubal ligation;
- Treat a prolapsed uterus.
Laparoscopy is almost always performed under general anesthesia. This means you’ll be unconscious for the procedure. However, you may still be able to go home the same day.
A small needle will be used to fill your abdomen with carbon dioxide gas. The gas keeps the abdominal wall away from your organs. It reduces the risk of injury. The gynecologist will make a small cut in your navel and insert the laparoscope, which transmits images to a screen. This gives your doctor a clear view of your organs.
What happens next depends on the type of procedure. For diagnosis, your doctor might take a look and then be done. If you need surgery, other incisions will be made. Instruments will be inserted through these holes. Then surgery is performed using the laparoscope as a guide. The small incisions made will be closed with one stitch each when done.
Hysteroscopy is the inspection of the uterine cavity by endoscopy with access through the cervix. It allows for the diagnosis of intrauterine pathology and serves as a method for surgical intervention (operative hysteroscopy).
If abnormalities are found, an operative hysteroscopy is done specialized instruments are entered in the uterine cavity and surgery is performed. Typical procedures include endometrial ablation, submucosal fibroid resection, and endometrial polypectomy. In cases of infertility or when IVF/ICSI treatment could be expected in the near future endometrial scratching is done. It has been found through research that this increases the conception rates in cases that have undergone IVF/ICI after doing this specific procedure.