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.

Operative laproscopy Indication

    • 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.(SIN)
    • Failed Previous Macrosurgical Sterilization Reversal.
    • Tubal Transpostion For Unicornuate Uterus,Discrepant Tubo-Ovarian Anatomy.
    • Excision Of Endometriotic Implants.
    • Removal Of Endometriomas( Chocolate Cyst)
    • Laparoscopic Myomectomy
    • Adhesiolysis

    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.