LAPAROSCOPY AND ITS USE FOR INFERTILITY AT JFC:
A surgical procedure that involves insertion of a narrow telescope-like instrument through a small incision in the belly-button, Laparoscopy allows visualization of abdominal pain and pelvic organs including the area of the Uterus, Fallopian Tubes, and Ovaries. Furthermore, it involves making cuts which could a single or double or triple in the abdomen, through which a Laparoscope and specialized surgical instruments is inserted by the Doctor.
Coming to a Laparoscope, it’s an instrument which is a thin, fiber-optic tube, fitted with a light and camera.
HOW LAPAROSCOPY HELPS & FOR WHAT PURPOSE IS IT USED FOR?
Laparoscopy allows the Doctor to see the abdominal organs, know and determine whether there is any kind of defects like Scar Tissue or Endometriosis or Fibroid Tumors or other abnormalities of the Uterus or Fallopian Tubes or Ovaries. In case defects exists, then they can be rectified with operative Laparoscopy which involves placement & insertion of instruments through ports in the scope and through additional, narrow ports (5 mm) at the top of the public hair line in the lower abdomen. This way, there would not be any need for making a larger incision that can require a longer recovery time and hospital stay.
WHEN IT SHOULD BE USED?
Due to its immense cost and invasive nature, Laparoscopy should be resorted to in the couple’s diagnostic evaluation, only after Semen Analysis, Hysterosalpingogram, Assessment of Ovarian Reserve and Documentation of Ovulation are assessed.
The Fertility Specialist at Juhi Fertility Centre may recommend diagnostic Laparoscopy in the following cases:
- If the woman is experiencing pain during sexual-intercourse.
- If the woman suffers from severe menstrual cramps or pelvic pain at other time of her pregnancy cycle.
- If a moderate to severe Endometriosis is suspected by the doctor.
- If an Ectopic Pregnancy is suspected by the Doctor.
FERTILITY EVALUATION :
When it comes to Fertility evaluation, a Laparoscopic surgery is recommended to help diagnose the cause for infertility. However it’s performed only after other infertility tests have been performed and completed or if symptoms warrant testing. However care should be taken to ensure that Laparoscopy is not done routinely.
Laparoscopy is recommended during Fertility Treatment in the following cases:
- If Hydrosalpinx is suspected; it is a specific kind of blocked Fallopian Tube that is affected and whose removal will help improve IVF success rates.
- If Endometrial Deposits are suspected of reducing your fertility. In case they cause pain, they are recommended to be removed. This way, they can improve pregnancy success rates.
- If it is required to unblock or repair a Fallopian Tube; success rates vary greatly when it comes to tubal repair. In case the woman is young and all her other fertility factors look good, then surgical repair could be opted for.
- If an Ovarian Cyst is suspected of causing pain or blocking the Fallopian Tubes. The removal of a large Endometrial Ovarian Cyst will help reduce the ovarian reserves.
- If a Fibroid is causing pain or distorting the uterine cavity or blocking the Fallopian Tubes.
- If PCOS is suspected and the Doctor feels Ovarian drilling is essential to rectify it; a Laparoscopic Ovarian drilling involves making three to eight tiny punctures into the ovaries.
When compared to the 1980s and 1990s, Diagnostic Laparoscopy is being used far less, thanks to phenomenal advances in IVF Technologies and the resulting increases in IVF success rates. Further, today’s couples are carefully considering the costs of Fertility treatments for women and rather are asking for Insemination Treatments and In-Vitro Fertilisation.
LAPAROSCOPIC SURGERY AT JUHI FERTILITY:
Juhi Fertility Centre (JFC) offers all levels of female and male fertility evaluation and treatment / care services, including world-class Laparoscopy. With a clinical staff that has certified specialists including Infertility specialists who are trained reproductive specialists with a wealth of experience and a sound track-record of performing successful fertility treatments including Laparoscopy.
LAPAROSCOPY AT JFC
The Fertility Specialist at JFC will give specific instructions on how to prepare for the surgery beforehand, like taking antibiotics and not to eat or drink for 8 or more hours before scheduled surgery.
At JFC, laparoscopy is performed under general anesthesia. Following this, the below are performed:
- You will be administered an IV, through which fluids and medication to help you stay relaxed is delivered.
- Anesthesiologist will place a mask over your face and later after getting a scent of a sweet smelling gas for a few minutes, you will fall asleep.
- Following the effect of anesthesia, the Fertility specialist will make a small cut around your belly button, through which a needle will be used to fill the abdomen with carbon dioxide gas. This in turn will allow the Fertility specialist to see the organs and move the surgical instruments.
- Once the abdomen is filled with gas, the Laparoscope is placed through the cut to allow for a look at the pelvic organs. Later there could also be a biopsy tissue for testing. On certain occasions, two or three more small cuts are made so that the thin surgical instruments can be used to perform the repair job or move the organs around for a better view.
- The pelvic organs and the surrounding abdominal organs is visually evaluated, to look for the presence of Cysts or Fibroids or Scar Tissue or Adhesions or Endometrial growths and later at the shape, color and size of the reproductive organs.
- A Dye is injected through the Cervix, so that the Fertility specialist can evaluate if the fallopian tubes are open or not.
- If there are no signs of Endometriosis or other problems, then still a sample of the tissue is taken and later tested.
- In case Ectopic Pregnancy is suspected, then an evaluation of the Fallopian tubes is done for an abnormal pregnancy.
Soon after the surgery, you could go home on the same day as your surgery. Coming to recovery time, you may need a week or so if many repairs have been performed. Your doctor could prescribe pain medication and antibiotics to help you ease the pain and general weakness following the surgery.
In case you’re experiencing the following, then see the Fertility specialist again:
- Severe or worsening abdominal pain.
- Fever of 101 or higher.
- Pus oozing or significant bleeding at the incision site.