Laparoscopic surgery: Purpose, Procedure & Recovery

Laparoscopy is often used to identify and diagnose the source of abdominal or pelvic pain. It’s usually performed when other non-invasive methods are unable to help with diagnosis.

Laparoscopic surgery is a specialized technique for performing gynaecologic surgeries and most of the intestinal surgeries like Crohn’s disease, ulcerative colitis, diverticulitis, cancer, rectal prolapse and severe constipation.
During the past two decades, minimally invasive surgeries have become a part of almost every field of surgery. Advanced operative laparoscopy, when performed by trained laparoscopic surgeons in technically well-equipped centers with the help of sufficient laparoscopic support staff, has proved out to be safe and effective in many cases.

Purpose

Laparoscopic surgery is commonly used in the diagnosis of a wide range of abdominal and pelvic conditions. It is also widely used to carry out surgical procedures such as the removal of diseased or damaged tissue, fibroids or cysts as well as for biopsies. With an increase in the incidence of infertility caused due to majority of uterus related problems, this procedure is also being used in the study and treatment of the female reproductive system (gynaecology) to examine the outside of the uterus, the fallopian tubes, and the ovaries—particularly in pelvic pain cases, followed by conditions of the digestive system (gastroenterology) and conditions affecting the urinary system (urology).
Laparoscopic instruments and techniques are used for a variety of procedures, including knee and shoulder surgery. Operations now often performed laparoscopically include the following, among many others:

1. Removal of diseased organs such as the gallbladder or appendix
2. Removal or repair of diseased parts of the colon or stomach (digestive system)
3. Removal or repair of the bladder, ureters, or kidneys (urinary system)
4. Removal or repair of women’s reproductive organs, such as the uterus or fallopian tubes
5. Tubal ligation
6. Removal of a kidney in a living donor
7. Weight-reduction procedures, such as gastric bypass
8. Repair of a hernia
9. To view the liver and pancreas for the presence of cancer tumours
10. To view the abdomen for signs of disease that has been difficult to diagnose (exploratory surgery)
11. To view a tumour in the abdomen
12. To check the source of abdominal pain or remove scar tissue
13. To look for the source of internal bleeding or fluid build-up if the patient has a normal blood pressure
14. To view injury following trauma or an accident

Gynaecologic conditions diagnosed using laparoscopic surgeries include:

1. Endometriosis
2. Ectopic pregnancy
3. Ovarian cysts :
4. Pelvic inflammatory disease [PID]
5. Infertility
6. Fibroids
7. Ovarian cancer

Procedure

During the laparoscopic surgical procedure, certain conditions can be treated using instruments and devices specifically designed for laparoscopy. Medical devices that can be used in conjunction with laparoscopy include surgical lasers and electrosurgical units. Laparoscopic surgery is now-a-days preferred over open surgery for several types of treatments because of its minimally invasive nature and its association with fewer complications.
The main procedure involves the following steps:

1. A patient is given a general anaesthetic and feels no pain throughout the procedure.
2. One or more small incisions are made in the abdomen, usually around the belly button area.
3. A tube is inserted at the incision site and the abdomen is inflated with carbon dioxide gas. This allows the surgeon a better view of the internal organs, as well as more room to work. The laparoscope is inserted through the tube and images of the internal structures are relayed to the TV monitor.
4. Surgical instruments can then be inserted via further small incisions that can be made, depending on what the surgeon finds and what procedures they need to perform.
5. Once the operation is finished, the gas is expelled from the abdomen and the incision is closed using stitches.

Recovery

For patients, laparoscopy can often mean a faster recovery from surgery, less time in the hospital or outpatient surgery center, and less trauma to the body. Again, the recovery period after laparoscopy to treat a condition depends on the type of treatment. After minor surgeries, you may be able to resume normal activities within two weeks.
Recovery time is much shorter with laparoscopy than with regular (open) surgery. The procedure may even be performed on an outpatient basis, meaning the patient can return home the same day of the procedure.

After the Laparoscopic Surgery:

1. Some pain or throbbing is possible where the small cuts were made. The doctor may recommend a prescription or over-the-counter pain reliever.
2. If stitches were used, a follow-up appointment for removal of stitches may be scheduled in a week or two as directed.
3. Sometimes the carbon dioxide gas can trigger shoulder pain after the procedure. Some of the same nerves that reach the shoulder are present in the diaphragm, and the gas may irritate the diaphragm. The pain goes away over time.
4. Pressure from the gas may cause a sensation of needing to urinate more often and more urgently. This sensation goes away over time.
5. The doctor will determine when eating and drinking can be resumed.
6. Once a person has sufficiently recovered, he or she can be sent home, provided the patient doesn’t drive or ride back home.

Many fertility centers are now inclined to using Laparoscopy for endometriosis treatment, removal of fibroids, cysts, etc., in order to enhance the probabilities of a couple to conceive pregnancy.
For more information, you can consult our IVF Specialists at our Milann centers and resolve your infertility issues with minimal invasive surgery.
To book your appointment call: 1800-4706-45266 or visit www.milann.co.in

Intra Uterine Insemination (IUI) - Milann

What is Intra UterineInsemination (IUI)?

Whilst a female conceives evidently, sperm journey from the vagina thru the cervix (narrow, decrease a part of the womb), into the uterus (womb), and up into one of the fallopian tubes. If sperm arrive in a tube quickly after the release of the egg from the ovary (ovulation); the sperm and egg can meet and unite (fertilization) inside the tube.

The cervix naturally limits the wide variety of sperm that enter the uterus, so only a small percentage of the sperm inside the ejaculate virtually make their manner into the fallopian tubes.

Infertile ladies on occasion take medicines (with the aid of mouth or as and injection) that reason their ovaries to mature several eggs right now. Intrauterine insemination (IUI) is a technique that locations sperm beyond the cervix and in a woman’s uterus around the time of ovulation making the passage to the fallopian tubes lots shorter. The purpose is to increase the chance of being pregnant via placing extra sperm in touch with extra eggs.

When is IUI helpful? 

1. Unexplained causes

The most common use for IUI is when no cause for the infertility is found.

2. Cervical stenosis or abnormalities

IUI is beneficial when a woman’s cervix has scarring that prevents the sperm from entering the uterus from the vagina.For instance previous surgical procedure on cervix (cryosurgery, cone biopsy, Loop Electrosurgical Excision system [LEEP], etc.).

3. Problems with sperm delivery

IUI also can be used for couples wherein the male companion cannot turn out to be or stay erect or isn't always able to ejaculate correctly, or in any respect. For example, retrograde ejaculation is when the sperm are released backward into the bladder, in place of through the penis, at the time of male orgasm.

4. Lack of ovulation (anovulation)

Maximum of the time girls who do no longer launch an egg frequently (ovulate) can end up pregnant thru sex. Now and again, IUI may be helpful.

5. Fertility preservation

Guys may additionally gather and freeze (cryopreserve) their sperm for future use before having a vasectomy, testicular surgical operation, or radiation/chemotherapy remedy for most cancers. The sperm can be thawed later and used for IUI.

6. Third-party reproduction

IUI is used when couples use sperm from a person who is not the girl’s associate to have a baby. That is referred to as donor insemination (DI). DI is performed whilst the male accomplice has no sperm or whilst the sperm fine is so low and in vitro fertilization is not an option. DI can also be used if the person has certain genetic illnesses that he does now not want to pass directly to his children.

How are sperm collected?

Maximum generally, the person masturbates right into a sterile glass or plastic cup or can be accrued in the course of sex in a unique condom this is furnished with the aid of the andrology laboratory, a laboratory that focuses on coping with male health problems.

If a man has retrograde ejaculation, the sperm can be retrieved inside the laboratory from urine he has accrued.

Men who have a hard time with erection or ejaculation no matter using medications, in addition to guys with spinal cord damage, can be capable of produce a sperm pattern with the assist of vibratory stimulation or electro ejaculation.

How is IUI done?

Once accrued, the semen sample is then “washed” inside the laboratory to concentrate the sperm and remove the seminal fluid (seminal fluid can purpose extreme cramping inside the woman). This method can take up to 2 hours to finish. IUI is executed close to the time that the girl is ovulating. The IUI manner is tremendously simple and best takes a couple of minutes once the semen sample is prepared. The lady lies on an examining desk and the clinician inserts a speculum into her vagina to peer her cervix. A catheter (slender tube) is inserted thru the cervix into the uterus and the washed semen pattern is slowly injected. Commonly this process is painless, but some ladies have mild cramps. Some women may also experience spotting for a day or after the IUI.

Does it work?

The success will vary relying on the underlying purpose of the infertility. IUI works exceptional in patients with unexplained infertility, girls with a cervix that limits the passage of sperm, and guys who are not able to ejaculate efficaciously. As an instance, for unexplained infertility, the being pregnant charge with IUI is doubles that over no remedy. IUI does not paintings as properly for men who produce few sperm or have slight abnormalities with their sperm and does not assist women who've intense fallopian tube disorder, moderate to severe endometriosis, or a history of pelvic (lower belly) infections. The fulfillment quotes depend on whether or not fertility medications are used, age of the female, and infertility prognosis, as well as different factors.

Are there risks?

If a woman is taking fertility medicines to boom the wide variety of eggs while she has an IUI, her chance of having pregnant with twins, triplets, or greater is more than if she have been no longer taking fertility medicines. Having an IUI does now not growth the hazard of delivery defects. The risk of birth defects in all children is 2% to 4% whether conceived evidently or from IUI. The threat of growing a contamination after an IUI is small.

Over 27+ years’ Milann recognized as India’s leading chain of fertility centers with five units in Bangalore, one in New Delhi, one in Chandigarh and upcoming centers in Cuttack, Mumbai and Ahmedabad providing Best IUI Treatment in Bangalore, IVF Treatment in Bangalore.

For more information visit our official website www.milann.co.in

Contact us to an TOLL FREE number – 1800 4076 45266

Email – info@milann.co.in