• This involves putting a telescope measuring 5 mm in diameter through the cervix (neck of the womb) into the uterus (womb). This helps us to visualize the cavity of the womb on the screen. No cuts are made on the tummy for this procedure.
Preoperative fitness check would be done when the date of the operation is decided. Preop investigations are necessary to establish fitness for surgery
If your operation is scheduled for the morning, it is important that you do not eat or drink from midnight onwards. If your operation is in the afternoon, you may have a light, early breakfast and then fast for at least six hours.
- Please keep all your jewellery and valuables at home before coming to the hospital. The hospital or any staff cannot be held responsible for any loss of such personal property.
- Please bring your personal clothes and items of your own use
- If you have to stay overnight in the hospital, you will be given toothbrush, toothpaste, soap, comb, hand towel and bath towel.
- All bedding needed for your use will be provided
- Please keep a pillow cover, bed sheet and a shawl for your relative to use
- For those going home on the same day, soap and a hand towel will be given
The Day of OperationOn the date and time planned, please come to the Endoscopy Suite on the second floor. You are requested to be seated in the waiting area till one of the staff members attend to you.
What To Expect Next?Once you have been admitted, please change into the theatre gown provided. You will be seen by an anaesthetist after admission. A needle is put into the arm through which the anesthetic drugs are given to put you to sleep.
Going To The TheatreOn most occasions you will be able to walk to the theatre. There will be few members of staff in theatre pyjama suites (dress) wearing caps and masks. They are all present to help. You will then be asleep while the laparoscopy is done. You may wake up when you return to the ward and not remember the operation at all.
- Laparoscopy is a very commonly performed operation. The possible complications include:
- Bowel injury
- Bladder injury
- Vessel injury
- Possibility of Laparotomy
- These are very rare complications with an incidence of less than 1 in 1000 patients.
How Much Rest Do I Need?During the first 24 hours you need a lot of rest to recover from the operation. On the day after the operation, your recovery will get faster. On most occasions, within 48 hours, you would be able to eat and drink as usual, you can walk around comfortably and you are able to look after yourself very well. After 48 hours, you should expect to continuously get better and better. If your pain is getting worse or temperature is felt, then please contact the hospital. Sometimes, it takes longer (upto 10 days for the pain to disappear). Generally this happens after operative laparoscopy as body needs more time to heal.
Instructions After DischargeIt is important to avoid putting pressure on your tummy within the first 72 hours. Avoid lifting heavy weights, avoid walking up the stairs, and avoid standing for too long.. There are no specific restrictions on your diet after going home. It is advisable to eat easily digestible diet. On most occasions dissolvable stitches are taken that do not need removal. The small wounds need dressing for three to four days after which Band-Aids can be applied You can have bath after the first 72 hours, but please keep the wounds covered and dry immediately after bath
When Can I Go To Work?It is advisable to stay away from work for at least the 48 hours. A maximum period of seven days is required. Most people resume work after the first 48 to 72 hours.
The role of advanced endoscopy in improving IVF successHysteroscopy involves assessment of the inside of the womb. Laparoscopy involves assessment of the pelvic organs and the upper tummy using a telescope. Every effort must be made to maximize the chances of success in an IVF treatment. Failure of IVF treatment is a mental, physical and financial disaster. Maximum success is possible by thorough preparation of the couple prior to undertaking treatment. It is vital to define the exact cause of the infertility and to explain this to the couple along with the possible treatment options. Various tests are available which include blood tests of the couple, semen tests, ultra sonography and endoscopy. Endoscopy includes Laparoscopy and Hysteroscopy.
Hysteroscopy is done under general anaesthesia (by putting to sleep). This enables diagnosis and at the same time, surgical improvement of the womb is also possible. It helps in detecting abnormalities at the neck of the womb, which can affect the procedure of embryo transfer. It can remove abnormalities inside the womb such as polyps, fibroids, adhesions and even womb defects from birth (Septum). These abnormalities not only decrease the success of IVF but, can also lead to miscarriages. The lining of the womb is an important factor affecting the success of IVF. This can be evaluated at hysteroscopy. The hysteroscopy is followed by gentle curetting (scraping) of the lining of the womb. This is sent for microscopic assessment to the pathology department. Infection and hormonal abnormalities in the lining of the womb can be diagnosed and then treated, thereby improving the success of IVF. The massive benefit offered by hysteroscopy makes it almost mandatory in every patient before IVF and certainly in patients with repeated IVF failures and recurrent miscarriages. The procedure does not involve any cut on the tummy, nor any pain and is performed on a daycare base. In India, this can cost as little as £300.