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Endoscopic Gynecologic Surgeries

Endoscopy refers to looking inside the body for medical purposes using a special device called an endoscope. Endoscopy is also used to diagnose and treat problems with the female reproductive system such as infertility, vaginal hemorrages, endometrial polyps and others. Gynecological endoscopy enables  a surgical procedure without the need of a major operation. The recovery is therefore prompt compared to traditional open surgeries.

The following particular endoscopic techniques are used to diagnose and treat different parts of the reproductive system:

  • Colposcopy- it is used in the examination of the cervix and the tissues of the vagina and vulva. It is performed with the help of a colposcope which allows for a better and enlarged view of the area which helps in distinguishing abnormal from normal tissue and take biopsies of the same.
  • Hysteroscopy- it is used in the examination of the uterine cavity or uterus. It helps in the diagnosis of intrauterine pathologies. It is performed with the help of a hysteroscope which has optical and light channels. It can also be used to perform operative surgery or biopsies.
  • Falloposcopy- it is used in the examination of the fallopian tubes.
  • Laproscopy - It is a surgical procedure that involves insertion of a narrow telescope like instrument through a small incision in the abdomen. This allows visualization of the abdominal and pelvic organs. The device used during this procedure is called a laproscope.

Symptoms

  • Abnormality on the pap smear
  • Abnormal appearance of the cervix
  • Pelvic pain
  • Abnormal uterine bleeding
  • Indications of the presence of cancer

Diagnosis

Endoscopy is used as a diagnostic procedure for, or in the treatment of the following conditions:

  • To confirm the presence of fibroids, adhesions, Polyps or Septum
  • Tubal catheterization or sterilization
  • To obtain a biopsy of the ovaries
  • Treatment of ovarian abscess
  • Exploration of small ovarian cyst or excision of par ovarian cyst
  • Treatment of adenomyosis
  • Treatment of adhesions, Polyps or Septum
  • Excision of moderate to severe endometriosis
  • Prolapse of uterus

Treatment

Endoscopic surgeries are more advanced and less invasive as compared to open surgeries. The recovery time is usually shorter as compared to a traditional surgery and the patient also experiences comparatively lesser pain. In many cases the patient can go home on the day of the surgery or on the next day itself. 

Endoscopy refers to looking inside the body for medical purposes using a special device called an endoscope. Endoscopy is also used to diagnose and treat problems with the female reproductive system such as infertility, vaginal hemorrages, endometrial polyps and others. Gynecological endoscopy enables  a surgical procedure without the need of a major operation. The recovery is therefore prompt compared to traditional open surgeries.

The following particular endoscopic techniques are used to diagnose and treat different parts of the reproductive system:

  • Colposcopy- it is used in the examination of the cervix and the tissues of the vagina and vulva. It is performed with the help of a colposcope which allows for a better and enlarged view of the area which helps in distinguishing abnormal from normal tissue and take biopsies of the same.
  • Hysteroscopy- it is used in the examination of the uterine cavity or uterus. It helps in the diagnosis of intrauterine pathologies. It is performed with the help of a hysteroscope which has optical and light channels. It can also be used to perform operative surgery or biopsies.
  • Falloposcopy- it is used in the examination of the fallopian tubes.
  • Laproscopy - It is a surgical procedure that involves insertion of a narrow telescope like instrument through a small incision in the abdomen. This allows visualization of the abdominal and pelvic organs. The device used during this procedure is called a laproscope.

Risks

Complications from an endoscopy are unusual, but there is a possibility that the following conditions may occur:-

  • A hole or tear in the are being examined
  • Bleeding
  • Risk of infection
  • Injury to the cervix, bowel, bladder or uterus
  • Fever
  • Reaction to the anesthesia administered during the procedure
  • Heavy vaginal bleeding or discharge
  • Severe abdominal pain
  • Intrauterine scarring

After Procedure

Endoscopic surgeries are more advanced and less invasive as compared to open surgeries. The recovery time is usually shorter as compared to a traditional surgery and the patient also experiences comparatively lesser pain. In many cases the patient can go home on the day of the surgery or on the next day itself. 

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