What it reveals and what can be corrected immediately
Through the camera, minimal foci of endometriosis, thin adhesions, the condition of tubal fimbriae, cysts, myomatous nodes, anomalies are visible - things that ultrasound and MRI do not show. Chromohydrotubation (injection of blue dye through the uterus) demonstrates the patency of each tube. Detected changes are eliminated by agreement in the same operation: adhesiolysis, coagulation of endometriosis, tubal plastic surgery, cyst removal - the corresponding operation is paid according to the price list. Diagnostic laparoscopy is often combined with hysteroscopy for a complete evaluation in infertility and before IVF.
Indications
- infertility of unknown origin, suspicion of tubal factor - checking the patency of the tubes (chromohydrotubation) and the condition of the tubes;
- chronic pelvic pain, suspicion of endometriosis, adhesions;
- clarification of the diagnosis for ovarian formations, developmental anomalies;
- acute abdominal pain with suspicion of ectopic pregnancy, apoplexy, torsion of the appendages - with transition to treatment;
- assessment of treatment results, second look in oncological diseases.
Benefits of laparoscopy
Laparoscopy is the standard of modern operative gynecology: magnifying the image by 10–15 times allows you to work more accurately than an open operation and is more gentle on the ovarian tissue and tubes, blood loss is minimal, adhesions form less frequently (important for future pregnancy), the pain after the operation is mild, and the patient gets up on the day of the operation and is discharged on the 1st–3rd day; Instead of a cut, three barely noticeable scars remain. In the clinics below, laparoscopic operations are performed by gynecological surgeons with extensive experience on modern endoscopic stands.
Risks and contraindications
- rare complications: bleeding, injury to neighboring organs, infection, thrombosis - prevention and the experience of the surgeon reduce the risk to a minimum;
- contraindications: severe heart and lung diseases, coagulation disorders, severe adhesions after many operations, large tumors (>15–20 cm) - then laparotomy is chosen;
- Obesity and previous operations are not a contraindication, but require an experienced team.
