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Endoscopy Doctor | Endoscopy Hospital in Ahmedabad

Endoscopy

Endoscopy

Looking for best Laparoscopic Surgeon in Ahmedabad? At MAA Hospital Ahmedabad, team of Laparoscopy and Hysteroscopy doctor conduct the complete examination of women’s inner pelvic structure, this scrutiny comes up with crucial information concerning infertility and gynecologic disorders. At Maa women’s Hospital & IVF Center, our expert surgeons and physicians do perform endoscopy with the specialized instruments. Endoscopy allows the surgeon to view and operate the internal organs and vessels of your body without making large incision. It is non-surgical and non-invasive procedure. It is useful in investigating areas like Respiratory tract, ear, urinary tract, gastrointestinal tract, through a small incision, female reproductive tract.

Advantages of Endoscopy

Why To Choose Endoscopic Surgeries Over Open Surgery ?

  • Endoscopic Surgery is minimally invasive surgery where the largest scar is of 10 mm size.
  • Cosmetically scars are small & almost invisible.
  • Blood loss is less as bleeding can be controlled at micro level by targeted cautery.
  • Laparoscope allows targeted magnification of area under vision .
  • Laparoscope allows to identify proper tissue planes & prevents injury to adjacent structures.
  • Less post operative pain.
  • Sonologically undetected & clinically silent pathology can be diagnosed by laparoscopy.
  • Post Surgery recovery is faster as minimal tissue handling hence shorter hospital stay.
  • Makes major gynaec surgery an day care event.

Various surgeries being performed here:

  • Fertility Enhancing Laparoscopy Surgeries: Ovarian Drilling in PCOS, Myomectomy, Fimbrioplasty, Ovarian Cystectomy, Management of Endometriosis, Adhesiolysis, Salpingo-Ovariolysis, Tubal Microsurgery, Salpingoscopy
  • Laparoscopic Management of Ectopic Pregnancy
  • Laparoscopic Assisted Vaginal Hysterectomy (LAVH)
  • Total Laparoscopic Hysterectomy (TLH)
  • Laparoscopic Management of T-O Mass
  • Laparoscopic Vaginal Vault Prolapse Repair
  • Laparoscopic Sacropexy (Shirodkar Sling)
  • Laparoscopic Enterocele Repair

laparoscopy & Hysteroscopy

At present, laparoscopy is a gold standard because it offers bird’s eye view and augmented view of pelvic and abdominal organs. Diagnosis and operation both can be performed by laparoscopy. Well, laparoscopy is done by inserting a thin, flexible tube called laparoscope into abdomen through a small incision. For performing this, a small cut is to be made in your navel by surgeon. It is always performed under anesthesia. With the use of small needle, carbon dioxide gas will be filled in the stomach to keep abdominal wall away from your organs. Moreover, it reduces the risk of injury. Laparoscope is a catheter, which has a high-resolution camera at the front, which transmits images to a video monitor. fallopian tubes, ovaries, outer side of uterus and internal pelvic areas can be clearly viewed by surgeon. In case, there is need to perform surgery, then other required equipment’s will be inserted through these holes under the laparoscopy guide. It is also called keyhole surgery or Band-Aid surgery. This whole surgery is available at Sneh Hospital, we not only treat our patients but also pamper them until they get back to their comfortable situation. We here offer you the whole treatment in affordable cost.

Benefits of Laparoscopy
  • Lysis of uterine adhesions
  • Ovarian cystectomy
  • Treatment of endometrioses
  • Myomectomy
  • Fastest recovery
  • Reduced risk of infection
Risks of Laparoscopy
  • Blood clots
  • Damage to internal organs
  • Hernia
  • Abdominal infection
  • Adverse reaction to anesthesia
  • bleeding

Laparoscopically assisted vaginal hysterectomy (L.A.V.H)

In this method dual approach is adapted for uterine removal. Upper pedicles of the uterus, fallopian tubes and ovaries are freed through laparoscope and lower part is approached through vagina accomplishing removal from below down. This sometimes is helped for correction of vaginal wall laxity i.e cystocele and rectocele repair. This greatly reduces operative & anesthesia time in high risk women. LAVH due to its dual approach combines advantages of laparoscopy & vaginal surgery & negates disadvantages of the same

T.L.H.(Total Laproscopic Hysterectomy)

This is a removal of uterus via laparoscopy. Uterus is released from its attachments with energy sources & harmonic scissors. Once it is freed specimen is delivered vaginally. This facilitates removal of both fallopian tubes and ovaries. As entire procedure is done laparoscopically it greatly reduces chances of vaginal contamination. Studies have proved that when there is no contra-indication TLH is route of choice for hysterectomy.

Endometriosis

There are mild to severe staging of endometriosis, which can be diagnosed, staged and treated Laparoscopically depending on stages by simple fulguration to adhesiolysis to removal of endometriotic lesions through Laparoscope.

T.O. Mass(Tubo Ovarian Mass Removal)

Chronic inflammatory tubo ovarian masses can be removed through laparoscope encouraging speedy recovery.

Pregnancy ( Pregnancy outside the uterine cavity)

This life threatening condition of abnormal pregnancy location mostly in fallopian tube. It can be diagnosed precisely by laparoscopy and treated simultaneously with excellent result. It avoids laparotomy which hastens recovers & prevents adhesions which may otherwise contribute to secondary infertility.

Myomectomy

Small to huge or multiple lmyomas can be removed safely with the use of morcellator and fertility conditions may be regained. This prevents laparotomy, reduces blood loss, makes preservation of fertility & T- O relations and also allows precise suturing of uterus.

Adhesiolysis

Pelvic inflammation &  infection commonly tuberculosis & non specific type leads to adhesions (abnormal connecting bands) between pelvic organs. This can be treated efficiently relieving clinical symptomatology and re-establishing fertility status by laparoscopy due to crisp image & magnification provided. Pneumoperitoneum helps to find correct tissue planes..

PCOD Drilling

Almost 30 % women face problem of PCOD. Before starting stimulation in IVF – ICSI it is advisable to perform LEOS (Ovarian Drilling). It is done using monopolar current. It deandrogenizes the ovary & corrects the hormonal mileu which not only enhances results of IVF & IUI but also reduces risks of miscarriage.

  • Improved endocrine profiles
  • Spontaneous ovulation
  • Reduction in gonadotropin doses for ovulation induction and hence reduction in cost of further stimulated cycles
  • Improvement in pregnancy rates Reduction in multiple pregnancy rates
  • Reduction in first trimester abortions
  • Reduction in ovarian hyperstimulation.
Ovarian Cyst Removal

Ovary may have many pathological masses which may be benign or malignant. Benign Ovarian masses can be removed laparoscopically & the specimen retrieved by endo bag to prevent intra abdominal spillage. Laparoscopy prevents incision, blood loss, allows preservation of normal ovarian tissue & reduces adhesions. All these factors have fertility enhancing effect.

Tubal Ligation(T.L.)

It is most common laparoscopy surgery in female. It is a day care operation. This may be done with Filshi Clips, Fallope Rings or bipolar cauterization. It reduces tubal damage as compared to open tubal surgery which facilitates reversal; if need be.

Fimbrioplasty

It is indicated in Distal Tubal Block (DTO) on HSG, Adherent & Fimbrial block fimbriae can be opened to enhance chances of natural conception & conception by IUI. It requires the use of specialized instruments & advances skills.

Vault Suspansion

Post hysterectomy vault prolapse is associated with considerrable morbidity. Laparoscopic Coplopexy with prolene mesh is gold standard for Vault prolapse. Lapsroscope allows precise identification of tissue planes & proper fixation of mesh to sacral promontry.

Sling Surgeries

Anterior Sling which involves fixation of isthmus of uterus to pectineal ligament by mersilene tape & Burch Colp[osuspension can be done laparoscopically. They allow precise dissection in Space of Retzius & magnification allows proper suture placement on pectineal ligament.

Laparoscopic Enterocele Repair

Enterocele repair is herniation of small bowel through POD. Ot can be done by Halban’s Method using Prolene sutures. Laparoscope allows to avoid inadvertent rectal & ureteric injury.through laparoscopy.