Fertility Improving Surgery - Laparoscopy
Q) What is Laparoscopy?
A- Laparoscopy (a.k.a Key hole surgery) is a surgical procedure that involves insertion of a narrow telescope-like instrument through a small incision (hole) in the belly button. This allows visualization of the abdominal and pelvic organs including the area of the uterus, Fallopian tubes and ovaries.
Laparoscopy is used to find problems such as cysts, adhesions, fibroids, Endometriosis, Tubal block removal & infection.
A- Laparoscopy is the gold standard investigation in terms of identifying as well as treating the cause of infertility. At Akruti fertility center, this procedure is advised to patients only after carefully evaluating the case and identifying the need for intervention. Akruti fertility center is one of the very few places in India where the fertility specialist is fully trained to do all kinds of advanced laparoscopic surgeries. Hence the fertility specialist is completely in tune with case and this helps enormously in going forward where the fertility specialist will design the individual fertility treatment based on the laparoscopic finding. Because of this, there is very clear goal-oriented fertility treatment.
A- Laparoscopy is usually done with general anesthesia (you go to sleep). With the help of advanced inhalational anesthesia drugs, this procedure is extremely smooth for the patient
The procedure usually takes between 20 minutes to 2 hours depending upon how much operative corrective work is required. A complicated case could take more time.
The woman is generally discharged home from the hospital approximately eight hours after completion of the surgery. The woman will usually need to take off an additional 1-2 days from work following the procedure. Mild to moderate pain should be expected to last for up to 7 days or so after the procedure.
A) Any procedure which involves surgery can have complications. At Akruti, we have very expert surgeons & support staff, along with the help of advanced equipment’s we try to make sure that no complication arises.
A-Give proper information to your Doctor about:
~ Having allergies to any medicines, including anesthesia.
~ Having any bleeding problems or taking any blood-thinning medicines, such as aspirin or warfarin (Coumadin).
~ If Pregnant or might be pregnant (missed period but pregnancy test not done.)
- It is very important to follow the instructions exactly about when to stop eating and drinking, or your surgery may be canceled. If your doctor has instructed you to take your medicines on the day of surgery, please do so using only a sip of water.
- Leave your jewelry & other valuable stuff (watch etc.) at home. Anything that you usually wear will need to be taken off before the laparoscopy.
- Remove your glasses, contacts lenses, and dentures or a removable bridge before the laparoscopy. You can use them after the surgery.
- Arrange for someone to drive you home after the laparoscopy.(Ola & Uber cabs are available)
- You may be asked to use an enema or suppository several hours before or the day before the surgery to empty your colon.
- Our surgery center will give you instructions on how to get ready for your laparoscopy or a nurse may call you with instructions before your surgery.
- You are required to sign a consent form that says you understand the risks of the test and agree to have it done.
- Talk to your doctor about any concerns or apprehensions you have about the need for the surgery, its risks, how it will be done, or what the results will mean.
~ At Akruti Laparoscopy is done by Dr. CHINMAY PATAKI & DR MANIK KALE, who have a dual distinction of being specialist in the field of (minimum invasive surgery) laparoscopy & Fertility.
~ This gives a unique approach & advantage to the treatment because it ensures the perfect synchrony in the treatment.
~ General anesthesia is generally used during the procedure but other types of anesthesia, such as spinal anesthesia, may be used. The surgeon along with the anesthetist doctor will decide which choice is best for you.
~ About an hour before the surgery, you will empty your bladder. You will get fluids and medicine through an intravenous (IV) in a vein in your arm. You may get a medicine (sedative) to help you relax.
~ During laparoscopy, a small incision is made in the belly. More than one incision may be made if other tools will be used during the surgery. A hollow needle is put through the first incision and gas (carbon dioxide) is slowly put through the needle to inflate the belly. The gas lifts the abdominal wall away from the organs inside so your doctor can see clearly.
~ A thin, lighted tube (laparoscope) is then put through the incision to look at the organs. Other tools can be used to take tissue samples, fix the damage, or drain cysts. A laser may be attached to the laparoscope to help with the surgery.
~ After the surgery, all the tools will be removed and the gas will be released. The incisions will be closed with stitches and covered with a bandage. The scar will be very small and will fade over time.
~ Laparoscopy takes 30 to 90 minutes, depending on what is done, but can take longer if a condition (such as endometriosis) is found and treated. After the laparoscopy, you will go to the recovery room for 2 to 4 hours. You can usually do your normal activities the next day, but do not do any strenuous activity or exercise for about a week.
A- If general anesthesia is used, you will be asleep and feel nothing. After you wake up, you will feel sleepy for several hours. You may be tired and have some mild pain for a few days after a laparoscopy. You may have a mild sore throat from the tube in your throat to help you breathe. Use throat lozenges and gargle with warm salt water to help your sore throat.
A) Right after surgery, you will be taken to a recovery room where nurses will care for and watch your vital signs (temperature, blood pressure, oxygen level, and heart rate). You will stay in a hospital for 6-8 hours post procedure. Under any special instructions from your doctor, you may be advised to stay back at the hospital for the remaining day. You will probably go home with a list of care instructions and who to call if you have a problem.
You may have some bloating. There may be bruising around the incisions for a few days. You may have some mild pain around the incisions. Do not drink carbonated beverages (all aerated drinks) for 1 to 2 days after the laparoscopy to lower your chance of gas pains and vomiting.
In some cases, the gas used during the laparoscopy may irritate your diaphragm for a day or two. Also in some rare cases, you may have some mild pain or achiness on your shoulder for a couple of days after the laparoscopy.
Call Your Doctor Immediately if you have :-
~ A large area of redness or swelling around the incisions.
~ Bleeding or drainage from the stitches.
~ Severe belly pain.
~ Hoarseness (roughness) in your voice that lasts more than a few days or gets worse.
A) Your doctor will talk to you about the results, in detail at subsequent follow up. Results of any lab tests on tissue samples may not be available for several days depending on the TAT (turn-around time of the testing Lab).
~ At Akruti IVF treatment & surgery is performed by the same expert doctor who is well aware of the case history & has in-depth knowledge & experience of fertility-related surgery.
~ Other hospitals have visiting surgeon who most probably will not be a fertility specialist & may not have adequate hands-on experience in the similar type of cases.
~ At Akruti we have Dedicated Expert surgeon doctors and within an hour or two, the surgeon doctor will attend the patient.
~ Most Hospitals have visiting surgeon doctor thus for any complication you will have to wait for a considerable amount of time for the surgeon doctor to come & examine you.
~ Akruti gives personalized attention to every patient as we super-specialize in this field
~ Personalized attention is not possible in bigger hospitals due to visiting doctors & general nature of the setup catering all.