Laparoscopy for infertility is defined as a minimally invasive surgical procedure that uses a laparoscope, which is a fibre-optic tube with a light and video camera. It is inserted through two or more minor incisions, mostly in the belly button. After inserting this, surgeons can visually examine the pelvic reproductive organs and the pelvic cavity.
The procedure may be performed under general anaesthesia or local anaesthesia by Dr Ram Prakash, who is one of the best embryologist in Delhi. It typically takes 30 to 45 minutes. The abdomen is inflated with gas, mainly carbon dioxide or nitrous oxide, which is injected with the help of a needle to move the organs away in order to increase their visibility during the procedure.
After this, through a small incision, the laparoscope is inserted, and the surgeon will see the interior of the pelvic cavity on the screen, transmitting the images from the camera.
This will help the surgeons look for possible causes of infertility. These could be:
- Abnormalities of the uterus and ovaries
- Blocked fallopian tubes
- Scar tissue
- Fibroid tumours
- Endometriosis
Dr. Ram Prakash, one of the Best embryologist, may decide to correct the problems detected. In the case of surgical laparoscopy, small surgical instruments are manipulated through the laparoscope or another small incision point. The surgeon can remove scar tissue, fibroids, or endometrial tissue that has been incorrectly implanted outside the uterus. The surgeon cuts tissue or removes it with a laser beam or electrocautery.
The surgeon closes the incision in the abdomen with a few stitches. Usually, there is very little to no scarring.
When is laparoscopy used for treating infertility?
Generally, laparoscopy for infertility is performed only after other fertility tests have not resulted in a conclusive diagnosis. This procedure is often performed on women with unexplained infertility.
Laparoscopy also allows for the biopsy of suspect growths and cysts that may be hampering fertility. Doctors recommended this procedure only for women experiencing pelvic pain, which is a potential symptom of endometriosis. Laparoscopy can also help in removing scar tissue that can be a cause of pelvic or abdominal pain.
Risks of Laparoscopy
Like any surgery, laparoscopy performed for infertility has potential risks. Only 1-2 per cent of patients who undergo laparoscopy to diagnose or treat infertility experience a complication, including anaesthesia-related issues. Minor complications include infection and skin irritation at the incision.
More severe complications may include:
- Formation of adhesions and hematomas (swelling due to blood outside a vessel)
- Allergic reaction
- Nerve damage
- Blood clots
Although injury can occur in any patient, it is more common in women who have undergone prior abdominal surgery, pelvic adhesions, or are overweight.
If an injury occurs, a larger incision would be used to repair the damaged organ and would result in hospitalization for recovery. In rare instances, damage to an organ may not be discovered during surgery. This would lead to emergency surgery and, if the bowel had been damaged, the temporary placement of a colostomy.
Conclusion
Dr. Ram Prakash is among the best embryologist, known for his expertise in laparoscopic surgery and for his role in overcoming infertility. With years of experience and a success rate, he brings hope to countless couples who are looking for parenthood. His meticulous approach begins with a thorough diagnosis, pinpointing the cause of infertility. His laparoscopic skills help in addressing issues like endometriosis, fibroids, and blocked fallopian tubes. This approach minimizes recovery time and potential complications.
So if you’re battling infertility in Delhi, Dr. Ram Prakash’s expertise in laparoscopic surgery, coupled with his compassionate bedside manner, will provide you with great help.