Endoscopy Operations

Service

Diagnostic

  • Laparoscopy
  • Hysteroscopy.

Fertility promoting

  • Minor laparsocopic surgeries
  • Major laparoscopic surgeries
  • Minor hysteroscopic surgeries
  • Major hyesterscopic surgeries
  • All minor and major general gynaecological endoscopic surgeries.
  • All minor and major general surgical endoscopic surgeries.
  • All minor and major urological endoscopic surgeries.
Facility
  • Array of scopes from world renowned suppliers.
  • 3 chip end to end digital endovision camera with digital output.
  • High definition medical monitor.
  • Exclusive documentation and recording device.
  • Harmonic scalped – the safest energy source.
  • Vessel sealing device.
  • Fast & effective vessel sealing during operations.
  • Under water bipolar energy generation.
  • Latest technology for SAFEST hysteroscopic operations.
  • Solid state electrocautery.
  • Multi parameter patient monitors with micro stream EtCo2 monitors.
  • Central oxygen.
  • Central carbon dioxide.
  • Central silent suction.
  • Two separate fully equipped operations theatres for endoscopic surgeries.
  • All endoscopy hand instruments from world renowned manufactures.
  • Office hysteroscopy setup.
  • Morcellator for removal of big masses by morcelation without making big cuts.
  • Special 3 mm instruments for micro laproscopic operations.
  • All types of endoscopic suturing devices.
  • All types of disposable instruments, collective bags etc.available.
  • Our own innovative instruments are also used.
Specialized / High-tech Equipments

Safety


  • Monitors
  • Central O2
  • Central CO2
  • Suction
  • Anesthesia
  • Emergency kits
  • Postoperative ICU
  • Assistant on call

Energy Source


Bowa

  • vessel se____ device
  • Under water bipolar
  • Monopolar current
  • Gastro____
  • Harmomicscalpel
  • Electrocantery

Endoscopes


  • 10 mm 0°
  • 5 mm 0°
  • 5 mm 30°
  • 4 mm 30°
  • 1.9 mm Fiberscope
  • 12 mm Laparocator

Operative Instruments


  • General instruments
  • Micro instruments
  • Suturing instruments
  • Operative hysteroscopy instruments
  • Scissors
  • Graspers
  • Biopsy forceps
  • Conseb
  • Monopulor needle
  • Bipolor loop
  • Bipolor needle
  • Bipolor hook
  • Resectoscope

Tissue Removal


  • Morcellator
  • Endobags
  • Hystercetonizer (?)
  • Corpotomizer

Documentation & High-Tech Recording & Editing Device


  • Printed Report
  • Videoson DVD/CD
  • DVD Recorder
  • VHS Recorder

Viewing


  • Hidefination medical monitor
  • Monitors for assistant
  • Monitors for whole oyteam
  • Live telecast of surgery to patients waiting area and conference hall.
Laparoscopy

Surgeries Performed With Laparoscopy


  • Diagnostic Laparoscopy
  • PCOD Drilling
  • Endometriosis
  • Choculate Cyst
  • Ectopic Pregnancy
  • Rectovaginal Endometriosis
  • Ovarian Cyst
  • Dermoid Cyst
  • Laparoscopic Fibroids
  • Laparoscopic Tubal Reversal
  • Laparoscopic Burch’s Procedure
  • Laparoscopy for T.O.Mass
  • Laparoscopic Adhesiulysis
  • Laparoscopic Vaginoplasty
  • Total Laparoscopic Hystrectomy
  • Laparoscopic Vault(Post-hystrectomy) Repair
  • Laparoscopic Tubal Ligation
  • Laparoscopic Prulapase Repair with Preserving Uterus
  • Laparoscopic V.V.F. (Vesico-Vaginal Fistula) Repair
  • Laparoscopic Misplaced Cu-T Removal
  • Laparoscopic treatment for post-Hysterectomy (removal of uterus)
  • Bleeding P/V

Procedure Description In Brief Laparoscopy


  • What is Laparoscopy ?
  • Laparo = Stomach
  • Scopy = to see

 

  • To check the abdomen by a telescope is called laparoscopy.
  • During Laparoscopy patient is given General anesthesia.
  • A thin needle is inserted in the belly button/navel.
  • Through that needle Co2 gas is filled in the stomach, after that a long thin telescope which is as thin as 5mm pencil is inserted into the abdomen.
  • This allows visualization of the abdominal and pelvic organs including the uterus, fallopian tubes, ovaries and surrounding.
  • For this one small hule is made in lower abdomen kept inside the abdomen.
  • Each and every organ is checked in detail. Any abnormality and pathulogy
  • Noted is documented. If it is treatable by laparoscopy it is done at the same time.
  • After laparoscopy is over, stomach is washed with saline sulution.
    CO2 gas is removed from the stomach. Telescope is removed under vision.
  • If scar is of 5mm or bigger, stitches are carefully taken by that sort of thread which melts or which are not seen, and on that scar/stitches dressing are done with water-proof Band-Aid.
  • After 2-4 hours of the operation, patient is advised to take ice-cream or liquid. After that, she can take more liquid slowly.

 

Why is Laparoscoy done?
  • To check whether fallopian tubes are open or blocked.
  • To check presence of endometriosis, Adhesions.
  • Long standing lower abdomen pain.
When is Laparoscoy done?
  • Fibroids endometrioma – choculate cyst etc
  • Damage in abdomen due to diseases suffered in part or any adverse effects of previous surgeries can be diagnosed and treated

Advantages Of Laparoscopy


  • Negligible or minor cuts.
  • Better operation.
  • Quick recovery and discharge from hospital.
  • Minimum post operative pain and complications Can resume work on next day.

Disadvantages Of Laparoscopy


  • Hi-tech equipments.
  • Costly instruments.
  • Expensive disposables.
  • Expert, experienced, trained team.
  • slightly more exper__conventional surgery.
Hysteroscopy

Surgeries Performed With Hysteroscopy And Description


  • Diagnostic Hysteroscopy
  • Asherman’s Syndrome (Intrauterine adhesions)
  • Endometrial Polyp
  • Intrauterine Fetal Bones
  • Tubal cannulation for proximal Tubal Block
  • Uterine septum
  • Cervical stenosis
  • Misplaced IUCD
  • Submucus fibroid resection
  • T shaped uterus & lateral wall Adhesiolysis
  • Total occlusion of uterine cavity Total Amenorrohea
  • Trance cervical resection of Endometrium(TCRE)
  • Tubal occusor device Insertion

Procedure Description In Brief Hysteroscopy


What is Hysteroscopy?
  • Hystero = Uterus
  • Scopy = to see
  • The procedure of examining the uterus from inside is called hysteroscopy.
  • A hysteroscope is a thin telescope that is inserted into the uterus through the vagina and cervix, the scope is thin 1.9 to 2.9mm. The toul helps doctor to diagnose or treat uterine problem.
  • In Hysteroscopy patient is given anesthesia, and then after a thin telescope of 1.9 to 2.9mm is inserted through cervix and entered into uterus under continuous monitoring.
How Hysteroscopy is done?
  • Wall of uterus, entrance of fallopian tubes and mouth of uterus-cervix are systematically checked.
  • if any problem is seen than is treated with operation at the same time.
  • Patient is given ice-cream or liquid food after 2 hours and then can go home.
When Hysteroscopy is done?
  • In the treatment of Infertility Before test tube baby treatment.
    Frequent miscarriages.
  • Surety or doubt of having any problem in uterus.
  • Retain products of conception after miscarriages like fetal bones etc.
  • Missing Coper-T
  • Excess bleeding during menstrual cycle.
  • Possibility of tuberculosis.
  • Possibility of cancer.
  • Possibility to remove foreign body from uterus..
Benefits of Hysteroscopy
  • No scar is done on stomach.
  • Fast recovery and discharge from hospital.
  • Hysteroscopy is half day treatment, so night stay in hospital is not required.
  • With the help of high tech operations, complicated operation inside the uterus can be done without opening the stomach/abdomen.