Prof.Dr.Birol Vural IVF

LAPAROSCOPY- HYSTEROSCOPY

Laparoscopy is a surgical method performed by inserting the camera through a 1 cm incision on the navel or around it and the insertion of auxiliary instruments into the abdomen through 3-5 mm holes opened in appropriate areas in the lower abdomen. It is also known as closed surgery.

What surgeries can be performed with laparoscopy?

removal of the uterus
Fibroid removal
Uterine cancer
uterine prolapse
Isthmocele repair (repair of old cesarean section defect)
Ovarian cysts
Ovarian tumors
Chocolate cysts and endometriosis
Infertility diagnosis and treatment
Connecting the tubes
Removing the tubes
ectopic pregnancy surgeries
Abscess draining
urinary incontinence

What are the Advantages of Laparoscopy?

The hospital stay is shorter after laparoscopy. Compared to open surgery, it has advantages such as shorter recovery time, less pain and less wound infection. It also has better cosmetic results than open surgery.

What are the Risks of Laparoscopy?

Like any surgical procedure, laparoscopy has complications. The most feared complication is major vessel injuries during the procedure (0,2/1000). Bowel, bladder and urinary tract may be injured due to adhesions due to previous surgeries. Most of these complications can be detected and repaired at the time of surgery. Conversion to open surgery due to complications or severe adhesions is between 0.2-0.4%. In patients whose blood gas worsens during the operation due to intra-abdominal swelling, it may be necessary to return to open surgery.

Hsteroscopy

It is a method in which the cervical canal and the inside of the uterus are evaluated with the help of a camera. Visibility is provided by inflating the uterus with appropriate fluids. Diagnostic (diagnostic) or therapeutic (operative)

can be done.

What surgeries can be performed with hysteroscopy?

o Endometrial polyps

o Myoma (submucous-stem fibroid)

o Congenital uterine abnormalities (septum)

o Intrauterine adhesions

o Abnormal uterine bleeding: The inner layer of the uterus is scraped.

o Removal of lost intrauterine devices

o Diagnosis and treatment of infertility: After unsuccessful IVF attempts

o Diagnosis of early stage cancers

What are the Advantages of Hysteroscopy?

Many diseases involving the uterus with hysteroscopy are open surgery.

It can be treated without the need for and without removing the uterus. It is a successful technique especially in young patients and patients who want a child. Pregnancy rates are satisfactory with the operations performed. Most patients can be discharged on the day.

What Are the Risks of Hysteroscopy?

Total complication rates with hysteroscopy are between 0.2-3%. Uterus

enlargement of the mouth for camera access or during the operation of the uterus

There may be a perforation in the wall (0.22%). Although very rare, this puncture

Intestinal injuries may occur after surgery and open surgery may be required.

There may be bleeding from the cervix or inside the uterus during the procedure.

In long-term surgeries, the fluid given into the uterus is removed from the uterine veins.

can be absorbed and cause circulatory fluid overload