Hysteroscopy and Laparoscopy in the treatment of infertility

Hysteroscopy and Laparoscopy in the treatment of infertility 2016-11-10T12:49:26+00:00

Surgical diagnostic procedures

In the case of doubts or difficulties with diagnosing the causes of infertility the doctor may suggest additional, enhanced surgical diagnosis.

Hysteroscopy

In some cases after the performance of appropriate tests it is necessary to perform surgical diagnostic procedures in the form of hysteroscopy or laparoscopy. At INVICTA Fertility Clinic all Patients have the possibility to undergo surgical procedures in hospital wards furnished with modern equipment and functioning in every INVICTA Facility.

Hysteroscopy is a minimally invasive surgical method used to assess the condition of the organs in the uterine cavity. It involves the visual inspection of interior of uterine cavity with the use of a special optical device – a speculum called hysteroscope. A camera attached to hysteroscope allows to monitor changes in the female reproductive organs. As a minimally invasive diagnostic tool, hysteroscopy is gaining increasing popularity in diagnosing female disorders. Hysteroscopy allows not only to diagnose, but also to remove certain lesions, as well as to collect mucosa specimens. The examination enables not only the diagnosis but also the removal of certain lesions, and mucosa sample collection. Hysteroscopy is performed also in the course of investigating the causes of infertility or where there is a risk of miscarriage.

As a minimally invasive procedure, hysteroscopy is gaining increasing popularity in diagnosing female disorders. At INVICTA Clinics both diagnostic and surgical hysteroscopy is available.

Types of hysteroscopy

Description of the medical procedure: Endoscopic diagnosis of uterine cavity performed with a thin optical device placed through the vagina into the uterus.
Type of anaesthesia: general
Duration of hospital stay: up to 2 hours after surgery
Description of the medical procedure: Diagnostic Mini hysteroscopy is performed with very thin optics, which allow the introduction of a tool without having to use speculums, forceps and Hegar cervical dilators.
Type of anaesthesia: general
Duration of hospital stay: up to 2 hours after surgery
Description of the medical procedure: Diagnostic hysteroscopy performed after the enlargement of the cervical canal; after examining the uterine cavity, uterine curettage is performed in order to collect mucosa specimens for microscopic examination.
Type of anaesthesia: general
Duration of hospital stay: up to 3 hours after surgery
Description of the medical procedure: Endoscopic surgical intervention which allows the removal of polyps, fibroids, intersecting adhesions, etc. from the inside of the uterus under imaging control.
Type of anaesthesia: general
Duration of hospital stay: up to 6 hours after surgery
Description of the medical procedure: A hysteroscopic surgery which consists in cutting off the submucosal myoma pedicle and its enucleation from the uterus.
Type of anaesthesia: general
Duration of hospital stay: up to 6 hours after surgery
Description of the medical procedure: A hysteroscopic surgery performed with electro-resectoscope, a special electrosurgical tool used to excise the endometrium and / or submucous fibroids bulging into the uterine cavity.
Type of anaesthesia: general
Duration of hospital stay: up to 6 hours after surgery
Description of the medical procedure: A hysteroscopic surgery involving the coagulation of the entire endometrial tissue and its destruction. This procedure is used to treat dysfunctional or abnormal uterine bleeding.
Type of anaesthesia: general
Duration of hospital stay: up to 6 hours after surgery
Description of the medical procedure: A hysteroscopic surgery during which intrauterine adhesions are released with the use of scissors or electrosurgical needle.
Type of anaesthesia: general
Duration of hospital stay: up to 3 hours after surgery
Description of the medical procedure: polyp excision with the use of scissors or an electrosurgical needle during office hysteroscopy.
Type of anaesthesia: general
Duration of hospital stay: up to 2 hours after surgery
Description of the medical procedure: Intersection of septum with scissors or an electrosurgical needle during office hysteroscopy.
Type of anaesthesia: general
Duration of hospital stay: up to 2 hours after surgery
Description of the medical procedure: A hysteroscopic surgery performed in the case of intrauterine foetal death before the 12th week of gestation. During the procedure, a foetal tissue specimen is collected in order to perform cytogenetic tests and to determine the probable cause of the foetal death. After the tissue collection the uterine cavity is curettaged.
Type of anaesthesia: general
Duration of hospital stay: up to 3 hours after surgery

Laparoscopy

Laparoscopy is a method of surgical treatment involving the execution of small incisions through which optics and a small surgical tool are introduced into the abdominal cavity. With this medical equipment abdominal cavity is inspected. During laparoscopy there is a possibility to perform a variety of gynaecological procedures, e.g. enucleation of ovarian cysts or uterine fibroids. Laparoscopy is applied in the course of the surgical treatment of male infertility and endometriosis. INVICTA Clinic offers the possibility of performing both diagnostic and surgical laparoscopy.

Types of laparoscopy

Description of the medical procedure: A laparoscopic surgery performed in order to collect a tissue specimen from the pathological ovarian lesion.
Type of anaesthesia: general
Duration of hospital stay: up to 24 hours after surgery
Description of the medical procedure: A laparoscopic surgery performed to assess the condition of fallopian tubes from the uterine horn to the abdominal mouth of the fallopian tubes; assessment of fimbriae of fallopian tubes and examination of the tubal patency with contrast administered into the uterus through a special catheter. On the laparoscopic picture the movement of the dark blue contrast from the uterus into the abdominal cavity is observed.
Type of anaesthesia: general
Duration of hospital stay: up to 2 hours after surgery
Description of the medical procedure: A laparoscopic surgery performed in order to collect an ovarian tissue specimen, e. g. in the diagnostic testing for endometriosis and fallopian tube condition.
Type of anaesthesia: general
Duration of hospital stay: up to 24 hours after surgery
Description of the medical procedure: A laparoscopic resection intraperitoneal endometriosis lesions performed primarily because of the lower abdominal pain syndrome.
Type of anaesthesia: general
Duration of hospital stay: up to 24 hours after surgery
Description of the medical procedure: A laparoscopic uterine myomectomy without hysterectomy; minimally invasive surgery.
Type of anaesthesia: general
Duration of hospital stay: up to 24 hours after surgery
Description of the medical procedure: Laparoscopic intersection of peritoneal, peritubal adhesions, etc. Minimally invasive technique.
Type of anaesthesia: general
Duration of hospital stay: up to 24 hours after surgery
Description of the medical procedure: Minimally invasive laparoscopic surgery of ovarian cysts removal with maximum ovary conservation.
Type of anaesthesia: general
Duration of hospital stay: up to 24 hours after surgery
Description of the medical procedure: A laparoscopic surgery performed in order to remove periadnexal lesions (cysts ) with the conservation of the structure of adnexa.
Type of anaesthesia: general
Duration of hospital stay: up to 24 hours after surgery
Description of the medical procedure: A laparoscopic resection of one ovary in the case of pathologic lesions which led to the complete destruction of the ovary.
Type of anaesthesia: general
Duration of hospital stay: up to 24 hours after surgery
Description of the medical procedure: A laparoscopic removal of uterine adnexa, i.e. fallopian tubes and ovaries in the case of unilateral pathology.
Type of anaesthesia: general
Duration of hospital stay: up to 24 hours after surgery
Description of the medical procedure: A laparoscopic removal of all uterine adnexa, i.e. fallopian tubes and ovaries in the case of bilateral pathology.
Type of anaesthesia: general
Duration of hospital stay: up to 24 hours after surgery
Description of the medical procedure: A laparoscopic resection of the entire uterus with or without the ovaries; uterus is extracted through the vagina or by morcellation. Minimally invasive hysterectomy.
Type of anaesthesia: general
Duration of hospital stay: up to 36 hours after surgery
Description of the medical procedure: A laparoscopic removal of the uterine body with fibroids; ovaries and cervix are left in place. Uterus with fibroids is removed from the abdominal cavity through mechanical fragmentation with the use of a special device – morcellator. Minimally invasive hysterectomy technique.
Type of anaesthesia: general
Duration of hospital stay: up to 24 hours after surgery
Description of the medical procedure: Laparoscopic-assisted radical vaginal hysterectomy (LARVH) performed in case of vaginal endometrial cancer, minimally invasive.
Type of anaesthesia: general
Duration of hospital stay: up to 36 hours after surgery

Other surgeries

Description of the medical procedure: Diagnostic office hysteroscopy and diagnostic laparoscopy performed from a single umbilical entry for infertility diagnostics. During one anaesthesia we perform comprehensive diagnosis of the uterine cavity, fallopian tubes (patency), ovaries (endometriosis) and abdominal peritoneum.
Type of anaesthesia: general endotracheal
Duration of hospital stay: up to 24 hours after surgery
Description of the medical procedure: Puncture of the ovarian cyst under ultrasound imaging control for further diagnostics.
Type of anaesthesia: local or general
Duration of hospital stay: up to 2 hours after surgery
Description of the medical procedure: curettage of the cervical canal in order to collect material for microscopic examination.
Type of anaesthesia: local
Duration of hospital stay: up to 1 hour after surgery
Description of the medical procedure: Gynaecological surgery involving the extension of the cervix and the uterine cavity curettage in order to collect a specimen of mucosal tissue for microscopic examination.
Type of anaesthesia: general
Duration of hospital stay: up to 2 hours after surgery
Description of the medical procedure: Vaginal surgery performed in order to implant a special plastic tape, which supports the urethra while preserving its physiological angle; surgery performed in the treatment of urinary incontinence in women
Type of anaesthesia: general
Duration of hospital stay: up to 6 hours after surgery
Description of the medical procedure: Vaginal surgery performed in order to implant a special plastic mesh which supports the fascia of the pelvic floor in the case of lowered vaginal walls and uterine prolapse.
Type of anaesthesia: general
Duration of hospital stay: up to 12 hours after surgery

If there are any doubts relating to the cause of the problem, the doctor may refer the Patients for additional tests. In the case of suspected genetic background of problems with achieving pregnancy, genetic diagnosis is recommended (including karyotype test, genetic hysteroscopy). It is also indicated in the case of recurrent miscarriages.

GENETIC DIAGNOSIS

In the case of suspected genetic background of problems with achieving pregnancy, genetic diagnosis (including karyotype test, genetic hysteroscopy) is recommended.