Laparoscopy

Dr Arushi Sethi is one of the best advanced laparoscopic surgeons in Delhi. She specialises in Laparoscopic Hysterectomy , Myomectomy and Cystectomy.

What is Laparoscopy?

Laparoscopy is also known as ‘keyhole surgery, and minimal invasive surgery (MIS)  Laparoscopy is a revolutionary way of performing  surgery using small incisions (03 – 12 cm). It is different from open surgery where the incision on skin can be several inches long.  A small incision is made in the umbilicus / navel and through that incision a tiny camera is inserted.The laparoscope is then used to visualize your pelvic area and internal organs. The surgeon is able to watch the image from this camera on a TV monitor while performing the surgical procedure. Two to three( depending upon the type of surgery) other tiny incisions are made in the lower abdomen, through these tiny incisions, specialized laparoscopy instruments are inserted and used for the removal process .

What Gynecological pathologies / diseases / problems can be diagnosed or/and treated with laparoscopy?

• Endometriosis
• Infertility
• Fertility enhancing surgeries
• Tuberculosis
• Tubal Blockage
• Ectopic pregnancy
• Ovarian cyst
• Tubo ovarian masses
• Fibroid
• Adenomyosis
• Chronic pelvic pain
• PCOS
• Abnormal bleeding patterns
• Abnormal pelvic and uterine anomalies
• Prolapse
• Urinary incontinence
• Uterine cancers
• Cervical cancers
• Urinary incontinence 

Services available

Dr Arushi Sethi is one of the best laparoscopic gynaecologist in Delhi

• Laparoscopic Hysterectomy - laparoscopic removal of uterus and cervix
• Laparoscopic myomectomy - laparoscopic removal of fibroids
• Laparoscopic oophorectomy - laparoscopic removal of ovaries
• Laparoscopic cystectomy - laparoscopic removal of ovarian cysts
• Diagnostic laparohysteroscopy with chromopertubation - for tubal blockage 
• Laparoscopic recanalization - laparoscopic reversal of tubal ligation

ADVANTAGES OF LAPAROSCOPY

• Better cosmesis - Smaller incision and almost invisible scars
• Short hospital stay  -You will be discharged within1- 2 days
• Better post operative recovery - You will experience less pain and can resume routine activities sooner
• Reduced Risk of infection

What to expect?

Before procedure :-
Before surgery you have to get yourself examined by your Gynaecologist. You have to undergo preanaesthetic checkup and get fitness for surgery. You are admitted a day prior to surgery.

During procedure

Laparoscopic surgery is performed under general anaesthesia and it uses a highly advanced  special fibre optic instrument called laparoscope, which is inserted into the abdomen through small incision, the laparoscope is attached to a camera This system allows the surgeon to look inside your abdominal and pelvic cavity which is transmitted on a video screen, without disturbing the normal anatomical relations inside the body . Depending upon the procedure 2-3 small 5mm (half centimeter) incisions are given on abdomen .The patient does not experience any pain during surgery as the procedure is done under anaesthesia .

Post operative period

You might experience mild intensity of pain and nausea immediately after the surgery.

If you are undergoing a diagnostic procedure you will be discharged on the same day ,if you can comfortably pass urine and can accept liquids orally .

You will be discharged 48 hours after an operative laparoscopic procedure like laparoscopic hysterectomy

Recovery 

One of the biggest advantage of laparoscopy is the faster recovery time.. You can go back to your routine activities within a few days but it is advisable to avoid sternous activities