Dr Arushi Sethi is one of the best advanced laparoscopic surgeons in Delhi. She specialises in Laparoscopic Hysterectomy , Myomectomy and Cystectomy.
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?
- Fertility enhancing surgeries
- Tubal Blockage
- Ectopic pregnancy
- Ovarian cyst
- Tubo ovarian masses
- Chronic pelvic pain
- Abnormal bleeding patterns
- Abnormal pelvic and uterine anomalies
- Urinary incontinence
- Uterine cancers
- Cervical cancers
- Urinary incontinence
Dr Arushi Sethi is one of the best laparoscopic gynaecologist in Delhi
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
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.
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 .
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
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
Hysteroscopy is an advanced technique which provides a way for your Gynaecologist to look inside your uterus. A hysteroscope is a thin, telescope-like instrument which is inserted into the uterine cavity through the vagina and cervix. This tool helps a gynaecologist to diagnose and treat a uterine/endometrial problem.
Hysteroscopy is minor surgery which is performed either in your doctor's office or in a hospital setting. It can be performed with local, regional, or general anesthesia—sometimes no anesthesia is needed. No cutting or incision is given in vagina or cervix while inserting the thin hysteroscope There is little risk involved with this procedure for most women.
Dr Arushi Sethi is one of the Best Hysteroscopy Surgeon in Delhi.
Hysteroscopy is of two types:
When is hysteroscopy done ?
- Infertility assessment
- Irregular bleeding (Heavy or excessive bleeding)
- Postmenopausal bleeding
- Removal of submucous and intramural myoma
- Endometrial polyps
- Intrauterine adhesion (synechiae).
- Remove IUCD(Copper T) embedded inside the uterus
- To remove foreign bodies
- Diagnose a cause of repeated miscarriage
- Opening of fallopian tube
- Endometrial ablation
- Diagnose and correct uterine malformations
- Cancer of body of uterus
A Hysteroscopy can be performed as an out-patient or day care procedure. The patient is called to the operation theatre in the morning in a fasting state of 8 to 12 hours.
Local or general anaesthesia may be given depending upon the indication and whether the procedure is performed as an outpatient or in operation theatre.
Usually the Hysteroscopy procedure takes 10-30 min. This procedure does not require any skin incisions. After the surgery the patient is observed for 6 to 8 hours in the day care facility before getting discharged.
Proper counselling is given before every procedure.
Post operative recovery
The post operative recovery is considerably quick. Patients might experience a little spotting / bleeding for 7 to 10 days depending upon the procedure. Patients can experience slight abdominal discomfort post surgery for a day or two. You can start your daily activities from the next day onwards.
Hysteroscopy is a relatively safe surgery if performed by experts. Dr Arushi Sethi is one of the Best Gynae Laparoscopy and Hysteroscopy Surgeons in Delhi.
However, like any other surgical procedure there are certain small risks involved like.
- Uterine Perforation
- Fluid overload
- Anaesthetic complication