Dr. Neeraja's Fertility

LAPAROSCOPY

This procedure is performed under general anaesthesia to check tubal patency by transcervical injection of methylene blue dye. This procedure remains the “gold standard” for the accurate assessment of tubal patency. Visualization of the pelvic cavity by laparoscopy is necessary to ascertain tubal patency, adnexal adhesions, and ovarian mass. Some abnormalities like lysis of adhesions, salpingectomy, ovarian cystectomy, cauterization or vaporization of endometriotic implants can be treated at the time of the diagnostic procedure itself.

Pcod drilling

PCOD patients with failed previous cycles, anovulatory with induction drugs and more serum LH hormone levels advised to undergo pcod drilling to get good response with drugs in next induction cycles.

Laparoscopic myomectomy

 A myomectomy is a procedure to remove fibroids, otherwise called myomas, from the uterus. After the fibroids are removed, the uterus is repaired and will work regularly. In contrast, another common treatment for fibroids is hysterectomy, where the uterus is removed alongwith the fibroids.

Laparoscopic recanalization

Laparoscopic recanalization or tubal ligation inversion, is a procedure to restore fertility after a woman has had a tubal ligation — a procedure that cuts or blocks the fallopian tubes to avoid pregnancy. During a laparoscopic tubal ligation inversion, the blocked fragments of the fallopian tubes are reconnected to the rest of the fallopian tubes through laparoscopy. This may enable eggs to again travel through the tubes and sperm to go up the fallopian tubes to join an egg.

Fertility preserving surgeries for endometriosis

The inner lining of the uterus is known as the endometrium. During a menstrual period, the lining of the endometrium is shed through the vagina. In endometriosis, sections of endometrium create in spots other than the inner lining of the uterus. These pieces may create on the ovaries, or sometimes on the fallopian tubes, the vagina, the peritoneum, or the intestine.

Most women find out about their diagnosis of endometriosis when they note pelvic pain or serious menstrual spasms. Endometriosis can likewise make it hard for a woman to become pregnant. some types of endometriosis are normal and may not require treatment.

 It is largely accepted that laparoscopic surgery is the main definitive approach to analyse endometriosis. In many cases, the disease can be analysed and treated in a similar technique. The success of surgery depends greatly on the skill of the specialist and the thoroughness of the surgery. The point is to remove all endometriosis lesions, cysts, and adhesions. Today, most endometriosis surgery is being done through the laparoscope, despite the fact that a full stomach entry point called a laparotomy may in any case be required in uncommon cases for extensive infection or bowel resections.