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Laparoscopy and hysteroscopy

Keyhole surgery through three cuts of 5 to 10 mm, planned at the clinic and performed by the same surgeon.

Laparoscopy and hysteroscopy in Hyderabad

Laparoscopy and hysteroscopy: keyhole surgery, planned here, performed by the same surgeon

Laparoscopy uses three small cuts of 5 to 10 mm and a camera; hysteroscopy uses no cuts at all, reaching the inside of the uterus through the cervix. Both mean less pain, a shorter hospital stay and a faster return to normal life than open surgery. Dr. Sradhanjali, trained in advanced laparoscopic surgery at Kirloskar Hospital, plans the operation at the clinic and performs it herself at a partner hospital.

Why keyhole, and when

For most fibroids, ovarian cysts, endometriosis and hysterectomies, the keyhole route is now the standard of care. It is not right for everything – very large fibroids or dense adhesions from previous surgery may still need an open operation – and that judgement is made honestly, before you consent.

Diagnostic laparoscopy

When pain or infertility remains unexplained after scans, a direct look at the pelvis finds endometriosis, adhesions and tubal disease that ultrasound cannot see – and treats them at the same sitting.

Operative laparoscopy

Ovarian cystectomy preserving healthy tissue, myomectomy with repair of the uterine wall, excision of endometriosis, ectopic pregnancy, tubal surgery and laparoscopic hysterectomy.

Hysteroscopy

A fine telescope through the cervix gives a direct view of the uterine cavity and allows treatment without any incision.

Diagnostic

Abnormal bleeding, recurrent miscarriage, a thickened lining on scan or suspected polyp – seen directly and sampled where needed.

Operative

Removal of polyps and submucous fibroids, division of a septum or adhesions, and retrieval of a lost IUD – often as a day-care procedure.

What to expect

From the pre-operative visit to discharge, each step is explained and written down.

Before surgery

The indication, the alternatives and the risks in writing; fitness tests; a plan for the hospital, anaesthesia and expected stay; and a quoted estimate.

Recovery

Most patients are home within 24-48 hours of laparoscopy and the same day after hysteroscopy; upright the same day, driving in about a week, back to work in one to two.

In summary

Keyhole versus open: an informed choice

Smaller scars, less pain, less blood loss and a faster recovery are real advantages – but they are only advantages when the operation is done well. Training, case selection and honesty about when open surgery is safer are what make the difference.

What it involves

Included in this care

Diagnostic and operative laparoscopy

Ovarian cystectomy, preserving healthy ovarian tissue

Myomectomy with repair of the uterine wall

Excision of endometriosis and division of adhesions

Tubal patency assessment

Hysteroscopy for polyps, submucous fibroids, septa and unexplained bleeding

When to come in

✓A scan shows a fibroid, cyst or polyp

✓Surgery has been advised elsewhere and you want a second read

✓Persistent pelvic pain with a normal scan

Consultation ₹500. Bring previous reports, your medicines, and the dates of your last three periods.

Gynaecological surgeries

The indication is stated in writing along with the alternatives, because not every fibroid or cyst needs removing.

Day care and OP procedures

Procedures you go home from the same day, done at the clinic or as day care at a partner hospital.

Obstetric procedures

Procedures carried out during pregnancy or at delivery, each done on a stated indication and explained before it is booked.

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