Micro laparoscopy is a minimally invasive diagnostic surgical procedure. Laparoscopy enables the surgeon or a gynecologist to directly view the organs of the abdomen and pelvis. Laparoscopy minimizes hospital stay after surgery and recovery period too. Laparoscope is an instrument in the shape of a miniature telescope with a fiber optic system. The laparoscope is a sterile surgical instrument, which has special optics that allows small amounts of light to be transmitted effectively. A laparoscopy involves two cuts approximately 5 -10 cm long. The first cut is below the navel. A hollow needle is inserted. Carbon dioxide gas is pumped into the abdomen through this channel in the laparoscope. This is done to create a space within which the surgeon can look or operate.
The laparoscope is inserted through a second small cut made on the abdomen. The exact position depends upon the procedure that is being conducted. The laparoscope can be moved around within the abdominal or pelvic cavity to give several different views to the operating surgeon. At the end of the procedure, the instruments are removed and the carbon dioxide gas is allowed to escape and the cuts closed with stitches.
Hysteroscopy is a diagnostic test that makes use of a thin telescope-like hysterescope to view and operate upon the endometrial cavity. Carbon dioxide is filled into the cavity to aid this process. While often hysteroscopy can be done as an outpatient procedure, some women may need local anesthesia. In some cases, hysterescopy is done along with a resectoscope. But this procedure destroys the uterine lining and is not a viable alternative for women who wish to have children. A laparoscope may be used to view the uterine exteriors.
Diagnostic hysteroscopy involves observation of the endometrial cavity for any abnormalities. This procedure is often used in cases where there has been abnormal uterine bleeding or repeated miscarriage. Diagnostic hysteroscopy may also be used to confirm the results of HSG. Hysterescopy may be used to check for causes of heavy or irregular menstrual cycle or fit IUD.
Operative hysteroscopy involves use of hysteroscope to remove polyps, cut adhesions or treat fibroids and septums. This can be used as an alternative to open abdominal surgery. This involves use of operative hysteroscope that allows the physician to insert operating tools. In rare cases, hysterescopy may lead to infection and heavy bleeding or injury to the cervix or uterus.
Named after Dr. Ralph Pomeroy, Pomeroy technique is a process of tubal ligation i.e. removal of a portion of the fallopian tube. It is a sterilization procedure for women devised by Dr. Ralph Pomeroy at the end of the 19th century and start of the 20th century. This procedure is still popular as it is an effective yet simple method to block the fallopian tubes.
The Pomeroy Technique
The technique adopts a simple yet effective procedure for tubal legation.
Variations of the technique include the following. These variations determine the length of the tubal segment that can be repaired from the remaining tube.
There are many advantages of the modified Pomeroy technique. In rare cases, the severed ends drift back together and heal, or the suture does not dissolve and the fallopian tube becomes connected again.
The Pomeroy procedure is:
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Collection of Pages - Last revised Date: April 7, 2020