Fertility Enhancing Laparoscopic Surgery
Most gynecological diseases can be diagnosed and rectified (treated) through key hole or natural orifice surgery i.e. laparoscopically or hysteroscopically. Most commonly handled cases are listed and described in brief viz frequently asked questions and surgically.
FERTILITY ENHANCING LAPAROSCOPIC SURGERY
Any condition which affects fertility, is amenable to surgical correction with good result it is called fertility enhancing laparoscopic surgery.
ADVANTAGES OF FERTILITY ENHANCING LAPAROSCOPIC SURGERY (FELS)
Besides increasing the chances of pregnancy it involves gentle handling of tissues, less traumatic, less incapacitating.
INFERTILITY(INABILITY TO CONCIEVE) CARRIED OUT IN CASES OF
- Ovarian / para- ovarian cyst with or without torsion (twist)
- Myoma – Intramural fibroid, submucous
- Tubal recanalisation (tubal block, post surgical,- post sterilization, post medical management of ectopic)
- Adhesions of pelvic organs – post surgical, post pelvic / abdominal infections.
- Ectopic pregnancy – conservative surgery (salpinogostomy)
IS FERTILITY ENHANCING LAPAROSCOPIC SURGERY SAFE?
Yes in expert hands, carried out in good centre Fertility Enhancing Laparoscopic Surgery is safe with good results.
CAN THE SURGERY BE PERFORMED AS A DAY CARE PROCEDURE?
Yes selected cases of FELS can be performed as day care. The patient is called to the operation theatre in the morning in a fasting state of about 8hrs. After operation patients is observed for 4 – 6hrs in the daycare before being discharged. In case need arises, there is a provision for overnight admission as well.
DURATION OF STAY?
Duration of hospitalization will depend on the indication of Fertility Enhancing Laparoscopic Surgery (Ranging from 1-3 days).
GENERAL POST OPRATIVE INSTRUCTIONS AND INFORMATION :
- After the operation you will be kept in the recovery room. This period may vary from few minutes to few hours. The anaesthetist decides about your shifting to room. The decision depends on many technical factors.
- You will be sleepy immediately after the operation due to sedation given during anaesthesia and during the recovery period.
- You may have some discomfort when coming out of the effect of sedation. It gradually reduces to a tolerable level within a few minutes without any pain killer. However, if necessary you may ask for pain killer injections/tablets.
- You may feel nauseated in the immediate post-operative period, and you may even vomit which should not cause any worry. This generally gets over after few hours.
- You are generally allowed to have sips of water immediately after the operation and liquids on day of operation. In case of vomiting the liquid intake may be stopped and restarted after 30 minutes. The liquids may include water / cold drinks/ tea/ coffee/ juices or some clear soups.
- You are allowed to have normal home cooked meals of your choice from the next morning at breakfast.
- You should have small frequent meals for few days after operation following which you can resume your normal diet gradually. This is vital because you may feel bloated and distended if the quantity of food in large quantities at a time.
- You should try to move the limbs and can sit up immediately after operation. You should also go to the toilet on your own if you do not have the catheter (pipe in the bladder). There are no restrictions whatsoever for the physical movement. In fact majority of the patients will feel much better after they have started the movement. The pain also dramatically reduces once you start sitting up, moving and walking.
- There is no restriction on your physical activity. You are allowed to walk as soon as you recover from your sleep. There is no restriction on climbing of stairs.
- You will be discharged on the same day or next day of operation unless there is some associated medical / surgical problem. You are advised to visit again for follow up after 7 days when the dressings are removed. The dressings are waterproof so you can have normal bath with soap and water.
- In very few cases there may be some bloody / whitish discharge from the wound in the post operative period. This should not bother you because it is generally harmless. You can wipe the discharge and apply Neosporin powder (if not allergic to it) so as to avoid staining the clothes. If it is more you should report to the surgeon during the next visit. Please feel free to ask any question that may come to you mind.