Laparoscopic Surgery Center – Aashara Hospital

1. Aashara Hospital Laproscopic Center – Aashara Hosital Aashara hospital is ISO:2008 CERTIFIED. "Aashara" by itself means "Rays of Hope" and "Shelter"...Founded by Dr. A.Mythily, Obstetrician & Gynaecologis. and Dr. S. Balaji, Paediatrician with a vision of establishing a dedicated women and child care unit and achieving yet another milestone in women & child health care. Laproscopic PCOD Drilling Polycystic ovary syndrome (PCOS) is a health problem that can affect a woman’s menstrual cycle, ability to have children, blood vessels, hormones, heart and appearance. With PCOS, women typically have: 1. High levels of androgens. These are sometimes called male hormones, although females also make them. 2. Many small cysts in their ovaries and they are fluid-filled sacs. One of the ways of treating this disease is Laparoscopic Ovarian Drilling. 3. Missed or irregular periods. “Ovarian drilling” is a surgery that brings on ovulation. It is done when a woman does not respond to fertility medicines. Patients of PCOD are taken up for surgery after strict pre-operative diagnostic work-ups that include ultrasound, blood test for FSH, LH, TSH, PRL and DHEAS. When a patient satisfies all the

2. above investigation, the first line of management is diet advice, weight reduction, increase physical activity. For medical management, clomiphene citrate is used. Insulin sensitizers, metformin etc are used as basic outlay. In PCOS hyper insulinemia occurs as a result of insulin insensitivity which is treated with metformin. After a fair trial of medical management and if the patient still does not become pregnant, patients are then taken up for laparoscopic ovarian drilling. Most of the women will ovulate the very next month after PCOD drilling and are able to achieve pregnancy within 3-6 months of the surgery. Diagnostic Hystero Laproscopy Diagnostic Hystero laparoscopy is a small operation (Procedure) done under anesthesia ( GA ). It is a day care procedure and patients are discharged on the same day. In this operation a laparoscope is introduced into the abdomen, the uterus, tubes, ovaries, pouch of douglas and bowel is visualized. Tubal patency is confirmed by injection of dye. Small corrective operations are also done through laparoscope such as ovarian drilling, adhesiolysis excision of

3. myomas, endometriomas, cauterisation etc. Tubal Ostia can be visualized and cornual block can be removed if needed. Through hysteroscope the uterine cavity is visualised. Polyps, fibroids, septum etc are diagnosed & treated. At the end of hysteroslaparoscopy ,the diagnosis of Infertility is definitely established and a treatment plan is made. It is better to do a hystero laparoscopy in all cases of Infertility before starting any strong Hysteroslaparoscopy is the golden standard for basic investigation and treatment in fertility, as it not only helps identify the cause of infertility but also provides a solution to the problem in the same sitting treatment. A Good Diagnostic