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Surgical Tests: Hysteroscopy and Laparoscopy


Hysteroscopy

  • Can be combined with laparoscopy or else is an office procedure.
  • Diagnose fibroid, uterine malformation, endometrial polyps & uterine adhesions.
  • Useful in women with Abnormal Uterine Bleeding (AUB)
  • Directed biopsies have replaced D&C.

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Laparoscopy

  • Traditionally, laparoscopy has been the final diagnostic procedure used in infertility investigations.
  • Gold standard for tubal assessment.
  • A number of apparently normal infertile patients undergoing laparoscopy will have pelvic pathology, usually endometriosis, adhesions, fibroids, ovarian cysts.
  • Immediate treatment of pathology is also possible.
  • Minimum 2 ports & a systematic approach.

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Authored By Dr. N.P. Vijayalakshmy MBBS, M.D., D.G.O

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