Laparoscopy

What is laparoscopy and how is it done



It is a special examination performed in a hospital under general anesthesia. Using a special organ, the laparoscope, we can examine the inside of the abdomen and the inner genital organs of the woman from a small 1 cm opening on the umbilicus.



What is laparoscopy useful for

Laparoscopy offers valuable help in the diagnosis of several gynecological conditions related to infertility. Many of them are not possible to diagnose otherwise (such as using ultrasound or hysterosalpingography).


Using laparoscopy we can examine:

  • The size and morphology of the uterus, fallopian tubes and ovaries
  • The permeability of the fallopian tubes which is ensured by introducing a special dye (methylene blue) through the cervix and expecting it to come out from the other end of the tube (infundibulum and fimbria)
  • The ovarian-fallopian tube relation, i.e. optimal contact of infundibulum and fimbria of each tube with the respective ovary.
  • The pathology of inner genital organs, particularly endometriosis and adhesions.


Which conditions are diagnosed

  • Endometriosis (peritoneal*, ovarian, vaginal diaphragm)
  • Adhesions* (of fallopian tubes, ovaries, etc)
  • Hydrosalpinges (distended fallopian tubes with obstruction in the infundibular section)
  • Congenital abnormalities of the uterus (bicornuate*, bipartite, monocornuate, etc)
  • Uterine fibroids
  • Ovarian cysts
  • Ectopic pregnancy

*These conditions are diagnosed only laparoscopically.