Hysterosalpingography

The operation is done under general anaesthesia. A small needle is first passed into the abdomen through a one centimetre long cut just below the umbilicus so that the gas ( CO2) is introduced into the abdominal cavity. This will keep the bowel and other structures away from the pelvic organs so that we can get a good view of the uterus, both the ovaries and fallopian tubes. A trocar is now inserted through which the laparoscopic telescope is introduced. For proper visualization there is a very bright light source, which gives illumination of the pelvic organs to identify problems clearly.

 

The uterus, both the ovaries and the tubes are carefully evaluated to identify the cause of infertility. The tubal patency and the condition of the fimbriae in particular are looked at. Presence of endometriosis and adhesions ( scar tissue) is also looked for. Any minor procedure to increase the chances of a pregnancy is performed at the same time, like division of adhesions.

If the adhesions are excessive then there is no benefit in performing further procedures as these invariably return. Normally it is possible to go home the same evening after the operation.

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