Tandon Hospital

Gynec endoscopy implies both Hysteroscopy and Laparoscopy. Hysteroscopy is visualization of the internal cavity of the uterus, the tubal openings and the endometrial lining and can also be used to correct any abnormalities like a uterine polyp, a fibroid projecting into the cavity, any growth which projects into the cavity, opening of blocked fallopian tube, and correct any intrauterine septum or adhesions. Laparoscopy is used to visualize and operate on any of the abdominal organs like liver, gall bladder, and in women with infertility, the uterus, fallopian tube and ovaries. A Gynecologist who is trained to perform Gynecological endoscopic surgery both for the purpose of diagnosis of a problem and also to surgically correct it is a Gynec Endoscopic Surgeon.

Laparoscopy surgery involves performing the surgery by making very small punctures on the abdomen instead of the traditional big incision. This involves the use of highly technical equipments like telescopes, camera, light source, medical monitors, electrosurgical equipments and electronic carbon dioxide insufflators. The entire procedure can be recorded on a video cassette or a CD. Clipping of the important steps of the surgery can be stored on a computer and a print of the same can be given to the patient. In laparoscopy, as there only small punctures on the abdomen and not big cuts, the advantages to the patient are very little pain in the postoperative period, faster mobilization, faster recovery and resumption of work, almost within 10-15 days after major surgery, early oral intake of fluids within 12-24 hours after surgery, discharge within 24-48 hours after surgery and better cosmetic appeal.
It is indicated in women with:

• Infertility
• Chronic lower abdominal/pelvic pain
• Painful periods
• Laparoscopy is now a standard form of surgical treatment in the infertile women who have the following problems :
• Ectopic pregnancy
• Endometriosis
• Fibroid
• Adhesions/Tubal blocks
• Polycystic ovarian disease
• Ovarian cysts
• Surgeries like hysterectomy, some cancer surgeries and for stress urinary incontinence are also being routinely and successfully performed laparoscopically

Hysteroscopy has advantages–no scars, same day discharge its indications are :

Dr. Sudha Tandan:

• Infertility
• Recurrent abortion
• Excessive menstrual loss
• Absent/scanty menses
• Evaluating the cavity of the uterus before ET in an IVF/ICSI cycle

Hysteroscopy can also be used to surgically correct the following conditions.

• Fibroid projecting into the cavity of the uterus.
• Septum of the uterine cavity.
• Intrauterine adhesions.
• Cornual block.
• intrauterine polyps.
• Post menopausal bleeding.

Diagnostic hysteroscopy can be done under local anesthesia but when it is combined with a diagnostic laparoscopy, general anesthesia is used. Operative hysteroscopy is done either under local, spinal or general anesthesia. Office hysteroscopy is a procedure which is performed using a flexible hysteroscope of less than 2mm diameter. This is not painful and it can be done as an outpatient procedure without any anesthesia or under local anesthesia.

Tandon hospital is very well known for providing good maternity care to expectant mothers. As of date, we have had more than 1000 deliveries at our centre.

In the ante natal period, to monitor the growth of the fetus and its well being, we have facilities for sonography, colour doppler, and non stress test. During labour we have facilities for painless labour as we offer epidural labour analgesia. Our labour room is well equipped for normal vaginal and instrumental delivery. It is also well equipped for neonatal resuscitation. Our operation theatre is adjacent to the labour room and an emergency caesarian section can be done within few minutes. After delivery, we encourage breast feeding at the earliest and almost all our newborns are exclusively breast fed. All mothers are encouraged to continue with breast feeding after discharge. We also advise for early postnatal exercises so that mothers can shed the excess weight gain.