HYDROLAPAROSCOPY

 

 

Hydrolaparoscopy (THL) is a microinvasive, almost atraumatic endoscopic technique, used in the infertility diagnosis and treatment. It can be performed on an outpatient basis. Combined with hysteroscopy, can accurately assess the anatomical status of the female genital tract. THL is much more preferable by patients compared with the hysterosalpingography (HSG) - is less invasive, a general anesthesia is not required and the risk of damaging the major blood vessels or intestines is significantly lower.

 

 

Procedure description – an overview

 

 

The procedure starts with the introduction of the endoscopic instruments through the patient’s vagina into the peritoneal cavity. During the whole operation the Patient lies on her back in the gynecological position. The abdominal cavity is filled with either Ringer’s or physiological saline solution (and not with carbon dioxide as in a typical laparoscopy).

 

 

Preoperative recommendations

 

The treatment is preceded by a consultation visit. The following tests must be performed (it is possible to conduct them on-site):

 
- blood group
- morphology
- urine analysis
- coagulation blood tests - APTT, INR, PT
- ECG after the age of 40
- HBS antigen
- electrolytes
- blood sugar level

 

 

Patients are not allowed to take neither aspirin (including its derivatives e.g. Acard), Vitamin E nor any cough and anti-flu medicine for the period of two weeks before the procedure. Thus these kind of drugs adversely affect the bleeding process.

 

Please limit smoking to 3-4 cigarettes a day 3 days prior to surgery.

 

Please inform the doctor about any infections that took place two weeks prior to surgery.

 

Patient should remain six hours of fasting (no eating or drinking) before the surgery

 

 

Post-operative period

 

 

After a hydrolaparoscopy the patient is discharged home after a few hours. A follow up visit should take place after about 7 days. The patient may feel a mild pain around which should go away after OTC painkillers.

 

 

Scrupulous adherence to the recommendations described is a key operative for a rapid recovery and significantly affects the final result of the surgery.