Endoscopy

1. ENDOSCOPY IN GYNAECOLOGY

3. Objectives
 At the end of this session you should be able
to ….
1. Enumerate the advantages of laparascopy
over laparatomy
2. List indications and complications of
laparascopy and hysteroscopy.

4. Advantages of laparascopy

5. Indications of laparascopy
Diagnostic:
•Infertility
•Endometriosis
•Acute/chronic pelvic
pain
•Evalaution of adnexal
mass
Operative :
•Sterilisation
•Ectopic
•Ovaraian cysts
•Tubal recanalisation
•Myomectomy
•Hysterectomy

6. Complications :
 Subcutaneous emphysema
 Injury to vessels like aorta, vena cava,inferior
epigastric artery, common iliac artery.
 Injury to bowel and bladder, ureter.
 Anesthesia complications.

7. Basic equipments
VERESS
NEEDLE

8. Trocar

9. laparascope

10. Camera

12. Instruments

13. Entry points

15. Trocar placement

16. Indications of hysteroscopy
Diagnostic
•Intrauterine lesions like
polyp, submucous myoma
•Missing IUCD
•Intrauterine adhesions for
secondary amenorrhoea
• Uterine anomalies
• Postmenopausal bleeding
Operative
• Tubal cannulation
•Septal resection
• Myomectomy
• Sterilisation
•Removal of IUCD
•Polypectomy
•Adhesiolysis

17. Complications of hysteroscopy
 Hemorrhage
 Uterine perforation
 Electrolyte disturbances
 Infection