Dr Reshma Reddy

The Difference Between a Laparoscopy and a Hysterectomy

Catagory: Laparoscopy    Author: Dr E Reshma Reddy


When it comes to internal organs, the female anatomy has an even more intricate structure.  Infertility and common gynecological disorders can be better understood by looking at a woman’s internal pelvic structure. What functions do laparoscopic and hysteroscopic surgeons perform?  Discover more by reading on.

The female body is constructed in such a manner that many diseases or abnormalities may only be detected from within. In these circumstances, a physical examination may not provide any noteworthy findings. Pregnancy, infertility, uterine problems, fallopian tube abnormalities, etc. are examples of common conditions. Specialized laparoscopic and hysteroscopy surgeons ensure that surgeries and treatments are carried out with the right amount of care and cleanliness.


What is the difference between hysteroscopy and laparoscopy?


A laparoscopic technique enables a laparoscopy surgeon to see the uterus, ovaries, fallopian tubes,  and pelvis from the inside. This process aids in a condition’s diagnosis. A tiny tool called a catheter is inserted during this procedure to collect the urine. A needle is used to inject carbon dioxide into the abdomen. In order to prevent physical strain on any of the internal organs and to keep the abdominal walls separate from the other organs, carbon dioxide gas is pumped into the abdomen.


Various disorders, such as idiopathic pregnancy, unexplained pelvic discomfort, endometriosis,  uterine fibroids, ovarian cysts, ectopic pregnancy, pelvic abscess, and reproductive malignancies are treated with laparoscopy under the careful supervision of a laparoscopic surgeon. General anesthesia is used for outpatient laparoscopy procedures. The length of the incisions made by the surgeons is typically less than an inch.


Both hysteroscopy and laparoscopy are performed while under general anesthesia. The main distinction between hysteroscopy and laparoscopy is that hysteroscopy is used to look inside the cavity and diagnose associated disorders, while laparoscopy can assist doctors in diagnosing many gynecological issues such as uterine fibroids, endometriosis, ovarian cysts, adhesions, scar tissues,  ectopic pregnancy, and other structural disorders. Laparoscopic surgery has many benefits for the patient, but it is much harder for the laparoscopist to do than traditional, open surgery.


Under the supervision of a hysteroscopy surgeon, a telescope is used to examine the womb from the inside out. A tiny telescope is introduced during hysteroscopy via the cervix and vagina into the womb’s chamber. The physicians can see the linings of the inside organs as the photographs are acquired by the camera using the telescope. At the conclusion of the process, a sampler is introduced to extract samples for a biopsy in addition to taking photographs of the organs. The conventional and delicate work of obtaining a sample during this operation takes around 10-15  minutes. The patient may have a cramp-like feeling during the operation, but this will pass over time.


Carbon dioxide is used in both laparoscopy and hysteroscopy to make spaces between the organs so that they don’t damage each other by rubbing against the cavity or wall.


Women with reproductive problems repeated miscarriages, or irregular uterine bleeding may be evaluated with hysteroscopy, and specialised hysteroscopy surgeons can assist in the proper diagnosis and therapy. During hysteroscopy, polyps are identified. To ascertain the precise state of the human body, a hysterosalpingogram, or organ x-ray, is acquired prior to the treatment.  However, there is a great deal of disagreement over the hysterosalpingogram’s diagnostic efficacy.


Hysteroscopy does not require skin incisions as laparoscopy does. The female had this outpatient treatment after finishing her menstrual period. Since there is no need for an incision, the recovery time for hysteroscopy is typically 24 to 48 hours. Due to the hysteroscope’s minimally invasive nature, there are very few risks involved. The likelihood of bleeding, infection or uterine perforation is extremely low. Both laparoscopic and hysteroscopic surgeons have the responsibility of making sure that everything is handled precisely.


In certain situations, the risks of laparoscopy are quite high. The most frequent hazards are skin irritation and post-operative bladder problems. Adhesions may also form in specific circumstances.  In extreme circumstances, hematomas (bruises filled with blood) might develop at the site of the incision. Damage to the intestines, uterus, blood arteries and ureter are among the most difficult dangers linked with laparoscopy. Venous thrombosis and post-operative urine retention are the most common side effects.


In both procedures, the laparoscopic and hysteroscopic surgeons must utilise their equipment rather than directly touching the tissue with their naked hands. The greatest approach to ensuring that procedures are performed with the highest level of hygiene is to pay attention to cleanliness,  equipment, clothing, and instrument use.