what is the process of coelioscopy?

Question

i will have an coelioscopy next month, can somebody please explain more clearly the process i will have to undergo. what are the danger of having this treatment?

thanks for all the answers i got. take care everyone : )

Answer 1

Operative coelioscopy, widely used in gynaecological surgery and appendicectomy, can be helpful in cholecystectomy. Sixty-three patients have been operated upon by this technique which has the advantages of small scars and rapid recovery with shortening of hospital stay. At the moment, its sole indication is cholecystolithiasis without acute complication. The risks associated with this new technique justify a careful selection of its indications and make it imperative for the operator to be a surgeon with wide experience of biliary tract surgery.

Answer 2

If you mean COLPOSCOPY, a procedure that is done when you have a bad pap then email me and I will fill you in on the information It is pretty simple though. Its more or less a pap all over again they just use a couple of chemicals and take a larger sample

Answer 3

i had it done ecuase i had some abnormal cells that showed up. they have them on close watch to see if in the near futurethey need to be frozen.But basicallly all they do is open u up like if u where goin to get a pap but what they do is they take a tiny sample of ur tissue it feels like a pinch.
keep ur head up u will be fine i bin through it .

Answer 4

i have had laproscopy where they do a biopsy of your cervic lining it is painless. with a little bleeding. Is that what you mean. I think it could be an exploritry method to check with a tiny camra whats going on in your body?

Answer 5

heres a website to look at...

Answer 6

OBJECTIVE: The goal of this study was to determine the efficiency of lapaorscopy as method of diagnosis and treatment of gynecologic emergencie. METHODS: A laparoscopy was performed in two hundred and thirty-nine patients who presented in emergency with signs like acute pelvic pain, uterine bleeding or fever. Diagnoses and treatments are presented in a retrospective study. RESULTS: The median patient age was 30.4 years and median parity was 14 sonography was performed in all patients and bHCG rate was positive in 101 patients. The most suspected diagnosis was ectopic pregnancy (42%) followed by complicated cysts (30%) and ligh genital infections (27%) At laparoscopy 92 cases of ectopic pregnancy, 66 cysts complicated or not and 47 high genital infections were found. Laparoscopy didn't show any evident pathology in 6.6% of patients. We didn't note any anesthesial or surgical complication. CONCLUSION: Laparoscopy for gynecologic emergencies can be satisfactorily performed in the majority of patients, regardingly to low fiability of usual diagnostic methods. II is useful for diagnosis and treatment. The rate of it's overall complications is relatively low.http://www.medscape.com/medline/abstract/16422360

In 1968, a meeting was held at the Royal Society of Medicine in Wimpole Street, London at which Patrick Steptoe, a gynaecologist, showed laparoscopic slides of ovaries and follicles. After the lecture, Robert Edwards, a scientist from Cambridge, asked Patrick Steptoe if it would be feasible with laparoscopic technology to retrieve an egg from the ovary

The treatment of infertility received a major boost in 1978 following the birth of Louise Brown. Steptoe and Edwards reported the birth of the world’s first baby to be conceived through in vitro fertilisation and embryo transfer (IVF-ET)1. Steptoe was quoted in Time magazine as saying ‘this is the first time we’ve solved all the problems at once. We’re at the end of the beginning - not the beginning of the end’

The pioneers of IVF in humans applied technology which had been developed in animals. Walter Heap in the nineteenth century had already successfully transferred embryos flushed from the oviducts of one species of rabbit to another species of rabbit2. However, it was not until 1959 that Chang carried out successful in vitro fertilisation with rabbit oocytes and sperm3

Steptoe and Edwards’ meeting at the Royal Society of Medicine resulted in laparoscopic techniques being developed to successfully recover human oocytes4. It was fitting that Steptoe should develop this technique following his experience with a French gynaecologist, Raoul Palmer, in Paris in 1958, who taught him ‘coelioscopy’, the French equivalent of laparoscopy

The first human pregnancy resulting from IVF treatment was achieved in 1976 by the two pioneers but sadly ended in an ectopic pregnancy5. Births from the USA and Australia quickly followed the UK’s success. Despite some initial controversies 6,7, new assisted reproductive technologies (ART) - to coin a delightful American acronym - are now used by gynaecologists around the world in the management of infertile couples. We have come a long way from the original indication for IVF damaged Fallopian tubes - in our use of this technology today

Success rates from IVF-ET treatments have consistently improved internationally since 1978. Several groups have collected data on the pregnancy rates of IVF-ET clinics. The largest of these groups was the American Fertility Society (AFS), recently renamed the American Society for Reproductive Medicine (ASRM). The number of live deliveries per 100 ET procedures and the number of live deliveries per 100 oocyte recoveries (OCR) are among the most commonly used definitions of success

It must be remembered that pregnancies resulting from ART are more complicated than spontaneous pregnancies. There are higher rates of ectopic, heterotopic and high-order pregnancies. The numbers of spontaneous abortions, premature deliveries and Caesarean sections are increased. Perinatal mortality and morbidity rates are increased as a result of prematurity. There are higher rates of maternal morbidity associated with these pregnancies (pre-eclampsia, gestational diabetes, haemorrhage and anaemia) which all contribute to intrauterine growth retardation

The complications associated with ovulation induction include ovarian hyperstimulation syndrome (OHSS). Complications may arise from diagnostic laparoscopy, anaesthesia or intravenous sedation associated with oocyte recovery procedures

Pregnancy rates, even in the best clinics, are still low. A 20% take-home-baby rate is considered good. In the UK, the Human Fertilisation and Embryology Authority (HFEA) publishes yearly updated ‘league tables’ of IVF and donor insemination (DI) of the 53 clinics in the UK that offer these services. The current success rates are shown below (Figures 3-5 Page 319). Even here the best take-home-baby rates (live birth rates) are only 23%. One of the main contributing causes of poor pregnancy rates in ART has been the decreased viability of transferred embryos and the transfer of four-cell embryos into an environment that naturally would be receptive only to 5-day-old blastocysts. The ultimate aim of scientific research in this important area of implantation is to mimic in vivo conditions in vitro, so that at least the pregnancy rates of ART can parallel normal fecundity in the human. An attractive future concept includes the freezing of blastocysts generated from coculture, thawing them, and replacing them in natural cycles

Circumstantial evidence suggests that endometrial receptivity declines with increasing age and is adversely affected by ovarian superovulation and is also possibly affected by ovarian function. Future research must therefore focus on the molecular biology of the endometrium



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IVF AND GAMETE INTRAFALLOPIAN TRANSFER
In vitro fertilisation has now superseded gamete intrafallopian transfer (GIFT) as the method of choice in ART procedures. The GIFT technique is briefly described below

Gamete intrafallopian transfer

There are several stages involved in this process

Controlled ovarian hyperstimulation (COH): long LHRHa protocols (long regimen)

Good rates of implantation are achieved throughout the UK using this protocol. The protocol is designed to suppress luteinizing hormone (LH) surges and also reduce the tonic LH level. The flow chart below (Figure 1) graphically demonstrates the various stages of the regimen.

Vaginal ultrasound oocyte retrieval has the following advantages over the laparoscopic or transvesical methods18:
The better image obtained with the vaginal probe, because of its closer proximity to the ovaries
Greater ease of use and shorter learning phase
Less pain, because the bladder wall is not pierced, thus necessitating less analgesia and sedation, with a consequently quicker return to normal activity
Because of the better visualisation of the ovaries and of the smaller follicles, more oocytes are recovered, more embryos are available to transfer and freeze and therefore higher pregnancy rates have, in general, been reported
Because there is no need to catheterise the bladder or pass the aspirating needle through it, there is much less chance of dysuria, infection or haematuria than after transabdominal-transvesical ultrasound directed oocyte recovery
Less risk of perforation of a viscus because of the proximity of the ovaries to the vaginal vault
Much better patient acceptance, because it is less painful than laparoscopic oocyte recovery, both intraoperatively and postoperatively.
http://www.themediweb.net/Gynae/AssReproTechY2K.htm


I really wasnt for sure what you were speaking about but I hope these links help you out.