WHAT IS LAPROSCOPY?

Laparoscopy is a method in which the inside of the abdomen can be visualized without making large incisions. Specially designed fiberoptic telescopes, measuring less than half an inch in diameter, are attached to high resolution television cameras and inserted through very small incisions into the abdominal cavity.
Laparoscopy Was Developed in the 1980's
The technique of using laparoscopes was developed over twenty years ago, but it was not until the development of small, high resolution television cameras, in the 1980's, that it became a practical method of visualization for operating inside the body. Many specialized instruments have been designed to be used through similar hollow tubes, allowing procedures to be performed inside the body without using large incisions.
Laparoscopy Shortens Recovery Times
Until recently, abdominal surgery had always meant pain, long hospital stays and prolonged recovery at home. While much progress was made in reducing the size of incisions, and thus the pain, the cut always had to be big enough for the surgeon to see inside. In the mid 1980's German and French surgeons began experimenting with simple general surgical laparoscopic procedures. Removal of the gallbladder and appendix were the first procedures tried. The advantages were obvious to surgeons here in the United States and their techniques were rapidly adopted and modified. Today, over 90% of the gallbladders removed in this country are done via laparoscopy.
Laparoscopy Today
Today we are able to offer our patients state of the art laparoscopic operations that are much more comfortable, require less hospitalization and have minimal recovery times. Many people are aware of laparoscopic gallbladder surgery, but most do not know that appendectomies, colon surgery, hernias, small bowel surgery, hiatal hernias, and ulcer operations can also be done laparoscopically. Our group has had extensive training and experience in these and other advanced operations. We also have the advantage of being able to work as a team when the situation would benefit from this approach.
Future Directions in Laparoscopy
In the future we expect to continue to expand the types of surgery that can be done through the laparoscope. The liver, spleen, kidney, and pancreas are all organs that may be able to be operated upon through the laparoscope. New instruments are being developed constantly and new techniques are making the laparoscopic approach faster, more comfortable and easier. With these new techniques we hope to avoid long hospitalizations, making surgery less costly and less painful for everyone.
FAZAL HOSPITAL IS PROUD TO OFFER LAPROSCOPIC FACILITIES IN SUCH A SMALL CITY AT VERY CHEAP RATES AND WITH HUNDRED PERCENT CURE RATE FROM THE LAST TEN YEARS.

VAGINAL PROBE ULTRASOUND

When endovaginal ultrasound probes were first introduced into this country, the initial thrust was for their use in infertility. The endovaginal approach for follicle surveillance in ovulation induction and oocyte retrieval in in vitro fertilization has become widespread.1 Subsequent application of the technology has come to involve very early pregnancy detection.2 This will impact greatly on our sonographic concept of early pregnancy failure, especially as it pertains to ectopic pregnancy. Currently most generalists in obstetrics and gynecology consider endovaginal ultrasonography a subspecialization of the already-specialized field of obstetric-gynecology sonography. Quite the contrary, however, some early investigators have claimed that the modality will be used “as routinely as the classic vaginal speculum.’3 This article describes how endovaginal scanning could be incorporated into a clinical practice routine.

Endovaginal probes are generally of higher frequency (5 to 7.5 MHz). This results in excellent resolution despite high-degrees of magnification. In reality, this actually becomes a form of “sonomicroscopy,” wherein structures that would not be discernible with the naked eye can be appreciated. An example is our ability to see cardiac pulsations in a 3 mm embryonic thickening along the edge of the yolk sac. The disadvantage is that the higher frequency results in less penetration and the effective field of vision is quite short. Thus the panoramic pelvic view to which one may be accustomed is unavailable and instead one must hone in on the appropriate target organ, hence “anatomy derived orientation.”4

FAZAL HOSPITAL HAS RECENTLY INTRODUCED THIS TECHNIQUE TO PROVIDE BETTER AND ACCURATE DIAGNOSTIC AND CURITIVE FACILITIES.