Laparoscopic & Hysteroscopic Gynaecology

Fertility-sparing options, tiny scars and faster discharge with HD laparoscopy and ERAS

Book Surgical Consultation

90–95%

Minimally invasive eligibility

Most planned fibroid, cyst and uterus surgeries suitable for laparoscopy/hysteroscopy

24–48 hrs

Typical discharge window

With ERAS protocols and early ambulation

<2%

Major complication rate

When performed under protocols with proper selection

When to Consult

•Heavy or prolonged bleeding affecting routine (suspected fibroids/polyps)
•Severe period pain, painful intercourse or chronic pelvic pain
•Increasing abdominal/pelvic mass or pressure symptoms
•Infertility or repeated miscarriages linked to fibroids/polyps
•Ovarian cyst seen on scan, persistent or symptomatic
•Failed medical therapy or recurrent symptoms

Understanding Fibroids, Cysts and Uterus Surgery in the Indian Context

In Hyderabad and across Telangana, anaemia from heavy bleeding is common. Many women delay care due to work and family demands, leading to larger fibroids or persistent cysts. Minimally invasive surgery reduces pain, hospital stay and time away from family and work, while preserving fertility whenever possible.

When to Consult Our Minimally Invasive Gynaecology Team

✓ Heavy/prolonged bleeding or clots affecting daily life
✓ Severe cramps, painful intercourse or chronic pelvic pain
✓ Increasing lower-abdomen fullness or pressure symptoms
✓ Fertility issues linked to fibroids/polyps
✓ Persistent, complex or symptomatic ovarian cyst
✓ Failed medical therapy or recurrent symptoms

Our Diagnostic Approach

Structured Pre-Op Assessment

Blood tests, fitness and counselling; correct anaemia or sugars before surgery.

Imaging & Mapping

TVS/3D TVS or MRI to plan laparoscopy/hysteroscopy precisely.

Cavity Evaluation

Office hysteroscopy or saline sonography for intra-cavity lesions.

Fertility-Sparing Plan

Myomectomy/cystectomy vs hysterectomy decisions documented with timelines.

Treatment Pathways

We prioritise hysteroscopic and laparoscopic options with ERAS recovery. Medical therapy can bridge to surgery and improve safety. Definitive surgery is considered only after shared decision-making or when childbearing is complete.

What to Expect: Your Care Journey

Pre-op optimisation, clear OT plan and consent; early feeding and walking after surgery; discharge usually within 24–48 hours. Follow-ups and WhatsApp check-ins track recovery, pain control and return-to-work milestones. For myomectomy, we guide safe conception timelines.

Technology & Innovation

HD laparoscopy, modern hysteroscopy and energy devices improve precision and reduce blood loss. EMR-based protocols track analgesia, antibiotics and thrombosis prevention.

Preventing Complications

We use infection and DVT bundles, optimise Hb and glucose pre-op and employ adhesion-minimising techniques. Escalation plans and anaesthesia readiness add safety for higher-risk profiles.

Why Ajuda for Minimally Invasive Gynaecology?

🔍 Precise mapping with 3D TVS/MRI

🛌 ERAS pathway for faster discharge

👶 Fertility-sparing focus where possible

Take the First Step

If bleeding, pain or cysts are affecting life, timely evaluation helps you recover faster with smaller scars. Call 9010550550 or message on WhatsApp to plan your surgery.

Diagnosis Approach

Structured pre-op assessment

CBC (anaemia), blood group, renal/liver function, thyroid profile; pregnancy test where relevant; anaesthesia fitness.

Imaging & mapping

Transvaginal/abdominal USG; 3D TVS or MRI pelvis for complex fibroids/adenomyosis; saline sonography if cavity concerns.

Cavity evaluation

Office hysteroscopy for suspected polyps/submucous fibroids; biopsy if indicated (age >40, AUB risk).

Fertility-sparing plan

Myomectomy vs conservative options, incision planning, adhesion prevention and counselling on conception timelines.

Treatment Options

Hysteroscopic Polypectomy/Submucous Fibroid Resection

Day-care removal via natural orifice; no external cuts; ideal for cavity-distorting lesions.

Rapid bleeding relief and improved fertility in selected cases.

Day-care; routine in 24–48 hrs

Laparoscopic Myomectomy

Fibroid removal with layered uterine repair; focus on future pregnancy safety.

Symptom control with uterus preservation.

OT ~60–120 mins; discharge 24–48 hrs

Laparoscopic Ovarian Cystectomy

Cyst shelling with ovarian tissue preservation; endometrioma protocols minimise recurrence.

Pain relief and ovarian reserve protection.

OT ~45–90 mins; discharge 24 hrs

Total Laparoscopic/Vaginal Hysterectomy (TLH/VH)

For refractory AUB, adenomyosis or large fibroids when childbearing complete.

Definitive symptom relief with small scars and faster recovery.

Hospital stay 24–48 hrs in most

Medical Optimisation & Bridging

Tranexamic acid, hormonal therapy or short-term GnRH analogues to shrink fibroids and correct anaemia pre-op.

Improves operability and reduces blood loss.

4–12 weeks before surgery

ERAS Recovery Pathway

Early feeding, multimodal analgesia, thrombosis and infection bundles with WhatsApp check-ins.

Shorter stay and faster return to routine.

From admission to 2–6 weeks follow-up

Expected Outcomes

Treatment Timeline

2–4 Weeks

Pain and bleeding improved; return to light work after laparoscopy.

6–8 Weeks

Full activity for most; scar healing complete; cycles stabilising.

3–6 Months

Fertility attempts resume post-myomectomy as advised; symptom control sustained.

1 Year+

Annual review; recurrence surveillance where relevant.

Success Metrics

PBAC score and pain scale reduction
Length-of-stay and readmission rates
Hb improvement and transfusion avoidance

Plan Your Minimally Invasive Surgery

Emergency

9010550550

contact@ajudahospitals.in

Related Services

Menstrual Disorders

Heavy bleeding and cramps often improve after targeted procedures.

Endometriosis Treatment

Pain and fertility planning may need combined protocols.