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Ovarian drilling, also known as multiperforation or laparoscopic ovarian diathermy, is a surgical technique of puncturing the membranes surrounding the ovary with a laser beam or a surgical needle using minimally invasive laparoscopic procedures. [1] It differs from ovarian wedge resection, which involves the cutting of tissue.
Uterine perforation is a potential complication of any intrauterine procedure. It may be associated with injury to surrounding blood vessels or viscera such as the bladder or intestine .
Laparoscopic surgery, also called minimally invasive procedure, bandaid surgery, or keyhole surgery, is a modern surgical technique. There are a number of advantages to the patient with laparoscopic surgery versus an exploratory laparotomy. These include reduced pain due to smaller incisions, reduced hemorrhaging, and shorter recovery time.
About 750,000 women have received the device worldwide. [3] Initial trials found about 4% of women had tubal perforation, expulsion, or misplacement of the device at the time of the procedure. [3] Since 2013, the product has been controversial, with thousands of women reporting severe side effects leading to surgical extraction. [4]
Complications include a painful inflammation of the inner lining of the abdominal wall and sepsis. Perforation may be caused by trauma, bowel obstruction, diverticulitis, stomach ulcers, cancer, or infection. [2] A CT scan is the preferred method of diagnosis; however, free air from a perforation can often be seen on plain X-ray. [2]
Duration of the hysteroscopy procedure. Women in fertile age are at increased risk of resultant hyponatremic encephalopathy, likely because of increased level of estrogens. [13] The overall complication rate for diagnostic and operative hysteroscopy was 2% with serious complications occurring in less than 1% of cases using older methods. [1]
Falloposcopy (occasionally also falloscopy [1]) is the inspection of the fallopian tubes through a micro- endoscope. [2] The falloposcope is inserted into the tube through its opening in the uterus at the proximal tubal opening via the uterotubal junction; technically it could also be inserted at the time of abdominal surgery or laparoscopy via the distal fimbriated end.
Complications include anaesthetic risks, infection, bleeding and perforation of the bowel. [5] Frequent loose stools may cause nappy rash. Toilet training may also pose problems. Occasionally a temporary stoma is required. [6] A pull-through may sometimes fail if some of the abnormal bowel is left behind. [7]