Diagnostic & Operative Laparoscopy in Delhi
Keyhole surgery to see and treat the pelvis directly, with recovery in days rather than weeks.
What diagnostic & operative laparoscopy involves
Laparoscopy puts a camera into the abdomen through a small incision, giving a direct view of the uterus, tubes and ovaries. It is both the most accurate way to diagnose endometriosis and adhesions, and the means of treating them in the same sitting.
Compared with open surgery it means less pain, a shorter stay, fewer adhesions afterwards and a return to normal activity within about a week.
Who this is for
- Unexplained infertility after a normal basic workup
- Suspected endometriosis or pelvic adhesions
- Ovarian cysts, ectopic pregnancy and tubal disease
- Chronic pelvic pain with no cause found on imaging
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Pre-operative assessment
Bloods, anaesthetic review and a clear explanation of what will and will not be done.
Procedure
Usually 30 to 90 minutes under general anaesthesia through two or three keyhole incisions.
Treatment in the same sitting
Adhesions divided, endometriosis excised, cysts removed, tubal patency checked with dye.
Recovery
Home the same or next day; normal activity in five to seven days.
Your results, in writing
Whatever the outcome of diagnostic & operative laparoscopy, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
Case study: Normal tests, and adhesions nobody could see
30, Vasant Kunj · unexplained infertility · three failed IUIs
What she came in with
Two years of infertility with a normal hormone profile, normal AMH, an HSG reported as showing both tubes patent, and a normal semen analysis. Three IUI cycles had failed and IVF was the proposed next step.
What the workup showed
Diagnostic laparoscopy showed dense peritubal adhesions from a previous appendicectomy, with both fimbrial ends encased and immobile. The tubes were technically patent on dye — which is why the HSG was normal — but functionally could not pick up an egg.
What we did
Adhesiolysis with restoration of fimbrial mobility, performed in the same sitting, along with chromopertubation confirming free spill. Two small peritoneal endometriotic deposits were excised.
Outcome
She conceived naturally five months later, without IVF.
The point of this case
An HSG tests whether dye passes through. It cannot tell you whether the tube can actually collect an egg. In unexplained infertility with a surgical history, that distinction is worth a laparoscopy.
Illustrative case. This is a composite of presentations commonly seen in this practice, written for explanation — it is not the record of an identifiable patient, and no individual's details are used. Outcomes vary, and nothing here is a prediction of what will happen in your case.
What is different about having this done here
Combined with hysteroscopy in one anaesthetic where both are needed
Chromopertubation to confirm tubal patency during the same procedure
Findings shown to you on images afterwards, not just described
Day-care pathway for most procedures
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Consultations and scans at Mother's Hope, Katwaria Sarai; theatre work at SHE Delhi Hospital, Greater Kailash II
- Itemised costs given in writing before anything begins
Areas we see patients from
Both locations are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about diagnostic & operative laparoscopy
Is laparoscopy necessary before IVF?
Not routinely. It is indicated where there is suspected endometriosis, a hydrosalpinx, or unexplained infertility after a normal workup.
How soon can I try to conceive afterwards?
Usually from the next cycle after a diagnostic procedure. After extensive surgery we may advise waiting two to three months.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.