Laparoscopy and hysteroscopy in Marrakech

A thin camera is passed through the natural route to examine the inside of the uterus. It is used in particular for abnormal bleeding, looking for polyps or fibroids, or certain difficulties conceiving.

A camera and fine instruments are passed through small incisions in the abdomen. It is used in particular for ovarian cysts, endometriosis, certain pelvic pain or looking for a cause of infertility.

The procedure is offered only if it is useful, after examination and, depending on the case, ultrasound or other tests. Alternatives are discussed.

The procedure takes place in an equipped facility, with suitable anaesthesia, after an anaesthetic consultation. Instructions before and after are given to you.

Minimally invasive routes limit scarring and allow quicker recovery. Like any procedure they carry risks (infection, bleeding, injury to a neighbouring organ, conversion to open surgery), explained before you agree.

Hysteroscopy explores the inside of the uterus. It allows a polyp, a fibroid inside the cavity, a septum, adhesions or a misplaced IUD to be looked for and sometimes treated, and abnormal bleeding or difficulty conceiving to be investigated.

Laparoscopy explores the abdomen and pelvis through small incisions. It may be indicated for an ovarian cyst, a fibroid, endometriosis, adhesions, an ectopic pregnancy, unexplained pelvic pain or to explore the tubes in a fertility work-up.

A diagnostic hysteroscopy only looks, with a fine camera passed through the natural route, sometimes without general anaesthesia. An operative hysteroscopy treats the lesion found at the same time, depending on its type and size.

Hysteroscopy is performed in the operating theatre; the type of anaesthesia depends on the indication, and the doctor explains it before deciding.

A consultation allows the indication to be set, the procedure explained with its benefits and risks, and your agreement obtained. An anaesthesia consultation is needed when the procedure is under anaesthesia.

The doctor goes through your treatments (especially blood thinners), allergies and history, orders the necessary tests and gives fasting instructions. Plan to be accompanied on the way home and to free up the time needed.

You arrive fasting, as agreed. After settling in and anaesthesia, the procedure usually lasts from a few tens of minutes to a little over an hour depending on the procedure. You are monitored until you wake up and resume eating.

Depending on the procedure, you go home the same day or the next. You receive written instructions and the number to call with any questions.

Common and harmless: discomfort in the abdomen, bloating, pain in the shoulder (due to the gas used during laparoscopy) and light bleeding.

Consult without delay for fever, increasing pain, vomiting, heavy bleeding, marked swelling of the abdomen or difficulty passing urine. Activities resume gradually, depending on the procedure.

Like any procedure, these carry rare risks: infection, bleeding, injury to a neighbouring organ, the need to move to surgery through a larger incision, complications related to anaesthesia. They are uncommon, and the doctor details them before the procedure so that you decide knowingly.

No procedure is offered without an indication set at consultation, and you may ask for a second opinion at any time.

A check-up is arranged after the procedure, with any test results and a return to activities.