Laparoscopy (keyhole surgery) is a minimally invasive procedure used to diagnose and treat conditions affecting the uterus, fallopian tubes, and ovaries. It uses tiny incisions, a camera, and specialised instruments. Common laparoscopic procedures at Mother Hospitals, Boduppal include endometriosis surgery, myomectomy (fibroid removal), ovarian cyst removal, tubal surgery, and diagnostic laparoscopy for infertility. Most procedures are day procedures — home the same day. Led by Dr. E. Prashanthi Reddy (TGMC Reg: 50624). Call 97059 93366.
Laparoscopy in Hyderabad — Minimally Invasive Gynaecological Surgery
Keyhole surgery for endometriosis, fibroids, ovarian cysts, blocked tubes, PCOS & ectopic pregnancy at Mother Hospitals, Boduppal. Smaller incisions, faster recovery, earlier return to fertility treatment.
Dr. E. Prashanthi Reddy
MBBS, DGO, PG Diploma in ART – Kiel University, Germany | 20+ Years Experience | TGMC Reg: 50624
What is Laparoscopy?
Laparoscopy — also called keyhole surgery or minimally invasive surgery — is a surgical technique in which a thin, lighted camera (the laparoscope) is inserted into the abdomen through a tiny incision, usually at the navel. The surgeon views the pelvic organs on a magnified HD screen and performs the procedure through additional small ports (5–10 mm). No large abdominal cut is needed.
Diagnostic vs Operative Laparoscopy
Diagnostic laparoscopy is performed purely to look inside the pelvis — to confirm or rule out suspected conditions like endometriosis, adhesions, or tubal disease when scans are inconclusive. It is the gold standard for unexplained infertility investigation.
Operative laparoscopy adds treatment in the same sitting — removing fibroids, excising endometriosis, draining and removing ovarian cysts, or repairing blocked tubes. In many cases, a diagnostic laparoscopy becomes operative when a treatable condition is found.
Laparoscopy vs Open Surgery — Key Differences
Open (laparotomy) surgery involves a large incision and weeks of recovery. Laparoscopy achieves the same surgical goals through 2–3 tiny holes, with fundamentally different outcomes for the patient:
Conditions Treated with Laparoscopic Surgery
At Mother Hospitals, Dr. E. Prashanthi Reddy performs a full range of laparoscopic gynaecological procedures — from day-procedure ovarian cyst removal to complex endometriosis excision and tubal reconstruction.
🔴 Endometriosis
Laparoscopic ablation or excision of endometriotic deposits throughout the pelvis. Removal of endometriomas (chocolate cysts). Adhesiolysis to free stuck organs. Reduces chronic pelvic pain and improves natural conception rates. See Endometriosis Surgery →
🟣 Fibroids — Laparoscopic Myomectomy
Laparoscopic removal of uterine fibroids with complete uterine preservation. Suitable for subserosal and intramural fibroids. Fertility restored. Faster recovery than open myomectomy. See myomectomy: fibroid surgery at Mother Hospitals
🟢 Ovarian Cysts — Cystectomy
Laparoscopic excision of dermoid cysts, functional cysts, endometriomas, and haemorrhagic cysts. Ovarian tissue preserved where possible. Day procedure — home the same evening. See ovarian cyst surgery (cystectomy) for more details.
🔵 Blocked Fallopian Tubes
Salpingostomy to open blocked tubes, salpingectomy (removal) of damaged hydrosalpinx tubes before IVF — removing hydrosalpinx improves IVF success rates by 25–30%. See Blocked Tubes Treatment →
🟠 Ectopic Pregnancy
Emergency or elective laparoscopic management of ectopic pregnancy — salpingotomy (tube preservation) or salpingectomy depending on tube status. Safer, faster recovery than open surgery. See Ectopic Pregnancy →
💊 PCOS Ovarian Drilling
Laparoscopic diathermy of the ovarian surface for clomiphene-resistant PCOS — restores natural ovulation in approximately 80% of cases within 3–6 months. Avoids the OHSS risk of heavy stimulation. Fertility-preserving approach.
🔗 Adhesiolysis (Adhesion Removal)
Pelvic adhesions from prior surgery, infections (PID), or endometriosis can distort tubes and ovaries and cause infertility. Laparoscopic division of adhesions restores normal anatomy and improves natural conception chances.
🔬 Diagnostic Laparoscopy for Infertility
The gold-standard investigation for unexplained infertility — direct visualisation of pelvic organs with chromopertubation (dye test) to check tubal patency. Finds endometriosis, adhesions, and tubal disease that scans miss.
The Laparoscopic Procedure — Step by Step
Pre-Operative Preparation
Before laparoscopy, Dr. Prashanthi Reddy will arrange baseline investigations: pelvic ultrasound, complete blood count, coagulation profile, blood group, and an ECG for patients above 40. You will need to fast from midnight the night before surgery. A pre-operative anaesthesia review is conducted. Antibiotic cover is given intravenously before the procedure begins. If you are on blood thinners or have any ongoing medications, your doctor will advise on whether to hold them.
During the Procedure
Laparoscopy is performed under general anaesthesia. A urinary catheter is inserted, and the patient is positioned in slight Trendelenburg (head-down tilt) to shift bowel away from the pelvis. The surgeon makes a 10mm incision at the umbilicus and introduces carbon dioxide gas (CO2) into the abdominal cavity — this pneumoperitoneum creates the working space needed. A trocar is inserted through which the laparoscope camera enters. Two to three additional 5mm working ports are placed in the lower abdomen. Under magnified HD camera view, the operative procedure is performed using specialised laparoscopic instruments. Haemostasis (bleeding control) is achieved with bipolar diathermy.
Duration and Recovery Room
After the procedure, CO2 gas is evacuated, instruments removed, and port sites sutured. Patients rest in the recovery room for 2–4 hours. The majority of laparoscopic patients are discharged the same day or the following morning.
Laparoscopy for Infertility
When a couple has been trying to conceive for 12 months or more without success, and standard investigations (ultrasound, semen analysis, hormone tests) are all normal, the cause is often called "unexplained infertility." In many such cases, laparoscopy finds a diagnosis that was completely missed on scans.
What laparoscopy finds in infertility cases:
When endometriosis Stage III/IV is found and excised, natural pregnancy rates improve significantly. When hydrosalpinx is found and the tube removed before IVF, live birth rates improve by 25–30% per transfer. Laparoscopy is not just diagnostic — it is often therapeutic at the same time.
For couples with blocked fallopian tubes, laparoscopy under chromopertubation (blue dye test) is the most accurate assessment of tubal status — far more reliable than HSG (hysterosalpingogram) in experienced hands.
When is Laparoscopy Recommended for Infertility?
After laparoscopic treatment, most couples can attempt natural conception for 3–6 months before moving to IVF. In many cases, laparoscopy makes IVF unnecessary.
Laparoscopic Myomectomy — Fibroid Removal
Fibroids are non-cancerous muscle growths in the uterus that affect approximately 1 in 3 women. They can cause heavy periods, pelvic pressure, recurrent miscarriage, and infertility — especially when they distort the uterine cavity or affect blood flow to the endometrium.
Who Benefits from Laparoscopic Myomectomy?
Laparoscopic myomectomy is ideal for women who have:
Laparoscopic vs Open Myomectomy
Laparoscopic myomectomy offers the same fibroid removal as open surgery with significantly better recovery. Uterine repair is performed laparoscopically in multiple layers — the same as open repair. Blood loss is typically less. Patients return to normal activity in 5–10 days compared to 4–6 weeks with open surgery.
For very large fibroids (>12cm) or multiple deep intramural fibroids, open myomectomy may still be the safer option — your surgeon will advise.
For comprehensive information, visit our dedicated Myomectomy Hyderabad → page.
Laparoscopic Ovarian Cystectomy
An ovarian cyst is a fluid-filled sac on the ovary. While many cysts are functional and resolve on their own, persistent or symptomatic cysts — or cysts that grow over time — require surgical removal. Laparoscopic cystectomy removes the cyst while preserving healthy ovarian tissue, protecting future fertility.
Endometrioma (Chocolate Cyst)
Ovarian cysts formed by endometriosis tissue. Require careful surgical excision — aggressive removal can reduce ovarian reserve. At Mother Hospitals, the ovary is preserved with meticulous surgical technique to protect AMH and egg quality post-surgery.
Dermoid Cyst (Mature Teratoma)
Benign ovarian cysts containing hair, teeth, and other tissue. Must be surgically removed as they can grow, twist (torsion), or rupture. Laparoscopic removal is the preferred approach — careful extraction prevents spill into the abdomen.
Haemorrhagic & Functional Cysts
Cysts arising from normal follicle development. Most resolve spontaneously. When large (>5cm) or persistent, or when torsion risk is high, laparoscopic drainage or cystectomy is performed as a day procedure.
Full details on our Ovarian Cyst Surgery Hyderabad → page.
Benefits of Laparoscopic Surgery
Recovery After Laparoscopy
Recovery timelines vary depending on the type of procedure performed. Here is a general guide for the most common laparoscopic procedures at Mother Hospitals.
Surgery
Surgery Day — Same-Day Discharge (Most Cases)
Most patients are discharged 4–6 hours after laparoscopy. You will need someone to take you home. Mild shoulder tip pain from residual CO2 gas is normal and settles within 24–48 hours.
Initial Recovery at Home
Rest at home. Mild abdominal soreness and bloating normal. Oral painkillers (paracetamol/ibuprofen) are sufficient for most patients. Light diet. Avoid heavy lifting or driving for 48 hours.
Return to Light Work
Desk work or working from home is typically possible from day 3–5. Port site stitches are dissolvable and require no removal. Avoid strenuous activity and heavy lifting.
Follow-up Appointment
Review with Dr. Prashanthi Reddy — port site check, histopathology results (for cysts or fibroids), and fertility planning discussion. Most patients feel well at this stage.
Return to Fertility Treatment (Operative Laparoscopy)
After operative laparoscopy (myomectomy, endometriosis surgery), fertility treatment — natural attempts or IVF — typically resumes 4–8 weeks after surgery, depending on the procedure. Dr. Prashanthi will advise your specific timeline.
Myomectomy
Myomectomy Recovery — Special Note
After laparoscopic myomectomy, a waiting period of 3–6 months before attempting pregnancy is advised to allow adequate uterine healing and reduce the risk of uterine rupture in pregnancy. Smaller, more superficial fibroids may allow an earlier timeline.
Cost of Laparoscopy in Hyderabad
Laparoscopy costs vary depending on the complexity of the procedure. The following ranges are approximate and include surgeon fees, anaesthesia, operating theatre, and routine medications. Insurance coverage is available for most procedures under your health policy.
Diagnostic Laparoscopy
Pelvic inspection, chromopertubation (dye test), diagnostic work. Day procedure. Includes anaesthesia and theatre.
Operative Laparoscopy
Cystectomy, myomectomy, endometriosis surgery, and tubal procedures vary in complexity. Myomectomy ranges from ₹60,000–1,20,000+ depending on fibroid size and number.
Insurance & Cashless
Laparoscopic gynaecological procedures are generally covered under standard health insurance plans. Our team assists with pre-authorisation paperwork.
Call 97059 93366 or WhatsApp for an accurate estimate based on your specific condition and scan reports.
Risks and Complications
Laparoscopy is one of the safest surgical procedures in modern gynaecology. Complications are rare, particularly in experienced hands. At Mother Hospitals, Dr. Prashanthi Reddy has performed hundreds of laparoscopic procedures over 20+ years of practice. That said, informed consent requires honest discussion of risks.
Minor, Common (Temporary)
Rare, Serious Complications
Prior to surgery, Dr. Prashanthi Reddy will review your complete history, scan reports, and risk factors. Patients with multiple prior abdominal surgeries or suspected extensive adhesions may require additional planning to minimise risk. Our team will discuss this in detail during your consultation.
Why Mother Hospitals for Laparoscopic Surgery?
🎓 Germany-Trained Specialist
Dr. E. Prashanthi Reddy holds a PG Diploma in ART from Kiel University, Germany — with training in advanced gynaecological surgical techniques including laparoscopy for reproductive surgery.
🏆 20+ Years, 10,000+ Families
With over two decades of experience and thousands of laparoscopic procedures, Dr. Prashanthi brings the clinical judgment and surgical skill that comes only with sustained practice — particularly critical for complex endometriosis and myomectomy cases.
🔗 Integrated Fertility Pathway
Mother Hospitals offers laparoscopy and IVF under one roof. When surgery reveals a cause of infertility, the fertility treatment plan is seamlessly adjusted — no re-referral delays, no gaps in care.
🏥 Day Procedure Efficiency
Most laparoscopic procedures are performed as day procedures — meaning lower hospital costs, less disruption to your life, and faster return to normal activity. Our dedicated theatre and recovery facility is purpose-built for this.
💬 Honest Pre-Operative Counselling
We believe in full transparency — clearly explaining what the procedure involves, what to expect in recovery, and whether surgery is the right next step for your condition or whether fertility treatment should come first.
📍 Convenient Location
Located in Aakruthi Township, Boduppal — easily accessible from Uppal, Nagole, Habsiguda, Chengicherla, Ghatkesar, and Medipally. Ample parking. No long travel to major hospital corridors.
Laparoscopy — Frequently Asked Questions
Is laparoscopy painful?+
Laparoscopy is performed under general anaesthesia — you will be completely unconscious and feel nothing during the procedure. Post-operatively, most patients experience mild abdominal soreness and shoulder tip pain (from the CO2 gas used) for 1–3 days. This is well controlled with standard oral painkillers. Most patients describe laparoscopy as significantly less painful than they expected.
How long does laparoscopy take?+
Procedure time depends on what is being done: diagnostic laparoscopy takes 30–45 minutes; ovarian cystectomy 45–60 minutes; PCOS ovarian drilling 30–45 minutes; laparoscopic myomectomy 60–90+ minutes; and endometriosis surgery 60–120 minutes depending on extent. Total time in hospital is typically 4–8 hours including preparation, recovery, and discharge.
Can I eat before laparoscopy?+
No. You must fast (nothing to eat or drink) from midnight the night before your surgery. This is a safety requirement for general anaesthesia to prevent aspiration. Your pre-operative instructions will specify the exact fasting period. Regular medications should be discussed with your doctor — some should be taken with a small sip of water on the morning of surgery; others should be withheld.
How many incisions are made in laparoscopy?+
Typically 3 incisions: one 10mm incision at the umbilicus (navel) for the camera, and two 5mm incisions in the lower abdomen for working instruments. Occasionally a third 5mm port is added for complex procedures. All incisions are sutured with dissolvable stitches and leave minimal scarring.
How long is recovery from laparoscopy?+
For diagnostic laparoscopy or simple cystectomy — most women return to light activity within 2–3 days and feel largely normal within a week. For myomectomy or extensive endometriosis surgery — recovery takes 7–14 days before returning to normal activity, with the full healing process taking 4–6 weeks internally. Your doctor will give you a personalised recovery timeline based on what was performed.
Can laparoscopy improve my chances of IVF?+
Yes, in specific situations. Removing a hydrosalpinx (fluid-filled damaged tube) before IVF improves IVF success rates by 25–30% per transfer. Treating endometriosis before IVF can improve egg quality and implantation. Removing polyps or submucosal fibroids via hysteroscopy before IVF also improves outcomes. Your doctor will advise whether laparoscopy before IVF is recommended in your specific case.
Can laparoscopy be done during my period?+
Laparoscopy is generally not performed during active menstruation — primarily for patient comfort and to avoid confusion between menstrual blood and intra-operative bleeding. It is typically scheduled in the first half of the cycle (after the period ends and before ovulation). For urgent cases such as ectopic pregnancy or ovarian cyst torsion, it is performed immediately regardless of cycle phase.
Is laparoscopy safe if I want to get pregnant after?+
Laparoscopy is actually the preferred surgical approach for women who want to preserve fertility — because the ovaries, uterus, and tubes are accessed with minimal trauma. Laparoscopic myomectomy, ovarian cystectomy, and endometriosis surgery are all performed with fertility preservation as the explicit goal. The exception is salpingectomy (tube removal) for hydrosalpinx — where removing the damaged tube improves IVF chances even though natural conception through that tube is no longer possible.
What is the difference between laparoscopy and hysteroscopy?+
Laparoscopy looks at the outside of the uterus and the pelvic organs — the fallopian tubes, ovaries, and pelvic peritoneum. Hysteroscopy looks inside the uterine cavity through the cervix — for polyps, fibroids inside the cavity, adhesions (Asherman's syndrome), and septum. Both can be performed at the same surgical session. For infertility investigation, both are often done together for a complete assessment. See our Hysteroscopy Hyderabad → page.
Will I have scars after laparoscopy?+
Yes — but very small ones. You will typically have 2–3 small scars of 5–10mm each, located at the navel and in the lower abdomen. With dissolvable stitches and proper wound care, these scars fade significantly over 3–6 months and are often barely visible in the long term. Most patients find laparoscopy scars cosmetically acceptable compared to an open surgical scar.
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Dr. E. Prashanthi Reddy · TGMC Reg: 50624