Laparoscopy is a surgical procedure that allows the physician to look inside the pelvis at the reproductive organs. Through this procedure it is possible to diagnose and treat conditions such as endometriosis, scar tissue growth (adhesions), ovarian cysts and uterine fibroids. Laparoscopy is also used to treat ectopic (tubal) pregnancies.
Time, cost and discomfort are minimal compared with traditional surgery. Laparoscopy is performed through a laparoscope-a slender, tubular instrument that is inserted through a small incision in the abdominal wall just below the navel. Other instruments are inserted into the abdomen and pelvis through even smaller incisions in the lower abdominal wall. Much can be done with this procedure, yet the patient returns home that day.
A laser can be used during laparoscopy for cutting tissue or vaporizing abnormal tissue. The tiny beam of intense light treats many problems with minimal bleeding and very little scar tissue formation. It is routinely used in surgeries for endometriosis and adhesions.
Hysteroscopy also involves the use of a slender, tubular instrument. It is placed through the cervix into the uterine cavity to view the inside of the uterus.
Hysteroscopy is helpful for diagnosing and treating intrauterine (inside of the uterus) fibroids, polyps and scar tissue (Asherman's syndrome). This procedure is also a same day surgery so you return home that day.
Myomectomy (removal of uterine fibroids)
Uterine fibroids can cause pain and bleeding as well as infertility and recurrent pregnancy loss. Patients who need to have fibroids removed are routinely seen at the Fertility Center. Myomectomy can sometimes be done by laparoscopy. Larger fibroids can be removed during a mini-laparotomy. Most patients go home the day of their myomectomy, whether it was done by laparoscopy or mini-laparotomy.