Laparoscopy – Laparoscopy is an outpatient surgery where a scope is placed through a small incision in or near the belly-button so that the abdominal structures can be viewed. There may be several other small incisions in the lower abdomen for the placement of other instruments to help in seeing or performing other tasks. Laparoscopy can be used for diagnosis or for treatment of disorders such as endometriosis, adhesions, blocked tubes, fibroids, and cysts.
Hysteroscopy – Hysteroscopy is an outpatient surgery where a scope is placed through the vagina and cervix and into the uterus to view the endometrial (uterine) cavity. Hysteroscopy can be used for diagnosis or for treatment of disorders such as polyps, fibroids, adhesions, and septums.
Da Vinci Laparoscopic surgery – The da Vinci Robotic assisted laparoscopy system is the newest advancement in operative laparoscopy. The surgery can be outpatient or overnight and involves a laparoscopy using the da Vinci robotic system. The system simply allows more flexibility and dexterity of the operating instruments so that some surgeries that previously required an open incision can now be performed laparoscopically. A good example is reversal of a previous tubal ligation.
Tubal ligation reversal – Although tubal ligation is considered a permanent procedure, most cases can be reversed. The surgery involves surgically removing the scar tissue (where the tubes were tied) and then suturing them together again. This is done in a two-layer closure using extremely tiny stitches. The pregnancy rate is about 75%. Most of these surgeries are currently done laparoscopically.
Fibroid surgery – Fibroids are an overgrowth of fibrous tissue in the wall of the uterus. In many cases, they cause no problems and do not need to be treated. When they do cause significant symptoms, surgery can be performed to remove the fibroids. The fibroids can be removed by laparoscopy or hysteroscopy, or occasionally they require an open incision of the abdomen.
Endometriosis – Endometriosis is a disease where the cells that line the inside of the uterus, the endometrial cells, grow in other places like the pelvis. As they grow, they cause inflammation, pain, bleeding, infertility, scar tissue and cysts. It is sometimes necessary to surgically treat the endometriosis to remove the implants and free up the scar tissue. The surgery can be performed laparoscopically or occasionally through an open incision.
Adhesions – Adhesions are bands of scar tissue in the abdomen. They can appear in a variety of patterns from filmy and cobwebby all the way to dense and cement-like. They often result from previous infections, previous surgeries, ruptured cysts, endometriosis, or there may be no known cause. If the adhesions are causing problems, they can be treated surgically through the laparoscope or occasionally through an open incision.
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