Laparoscopy – A laparoscopy is a procedure which allows the surgeon to view the pelvic organs through a small incision in the belly button. The patient is placed under general anesthesia and the abdomen is inflated with gases so a thin, long tube with a lighted camera can be gently guided into the abdomen. The camera allows the surgeon to view and captures images of the condition of the pelvic organs. The organs of major interest include the outside of the uterus, ovaries and fallopian tubes. A laparoscopy can diagnose endometriosis (abnormal growth of endometrial tissues), fibroids (non-cancerous growths in the uterus), cysts, adhesions (scar tissue), hydrosalpinx (fallopian tube with a build up of fluid) and infections, which may be causing infertility. During a laparoscopy many of the issues detected can be fixed, improving your chances of conceiving. A laparoscopy is an out patient procedure which lasts 1-3 hours, plus 1-2 hours of recovery time. Patients can return to work within a week.
Hysteroscopy – A hysteroscopy is a procedure which allows the surgeon to view the inside of the uterus. The patient is placed under a light sedation to ensure comfort. The cervix is dilated and a thin long tube with a lighted camera is placed in the uterus. The surgeon can view the lining of the uterus, and look for adhesions (scar tissue), endometriosis (abnormal grown of endometrial tissues), fibroids (non-cancerous growths in the uterus), polyps (excess tissue growth), septum (tissue growth which divides the uterus) and infections. During a hysteroscopy many of the issues detected can be remedied, increasing your chances of conceiving. A hysteroscopy is an out patient procedure which typically lasts 30-45 minutes, plus 1 – 1.5 hours of recovery time. Patients can return to work within 1-2 days, depending upon how they are feeling.
Laparoscopy with Hysteroscopy – Often the surgeon will perform both procedures together to create a full diagnostic picture. Patients will be put under general anesthesia and can return to work within a week.
Ovarian Drilling – Ovarian drilling with laparoscopy is a technique which may help women who have Polycystic Ovarian Syndrome (PCOS) or Polycystic Ovaries (PCO) to ovulate normally, thus increasing their chances of pregnancy. Ovarian drilling is typically considered after several attempts at ovulation induction using clomid, or an insulin-sensitizing medication, such as metformin. Ovarian drilling cauterizes the stromal theca cells in the ovary. The reduction of this testosterone-producing tissue leads to reduced testosterone levels in the body. Studies have reported that approximately 80% of women who underwent this surgery began ovulating regularly. Post surgery, women who did not regain ovulation, and were previously resistant to clomid citrate, were then more receptive to medical protocols. Pregnancy rates after ovarian drilling are reported at approximately 50%. General anesthesia is administered to the patient, and three small incisions are placed in the abdomen. The abdomen is inflated with gas to allow the surgeon to view the ovaries using a laparoscope. The drilling is done by cauterizing different parts of the ovary, and removing the unwanted tissue. The surgeon is able to explore the reproductive system during the laparoscopy, to determine if any additional issues may be present. Ovarian drilling with laparoscopy is an out patient procedure lasting 1-3 hours, plus 1-2 hours of recovery time. Patients can return to work within a week.
Myomectomy – A myomectomy is performed to remove fibroids (non-cancerous growths in the uterus) from the uterus, it is done in conjunction with a laparoscopy and/or hysteroscopy. Fibroids may be detected during a hysterosalpingogram, causing your physician to recommend that they be removed. Fibroids can grow on the outside or inside of the uterus. A laparoscopy would be done to remove the fibroids on the outside of the uterus, as well as view and diagnose any additional issues with the ovaries, uterus or fallopian tubes. A hysteroscopy would be performed to remove the fibroids on the inside of the uterus and view the uterine lining or other issues that may be occurring in the uterus. A myomectomy is an out patient procedure which can last 1-3 hours, plus 1-2 hours of recovery time. Patients can return to work within a week.
If you are looking into any of these procedures, we invite you to contact us through the web form here or you can call us toll-free at (844) 315-2229(BABY). It would be our pleasure to have a conversation with you and provide you with information.