Laparoscopy Procedure Laparoscopy procedure is helpful in fertility because it allows us to determine whether there are any defects such as scar tissue, endometriosis, fibroid tumors and other abnormalities of the uterus, fallopian tubes and ovaries that will interfere with getting pregnant. Pelvic laparoscopy is a surgical procedure that examines and treats pelvic organs through a small surgical viewing instrument (laparoscope) inserted into the abdomen at the navel. It enables your doctor to see the abdomen or pelvis, including the fallopian tubes, ovaries, uterus, small bowel, large bowel, appendix, liver, and gallbladder. Laparoscopy may prevent the need for a large surgical incision in the abdomen and avoid longer hospital stays. This is a minimally invasive procedure that some fertility patients use in order to:

  • Get tissue samples for a biopsy that will determine a diagnosis
  • Inspect and diagnose the cause of symptoms
  • Remove scar tissue that may be from endometriosis
  • Repair or remove part of the ovaries or tubes
  • Repair or remove parts of the uterus

A laparoscopy is usually done as an outpatient procedure. The procedure is usually done using general anesthetic, which means you will be ‘put to sleep’.  The surgeon will then inflate the abdomen with gas, which is usually carbon dioxide, through a small incision near the navel. A long thin instrument called a Laparoscope is then to inspect the abdomen and pelvis. The laparoscope looks like slender tube that is equipped with a lens for a clear viewing. A special attachment transmits light down through the tube, so that the surgeon can clearly see the ovaries, fallopian tubes and nearby organs. Once the procedure is completed, the instrument is removed, the gas is released, and the incisions are closed by using a few stitches. Some risk for laparoscopy are:

  • Bleeding
  • Blood clots
  • Damage to nearby organs and tissues
  • Infection

If you consider this procedure some abnormal results may include:

  • Adhesions
  • Endometriosis
  • Ovarian cysts
  • Pelvic inflammatory disease
  • Tumors
  • Uterine fibroids

In the minority of cases, laparoscopy might reveal minimal or mild endometriosis or peritubal adhesions. In these cases, either surgery or medical treatment has not been proven to improve fertility. Previous studies have shown that bilateral tubal pathology diagnosed at HSG or laparoscopy did affect fertility prospects strongly.  It is always good to set up a consultation with your fertility specialist to discuss these measures. References Endo Resolved. Endometriosis and Laparoscopy. Retrieved from: http://www.endo-resolved.com/laparoscopy.html Human Reproduction. (2010). Comparison of hysterosalpingography and laparoscopy in predicting fertility outcome. Oxford Journals. Retrieved from: http://humrep.oxfordjournals.org/content/14/5/1237.full MedlinePlus. (2010). Pelvic laparoscopy. Retrieved from: http://www.nlm.nih.gov/medlineplus/ency/article/002916.htm

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