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Gynecologic laparoscopy is an alternative to open surgery. It uses a laparoscope to look inside your pelvic area. Open surgery often requires a large incision.
A laparoscope is a slender, lighted telescope. It allows your doctor to see inside your body. Diagnostic laparoscopy can determine whether you have conditions such as endometriosis or fibroids. It can also be a form of treatment. With miniaturized instruments, your doctor can perform a variety of surgeries.
These include:
• Ovarian cyst removal
• Tubal ligation, which is surgical contraception
• Hysterectomy
Laparoscopy generally has a shorter healing time than open surgery. It also leaves smaller scars. A gynecologist, general surgeon, or another type of specialist may perform this procedure.
Reasons for gynecologic laparoscopy
Laparoscopy can be used for diagnosis, treatment, or both. A diagnostic procedure can sometimes turn into treatment.
Some reasons for diagnostic laparoscopy are:
• unexplained pelvic pain
• unexplained infertility
• a history of pelvic infection
Conditions that might be diagnosed using laparoscopy include:
• endometriosis
• uterine fibroids
• ovarian cysts or tumors
• ectopic pregnancy
• pelvic abscess, or pus
• pelvic adhesions, or painful scar tissue
• infertility
• pelvic inflammatory disease
• reproductive cancers
Some types of laparoscopic treatment include:
• hysterectomy, or removal of the uterus
• removal of the ovaries
• removal of ovarian cysts
• removal of fibroids
• blocking blood flow to fibroids
• endometrial tissue ablation, which is a treatment for endometriosis
• adhesion removal
• reversal of a contraceptive surgery called tubal ligation
• Burch procedure for incontinence
• vault suspension to treat a prolapsed uterus