Gyn Problems and Laparoscopy

By Yemi Adesanya-Famuyiwa, MD

Montgomery Fertility Center

. http://montgomeryfertilitycenter.com/

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Gyn Problems and Laparoscopy

A laparoscope is a small telescope that is inserted into the abdomen through a small incision (cut). It brings light into the abdomen so the doctor can see inside.

Laparascopy can be useful in diagnosing and treating many gynecologic problems. It has taken the place of surgery in some cases and offers the benefits of fewer problems and shorter recovery.

Endometriosis – Endometrium (the tissue lining of the uterus) sometimes grows in places outside of the uterus. One way to be certain that endometriosis is present is by laparoscopy.

Adhesions – Sometimes tissues in the abdomen stick together and form scar tissue called adhesions. Adhesions can cause pain. They often can be separated during laparoscopy.

Fibroids – Fibroids are growths that form on the inside, outside or within the wall of the uterus. Laparoscopy can diagnose some fibroids.

Ovarian cysts – Ovaries sometimes develop cysts (fluid-filled sacs). These cysts may be harmless, causing only mild pain.

Hysterectomy – The laparoscope can be used to assist in a vaginal hysterectomy (removal of the uterus through the vagina). The laparoscope is used to help the doctor see inside the abdomen during part of the surgery.

Infertility and Sterilization

Women who have trouble getting pregnant may have laparoscopy to find problems like endometriosis or cysts.

Laparoscopy is also used for sterilization. In this operation, the doctor uses the laparoscope as a guide to block the fallopian tubes by cutting, clipping or burning them.

Ectopic Pregnancy

An ectopic pregnancy is one that may be located in the tube instead of the uterus. It may rupture the tube and cause abdominal bleeding that may require emergency surgery.

The Procedure

General anesthesia is usually used so that you will not be awake.

After the anesthesia is given, a small cut is made below or inside the navel. A gas, such as carbon dioxide or nitrous oxide, is usually put into the abdomen. The gas swells the abdomen so the pelvic reproductive organs can be seen more clearly.

The laparoscope is placed through the cut. Another cut is often made above the pubic region. Through this cut, an instrument is used to move the organs into view.

After the procedure, the instruments are removed and the gas released. The cuts are then closed, usually with stitches that dissolve.
In a few hours you can go home. You should plan to have someone take you home.