Should your Team RMI physician determine the need for more extensive examination of the uterus, fallopian tubes or ovaries, a Laparoscopy may be recommended.  Laparoscopy is a surgery where a thin camera is inserted through a small incision in the abdomen.  Like hysteroscopy, Laparoscopy can be both diagnostic as well as therapeutic in the setting of ovarian cysts, adhesions, fibroids or endometriosis.

What to expect: A laparoscopy is a minimally invasive, same day, surgical procedure aimed not only at evaluating the pelvic organs, but also at correcting any abnormality that may have been discovered through other diagnostic testing, such as a transvaginal ultrasound or hysterosalpingogram.  This procedure requires general anesthesia, and is performed in a surgical center. 

How the procedure is done: During the procedure, your doctor make small incisions in the abdomen, through which a laparoscope (small, thin camera) and other instruments are placed.  Carbon dioxide gas is then instilled into the abdomen to allow for your provider to visualize the pelvic and abdominal organs, as well as any pathology. 

What are the risks? The major risks for laparoscopy may include but are not limited to bleeding, infection,  damage to surrounding organs, future development of scar tissue.  Overall, complications are rare (occurring in about 1 or 2 out of every 100 procedures).

What this procedure tells you: A laparoscopy is the inspection of the pelvic and abdominal organs with an endoscope (camera) with access through the abdomen.  The benefit of laparoscopy is that it can serve both diagnostic as well as therapeutic purposes.  For women with painful periods, diagnosis and surgical treatment of endometriosis can only be done through laparoscopy.  Operative laparoscopy can also be performed to treat ovarian cysts, tubal disease, and uterine fibroids – conditions that may have been diagnosed with non invasive testing, such as ultrasound, sonohysterogram, and hysterosalpingogram.

For more information on Laparoscopy:

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