The three types of surgery performed by Fertility Specialists for female patients are Hysteroscopy, Laparoscopy and Exploratory Laparotomy for (removing fibroids) myomectomy or tubal reversal (tubal reanastamosis). For patients with uterine fibroids, any three of these procedures may be used alone or in combination to remove the fibroids.
Hysteroscopy is a procedure in which a camera is placed through the cervix to look inside the uterus and remove polyps, fibroids or uterine scarring (Asherman’s syndrome) or malformations (Uterine Septum). It is also used prior to Embryo Transfer after an IVF cycle to confirm the uterus is favorable to receive the embryos and improve pregnancy rates (Diagnostic Hysteroscopy). The Hysteroscopy can be performed in the office or in the hospital, depending on the equipment required to perform the procedure.
Laparoscopy is a hospital-based procedure in which a camera is placed into the abdomen to look into the pelvis and treat any issues that may interfere with fertility or that cause pain or discomfort. Laparoscopy can be used to treat or remove ovarian cysts, endometriosis, pelvic scarring (adhesions) from prior surgeries or infection, fallopian tubes with fluid collections (hydrosalpinges) and fibroids.
Exploratory Laparotomy is hospital-based surgery performed through a lower-abdominal incision. An Exploratory Laparotomy is performed to remove large or multiple uterine fibroids or ovarian cysts. A tubal reversal procedure (Tubal Reanastamosis) is performed to reconnect the ends of the fallopian tubes to the segment of the fallopian tube originating from the uterus in patients who received a prior tubal sterilization procedure. A tubal reversal procedure can allow patients to get pregnant again through intercourse.