Surgery may be recommended to either diagnose a medical condition and/or to correct it.
If your physician recommends surgery such as a tubal ligation reversal or myomectomy for the removal of uterine fibroids, you may be a candidate for the da Vinci system. Currently the world’s most technologically advanced surgical robotic system, it allows surgeons to operate with extreme precision and accuracy, resulting in smaller incisions and much faster recovery time (typically a few days). With this system, surgeries that previously required large abdominal incisions, four- to five-day inpatient hospital stays and four to six weeks of post-operative recuperation, can now be performed on an outpatient basis.
Read about how Dr. Barmat is using this innovative surgical technique.
Laparoscopy is an outpatient surgical technique in which a five or ten mm narrow, lighted instrument is placed through the belly button to allow direct visualization of the ovaries, uterus, fallopian tubes and peritoneal cavity. Various laser and microsurgical procedures can be performed through the laparoscope, using additional small incisions at the pubic hairline. It is used for:
- Fimbrioplasty: surgical repair of the fimbria, the tissue around the opening of the fallopian tube that sweeps the oocyte into it
- Endometriosis surgery
- Lysis of adhesions: removal of scar tissue
- Tubal reconstruction
- Chronic pain procedures
- LUNA: uterosacral nerve ablation
- Presacral neurectomy
A hysteroscopy is a diagnostic test that uses a very small camera (hysteroscope) to assess the inner walls of the uterine cavity for fibroids, polyps, and scar tissue. A hysteroscope is inserted into the uterus through the cervix from the vagina to directly visualize the inside of the uterus. Removal of fibroids, scar tissue, and polyps may be performed in this way without having to operate on the abdomen. This operation is performed for:
- Septum resection
- Asherman’s syndrome (intrauterine scar removal)
A laparotomy involves a surgical incision through the abdomen, typically four to six inches in length, to allow direct visualization and correction of the reproductive structures. It typically is recommended for removing large fibroids.
This is fine, delicate surgery requiring magnification, often through the use of a microscope. It is used to reconnect tied tubes after sterilization or repair blocked fallopian tubes. It also is used for sperm extraction.