TREATMENT
Minimally Invasive Surgery
Minimally invasive surgery procedures involve the doctor using a special instrument called a laparoscope or a hysteroscope to examine or treat problems in the fallopian tubes or the uterus that might be affecting your fertility. Unlike conventional surgery, these procedures have minimal scarring, discomfort, or recovery time.
Hysteroscopy
A hysteroscopy is a procedure where the doctor passes a hysteroscope – a narrow telescope like instrument – through your vagina and cervix and into the uterus to see if there are any fibroid tumours, polyps, scar tissue, or other problem with your uterus.
What Happens During the Procedure?
First your doctor will give you a general, local, or epidural anaesthetic to block the pain.
After you have had the anaesthetic, the doctor inserts the hysteroscope into your uterus and may inflate the uterus with gas or a liquid to get a better view of the uterine interior.
If the doctor finds anything abnormal, he or she may remove a small sample for further examination. You don’t need to have an incision with a hysteroscopy and most women recover quickly.
Laparoscopy
A laparoscopy is a procedure where the doctor inserts a laparoscope – a hollow tube equipped with a tiny camera and light source—through a small incision in your belly in order to examine your uterus, fallopian tubes, and ovaries.
The laparoscope can help your doctor diagnose uterine fibroids, endometriosis, ovarian cysts, and other fertility problems. These problems can often be treated during the laparoscopy. In some cases, you may need follow-up surgery.
What Happens During the Procedure?
First your doctor will give you a general, local, or epidural anaesthetic to block the pain.
The doctor will then make a small incision just under your belly button to pass the laparoscope into your abdomen. Usually, one or two other incisions are also made to inject a gas that expands your abdomen, making it easier for the doctor to see certain organs like the uterus, ovaries, and fallopian tubes.
If there are any abnormal findings, the doctor may remove a small sample for further examination. Most women recover within a few days. The incisions are normally made at the belly button and at the pubic hairline and rarely leave any scars.
Mini Incision Tubal Ligation Reversal
Sometimes women who have had a tubal ligation decide, at later date, that they want to become pregnant. In some cases, the tubal ligation can be reversed using a laparoscopy, while in other cases, in vitro fertilization is the best option for becoming pregnant.
What Happens during the Procedure?
Tubal reversal involves the physician using a laparoscope to repair the tubes. During the procedure, the doctor removes scar tissue from the fallopian tubes and reconnects the tubes with tiny stitches.
The operation typically takes 2-3 hours. If your reversal is successful, you have an up to 75% chance of conceiving.