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Laparoscopy

Laparoscopy – Infertility Treatments – Frisco, TX*

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Overview

Laparoscopy is a minimally invasive surgical procedure for women with unexplained infertility at the Frisco Institute for Reproductive Medicine that uses a laparoscope. This small, fiber-optic tube with a light and camera is inserted through 2 or more tiny incisions, usually near or through the belly button, to minimize visible scars on the skin. Once properly placed, the camera on the laparoscope will transmit images to a TV monitor in the operating room for the doctor to view. The laparoscope allows the doctor to view the reproductive organs and pelvic cavity to check for signs of infertility.

In fertility medicine, laparoscopy is used after all other reproductive imaging tests have not resulted in a diagnosis. Laparoscopy is sometimes performed on women with unexplained infertility. Some of the main issues laparoscopy may diagnose are:

  • Abnormalities in the uterus or ovaries
  • Blocked fallopian tube(s)
  • Adhesions (scar tissue)
  • Uterine fibroids
  • Endometriosis (can only be confirmed with laparoscopy)

If you are looking for a fertility specialist who can perform laparoscopy procedures or have been referred to FIRM by another physician, please call and schedule a consultation to meet with one of our board-certified reproductive endocrinologists in one of our Dallas, McKinney, or Frisco, TX locations.

Laparoscopy Technique

Before your surgery at our fertility clinic, we ask that you follow all post-operative instructions given to you by your doctor. You should fast (no food or drink) for at least 12 hours before the surgery time. Please arrange for someone to drive you home after the surgery. We ask that once you are at the clinic, you should try to empty your bladder one hour before surgery. You will receive fluids and medications through an IV in a vein in the arm.

Once in the operating room, general anesthesia will be applied through the IV and you will fall asleep. As soon as you are under anesthesia, we may place a breathing tube and/or catheter. The laparoscopy procedure typically takes about 30 – 90 minutes to complete. To achieve the best view of the organs, a hollow needle is inserted into the abdomen and the cavity is inflated with carbon dioxide or nitrous oxide (gas). This process moves the organs away from the abdominal wall for optimum visibility. Once the abdomen is inflated, the laparoscope and/or surgical tools are put through the incisions to diagnose or repair the issues. During the procedure, your doctor may take tissue samples, remove cysts, or fix abnormal anatomy. The tools and the gas will be removed, and your small incisions will be stitched and bandaged.

What to Expect

When performing a diagnostic laparoscopy, the doctor may decide to correct any issues, such as fibroids, or endometriosis – thus changing the procedure from diagnostic only to an operative laparoscopy. Surgical instruments are operated through the laparoscope or through another incision point. The doctor can either cut the tissue or will use an electrocautery beam to cauterize and remove the tissue. We will discuss all the options during your private consultation or pre-surgery appointment.

Risks & Benefits

Risks
Laparoscopy, like any surgical procedure, is not without risks. Approximately 1 – 2 percent of laparoscopy procedures involve complications, such as:

  • Anesthesia issues
  • Formation of adhesions (scar tissue)
  • Nerve damage
  • Blood clots
  • Hematomas (a swelling caused by blood outside its vessel)

In rare cases, the laparoscopic tools may puncture the abdominal wall or other organs. If an injury occurs, the damage will be repaired immediately.

Benefits
One of the biggest benefits of this surgery is that it is less invasive than the alternative – a laparotomy (involves a larger incision). A laparoscopy is an outpatient surgery and it often does not involve an overnight hospital stay. Also, your experienced doctors can also correct abnormalities or issues at the time of surgery rather than scheduling an additional procedure.

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Understanding Your Options

At FIRM, we can use laparoscopy as a diagnostic or an operative tool for women experiencing infertility. This is a surgical procedure that can find problems within the cavity of the uterus and correct abnormalities or fertility impediments using special instruments inserted through the laparoscope. After a thorough examination and reproductive imaging, our doctors can discuss your options with laparoscopy if your case warrants further exploration. Call and schedule an appointment to learn more or to follow-up with a physicians' referral. We look forward to helping you with your reproductive issues.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.