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Outpatient Surgery

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Outpatient Surgery

Hysteroscopy

Hysteroscopy is a procedure that allows your doctor to look inside your uterus in order to diagnose and treat any pathology that may be causing infertility. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina, past the cervix, and inside the uterus. Hysteroscopy can be either diagnostic or operative.

Diagnostic hysteroscopy is used to diagnose problems of the uterus. Diagnostic hysteroscopy is also used to confirm results of other tests, such as hysterosalpingography (HSG). Additionally, hysteroscopy can be combined with other procedures, such as laparoscopy, or before procedures such as dilation and curettage (D&C;).

Operative hysteroscopy is used to correct an abnormal condition that has been detected through other diagnostic methods. If an abnormal condition was detected during the diagnostic hysteroscopy, an operative hysteroscopy can often be performed at the same time, avoiding the need for a second surgery. During operative hysteroscopy, small instruments used to correct the condition are inserted through the hysteroscope.

Hysteroscopy

The physicians at Conceive Fertility Center may perform hysteroscopy to correct the following uterine conditions:

  • Polyps and fibroids: Hysteroscopy is used to remove these non-cancerous growths found in the uterus.
  • Adhesions: Depending on the severity, this can also be referred to as Asherman’s Syndrome. Uterine adhesions are bands of scar tissue that can form in the uterus and may lead to changes in menstrual flow as well as infertility. Hysteroscopy can help us locate and remove the adhesions. Women who have had both ovaries removed
  • Septum: Hysteroscopy can help determine whether you have a uterine septum, a malformation of the uterus that is present from birth. The septum can be lysed (or cut) which should open up the uterine cavity making it more spacious and better able to accommodate a pregnancy.
Laparoscopy

A laparoscope is a thin telescope that is inserted into the abdomen through a small incision in the belly button and is used to look directly into the abdominal cavity.  This allows visualization of the abdominal and pelvic organs including the uterus, fallopian tubes, and ovaries.

We are specifically interested in issues that relate to fertility such as scar tissue, endometriosis, ovarian cysts, and tubal anatomy and function. If any defects are found, then they can be addressed with operative laparoscopy which involves placing instruments through additional narrow (5mm) ports. These ports are usually inserted at the top of the pubic hairline or in the right or left lower quadrant of the abdomen. Laparoscopy also allows us the chance to re-evaluate the patency of the fallopian tubes using chromotubation (injecting blue dye through the tubes).

A laparoscopic procedure is usually performed in an outpatient setting which helps to avoid an overnight stay in the hospital. The advantages of laparoscopy, as compared to more invasive types of surgery, include a reduced hospital stay, smaller incisions, and a much shorter recovery period. Most women can go back to work in 2-3 days.

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