Laparoscopy
 Laparoscopy
can
be used effectively to diagnose and treat
many conditions causing infertility. Drs. Davies and
Borkowski have extensive
training in laparoscopy and the delicate microsurgical
techniques required to perform procedures such as tubal
reanastamosis and removal of endometriosis through the
laparoscope.
In some practices,
laparoscopy is recommended for most infertility patients;
however, we prefer a more conservative approach. This
is especially true if the patient has had a previous
laparoscope. We decide whether or not to perform the
procedure based on
each patient's history and diagnosis.
Many patients
have had previous unsuccessful treatments by the time
they see us and are immediately candidates for IVF.
These patients often include those with blocked tubes,
severe male factor, infertility from unidentified
causes, and those who have failed multiple attempts
of stimulated cycles. There is little value of a laparoscopy
in these patients.
The laparoscopy
is performed as an outpatient procedure under general
anesthesia. Two small incisions
are made in the abdomen one at the belly button and
one above the pubic bone. Scars are usually not noticeable
after a laparoscopy. The abdomen is "inflated"
with gas that enables the physician to
clearly view the internal organs. A small "telescope"
is inserted through one of the incisions and the operative
tools are passed through the other.
Endometriosis
can sometimes be corrected during the diagnostic laparoscopy.
Laparoscopic surgery is also used to treat other diseases
such as fibroids, tubal disease, perform hysterectomies,
treat the lining of the uterus, and many other conditions.
Laparoscopy results in a much shorter recovery time,
reduced pain, lack of scarring, less adhesion formation,
and reduced chance of infection.
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