In recent years, microsurgery – an operation using the magnification of an operating microscope or a laparoscope – has led to dramatic advances infertility treatments. With microsurgery, a gynecologic surgeon can correct problems that previously were considered incurable, including fertility enhancing surgery.
Microsurgery also involves very fine suture materials that minimize skin irritation and delicate tissue handling techniques. An operating microscope allows magnification from two to 30 times, providing excellent visualization. A laparoscope is similar to a telescope that is inserted into the pelvic cavity through a small incision in the navel, greatly enhancing lighting and visualization.
Pelviscopy refers to a special type of operative laparoscopy in which more extensive procedures are performed. Laparoscope lenses provide magnification, and video monitoring may allow a surgical assistant to work as one with the surgeon. Pelviscopy can effectively treat an ectopic pregnancy, uterine fibroids, ovarian cysts and tumors, endometriosis, and pelvic adhesions.
Pelviscopy, when used properly, offers numerous advantages. The surgeon can avoid an open abdominal incision, allowing an outpatient procedure, minimizing discomfort and leaving no visible surgical scar. Most importantly, in many cases the laparoscopic approach produces better results than other types of surgery, probably as a result of decreased tissue trauma and less adhesion formation.
A recent survey indicated that more than 12 million people in the United States have been sterilized, and more than 60 percent of those procedures are performed on women. Approximately 15,000 to 20,000 of sterilized women eventually want to reverse the procedure because of a renewed desire for children.
Microsurgical techniques can repair fallopian tubes with excellent results. At RSC, women who have had reversal surgery can anticipate a term-pregnancy rate of 75 to 80 percent if at least 4 centimeters of the fallopian tube remains.
To view animated videos that explain surgical procedures and conditions, you can visit Dr. Willman’s profile site – BayAreaFertilityDoctor.com – and use the video side controls to navigate topics. Video topics include surgical procedures – Hysterosalpingogram (HSG), Hysteroscopy, Myomectomy, Ovarian Cystectomy – condition information – Ovarian Cysts, Uterine Fibroids – and information regarding the da Vinci Surgical System.