Overview of Pelviscopic Laser Surgery in Los Angeles
A pelviscopy is also called a pelvic laparoscopy. This medical procedure is used to diagnose and treat various disorders that affect the pelvic region. Depending on what the procedure involves, it can be performed outpatient or inpatient.
What conditions are treated using pelviscopic laser surgery?
As a diagnostic tool, pelviscopy is used to detect endometriosis, pelvic inflammatory disease, ovarian cysts, and appendicitis. The procedure is also used to evaluate for female infertility and pelvic mases. In addition, a pelviscopy is utilized for treatment purposes during tubal ligation, hysterectomy, and myomectomy. The use of a pelvic scope is not feasible for morbidly obese patients, or on patients with extensive scar tissue from previous procedures.
How does endometriosis cause infertility?
Endometriosis is a condition where endometrial (uterine) tissue is found outside the uterus. This tissue can cause pain and scar tissue formation. Around 30-40% of women with endometriosis are infertile. This is often related to distorted anatomy of the pelvis, scarring of the fallopian tubes, and impaired implantation of the embryo.
What is done with pelviscopic laser surgery?
The doctor uses the pelviscopy to:
• Remove tissue samples (biopsy)
• Look for the cause of infertility
• Remove or repair the fallopian tubes or ovaries
• Remove or repair the uterus
• Remove scar tissue from endometriosis
What happens before the pelviscopic laser surgery?
After the doctor determines you need a pelviscopy procedure, he will discuss the risks and benefits with you and have you sign a form of informed consent. Be sure to show the doctor all your medications, as certain blood-thinners have to be held for 3-7 days beforehand. When you arrive at the surgical center, a nurse has you change into a gown, and starts an intravenous line in your arm. Bring someone to drive you home, and do not eat or drink after midnight.
How is the pelviscopic laser procedure performed?
After you are positioned on the procedure table, general anesthesia is given. An endotracheal tube is used to help with breathing, and monitoring devices are attached to assess vital signs. After your lower abdomen is cleaned with an antiseptic solution, a small incision is made below the belly button. The doctor instills carbon dioxide gas into the abdominal cavity to expand the region and allow for an unobstructed view. The small laparoscope is inserted through the incision, and the doctor sees the surgical area on a TV monitor. After the evaluation, additional incisions can be made, depending on what must be done. A laser is used to remove scar tissue, growths, and repair problems. After necessary repairs and tissue removal, the incisions are closed with sutures and a bandage is applied.
What can I expect after the pelviscopy?
Immediately after the procedure, a nurse will monitor your condition for around 30 minutes. Expect soreness at the incision sites, and tenderness of the abdomen region. Because of the gas used, bloating is expected. We recommend that you rest for the remainder of the day, and gradually advance activities as tolerated. Do not lift anything over 10 pounds for three weeks to reduce the chances of developing a hernia.
What are the risks associated with the pelviscopy laser surgery?
As with any surgical procedure, the pelviscopy carries some risks. These include organ or tissue damage, bleeding, blood clots, and infection. Because gas is used, abdominal cramping is likely. There is a slight chance of allergic reaction to any of the medications or medical supplies used during the procedure.