Using
specialized
surgical
instruments
and
advanced
medical
technologies,
our
infertility
specialists
can
examine
and
even
operate
on
the
reproductive
organs
without
creating
large
incisions.
Endoscopic
surgery,
which
involves
the
use
of
very
small
cameras
for
visualization
of
the
body’s
internal
structures,
only
requires
a
series
of
very
tiny
openings
to
allow
doctors
to
perform
many
types
of
surgery.
At
Northern
California
Fertility
Medical
Center,
we
perform
laparoscopy
and
hysteroscopy
procedures
for
Sacramento-area
patients
who
have
certain
physical
conditions,
such
as
endometriosis
or a
tubal
blockage.
Laparoscopy
Laparoscopy
is a
surgical
method
that
allows
doctors
to
access
the
exterior
of
the
uterus,
the
fallopian
tubes,
and
the
ovaries.
It
can
be
used
to
diagnose
and
treat
such
conditions
as
tubal
disease
or
blockage,
ovarian
cysts,
pelvic
adhesions,
and
endometriosis.
Because
only
a few
very
small
incisions
are
made,
laparoscopic
surgery
is
safer,
less
expensive,
and
requires
less
recovery
time
than
a
laparotomy
(traditional
open
surgery
of
the
abdomen).
Laparoscopy
is
generally
performed
while
the
patient
is
under
general
anesthesia.
After
making
a
small
incision
near
the
navel,
the
surgeon
gently
inflates
the
abdomen
with
carbon
dioxide
and
places
a
laparoscope
(a
thin
telescopic
device
with
a
camera
and
light
source
on
the
end)
through
the
opening
to
visualize
the
internal
organs.
Additional
small
incisions
may
be
made
along
the
pubic
line,
through
which
very
fine
surgical
instruments
can
be
placed,
allowing
the
surgeon
to
perform
the
necessary
procedure.
Once
the
required
operation
has
been
completed,
the
abdomen
is
deflated
and
the
incisions
are
closed.
The
patient
will
need
to
rest
for a
while
in a
recovery
room
—
until
the
medical
staff
has
determined
that
she
is
able
to go
home.
The
patient
will
have
a
period
of
limited
activity
after
laparoscopy
that
will
vary
in
length,
depending
on
the
type
of
procedure
performed,
but
this
time
will
be
much
shorter
than
it
would
be
after
traditional
surgery.
Hysteroscopy
While
access
to
the
ovaries,
fallopian
tubes,
and
outside
of
the
uterus
is
possible
through
laparoscopy,
a
hysteroscopy,
performed
by
our
Sacramento-area
physicians,
is a
procedure
that
allows
doctors
to
view
the
interior
of
the
uterus.
It
can
be
used
to
identify
and
treat
such
conditions
as
uterine
polyps,
fibroids,
scarring,
or a
septum
(separation
that
divides
the
uterus
into
two
cavities
instead
of
one).
Hysteroscopy
can
be
performed
with
the
patient
under
local,
regional,
or
general
anesthesia.
The
best
option
in a
particular
case
will
be
determined
by
the
surgeon
based
on
such
factors
as
the
type
of
hysteroscopy
being
performed
(diagnostic
versus
operative)
and
in
what
type
of
surgical
suite
the
procedure
will
be
taking
place.
Instead
of
making
incisions
in
the
abdomen,
the
surgeon
will
introduce
a
hysteroscope
(similar
to a
laparoscope)
into
the
uterus
through
the
opening
in
the
cervix.
This
may
require
the
cervix
to be
slightly
dilated
(opened)
with
a
special
instrument.
The
uterus
will
be
carefully
inflated
with
carbon
dioxide
to
make
visualization
and
surgical
access
easier.
Once
the
operation
is
complete,
the
gas
is
removed.
Since
the
instruments
are
inserted
through
the
cervix,
there
are
no
incisions
to
close.
Recovery
time
for
hysteroscopy
will
depend
on
the
particular
condition
being
treated,
but
is
significantly
shorter
than
with
traditional
surgery.
Tubal
Ligation
Reversal
Women
who
have
had
tubal
ligation
surgery
(commonly
known
as
female
sterilization
or
having
one’s
tubes
"tied")
and
would
like
to
become
pregnant
again
have
the
option
of
undergoing
tubal
ligation
reversal,
or
tubal
anastomosis.
To
learn
about
how
this
procedure
is
performed
and
who
makes
a
good
candidate,
please
visit
our
Tubal
Ligation
Reversal
page.
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