This is a surgery where you are under anesthesia and a small scope is placed, usually through your belly button, in order to gain visualization of the inside of your pelvis. It can be performed either manually or with the DaVinci robot, depending on your diagnosis and indication. Laparoscopy is commonly performed for tubal disease, endometriosis, ectopic pregnancies, ovarian cyst removal, and unexplained infertility. You and Dr. Davenport will always weigh the benefits and risks of any type of surgery, along with all alternatives to surgery prior to making this decision. For example, in vitro fertilization will prove to be a better and less invasive alternative to surgery in many instances.
This is a surgery where you are under anesthesia and a small scope is placed into your uterus. No new incisions are required. Hysteroscopy is commonly performed for polyps and fibroids in your uterus, if a defect inside your uterus is suspected by external imaging, or if you have scar tissue inside the uterus.
This type of surgery is similar to pelvic laparoscopy in that a camera is placed at the midline, and several laparoscopic “ports” are used for instruments. The difference is that the instruments are much smaller and precise, and are attached to robotic arms. The instruments are then controlled by the surgeon via a console next to the patient. Robotic surgery is commonly performed when severe scarring, endometriosis, or difficult surgery is suspected, or for microsurgery such as tubal reanastomosis.
Robotic Tubal Reversal (Reanastomosis)
This procedure is for women who have had their tubes tied, but now desire to conceive. Dr. Davenport believes strongly that each patient who has had a tubal ligation should be individualized when deciding the best method to conceive. We encourage you to find as much information as possible (including obtaining an operative report from the surgeon who tied your tubes) prior to your consultation.
IVF vs. Robotic Tubal Reversal
Factors that go into this decision:
Other indications for IVF
Amount of 'good' tube left
History of any tubal disease
Known pelvic scar tissue
Future fertility plans
Type of tubal ligation performed
This surgery is for certain cases where the tubes are blocked but still healthy. It is usually not performed if other evidence exists that the tubes are compromised. This procedure is weighed against the alternative of IVF. We will help discuss with you which option is right for you.
If fibroids are too large, too numerous, or cannot be accessed via hysteroscopy, we will recommend that the procedure be performed through a 4-6 inch incision. The recovery time is longer for this type of surgery compared to a laparoscopic or hysteroscopic approach.