The use of video laser laparoscopy in the diagnosis and treatment of gynecological disorders is a large portion of our surgical practice. This includes its use as a part of infertility evaluation and treatment of ovarian cysts, laparoscopically assisted vaginal hysterectomies, presacral neurectomy, etc. This procedure is performed on an outpatient basis using small incisions. Another endoscopic procedure is hysteroscopy. It is used to diagnose abnormal uterine bleeding, repetitive pregnancy loss, or as a part of an infertility evaluation.
Diagnostic hysteroscopy is performed as an office procedure with local anesthetic.
Operative procedures involving removal of benign intrauterine tumors, polyps, scar tissue, and other problematic conditions are performed on an outpatient basis in the hospital with general anesthetic. Endometrial ablation is a special operative hysterectomy for many patients. This is another area of highly specialized care available through our office. Laser surgery is frequently helpful with infertility problems. It may be used in microsurgery for destruction of adhesions or scar tissue, or removal of endometriosis.