Laparoscopy for Fertility and Gynaecology

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Laparoscopy is a minimally invasive surgical approach performed through small abdominal incisions. A thin camera allows the surgeon to view the uterus, fallopian tubes, ovaries and surrounding pelvic structures. Additional instruments may be introduced through small incisions when treatment is required.

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When May Laparoscopy Be Considered?

- Suspected endometriosis
- Ovarian cysts requiring surgical evaluation
- Pelvic adhesions or scar tissue
- Selected fibroids
- Chronic pelvic pain
- Previous pelvic infection or surgery
- Suspected tubal or pelvic abnormalities
- A condition that cannot be adequately evaluated through ultrasound alone

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Diagnostic and Operative Laparoscopy

Diagnostic laparoscopy
The pelvic organs are inspected to identify endometriosis, adhesions, cysts, tubal damage or another abnormality. Dye may sometimes be introduced through the cervix to assess whether the fallopian tubes are open.
Operative laparoscopy
When appropriate and consented, the surgeon may treat selected abnormalities during the same procedure, such as removing or treating endometriosis, releasing adhesions or managing a suitable ovarian cyst.

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Preparation and Recovery

1. Preoperative assessment and required blood or imaging tests
2. Discussion of anaesthesia, procedure goals and possible alternatives
3. Fasting and medication instructions
4. Procedure under suitable anaesthesia
5. Postoperative monitoring and discharge instructions
6. Follow-up to review findings and further fertility planning

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Possible Risks
- Bleeding or infection
- Injury to bowel, bladder, blood vessels or reproductive organs
- Anaesthesia-related complications
- Adhesion formation
- Need for a larger incision or additional surgery in uncommon situations