Laparoscopy is a surgical procedure in which a telescope is inserted inside the abdomen through a small cut below the navel so that the doctor can have a look at the pelvic organs in the infertile woman. A laparoscopy can lead to the diagnosis of many problems which cause infertility including damaged tubes, endometriosis, adhesions, and tuberculosis. In the past, a diagnostic laparoscopy was a routine part of the workup in infertile women, in order to complete their evaluation. Generally, the procedure was performed after the basic infertility tests were done since it is a surgical ( invasive) procedure. Today, however, the utility of laparoscopy in treating infertile women is very limited, and we perform laparoscopies in our clinic. During operative laparoscopy, many problems which cause infertility can be safely treated through the laparoscope at the same time that the diagnosis is made. When performing operative laparoscopy, additional instruments such as probes, scissors, biopsy forceps, coagulators, and suture materials are placed into the abdomen, either through the laparoscope or through two or three additional incisions called “suprapubic punctures”, which are made above the pubis. Dr. Ranu Dadu has a lot of experience in performing laparoscopies; uses multiple punctures, so she can assess the pelvis properly; and always provides documentation so the findings can be reviewed by another doctor.
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