Advanced laparoscopic surgical procedure, also referred to as a minimally invasive surgery, is done by making an incision in the abdominal area. The incision is only several inches long and is made for the insertion of a laparoscopy. A laparoscope is a thin, long tube with a camera attached to the end of it.

The surgery is done for diagnostic and/or treatment purposes. This device has a camera attached to it which allows the surgeon to the inside of the abdomen with ease. Through this device, the pelvic organ and abdomen are seen easily. If an issue is discovered, another instrument may be inserted into the abdomen simultaneously, which is referred to as single-site laparoscopy.

Hysteroscopy is a procedure that can be used to both diagnose and treat causes of abnormal bleeding. The procedure allows a doctor to look inside your uterus with a tool called a hysteroscope. This is a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus.

How is a hysteroscopy performed?

Prior to the procedure, the doctor may prescribe a sedative to help you relax. You will then be prepared for anaesthesia. The procedure itself takes place in the following order:

• The doctor will dilate (widen) your cervix to allow the hysteroscope to be inserted.
• The hysteroscope is inserted through your vagina and cervix into the uterus.
• Carbon dioxide gas or a liquid solution is then inserted through the hysteroscope to expand the uterus and clear away any blood or mucus.
• Next, a light shone through the hysteroscope allows the doctor to see your uterus and the openings of the fallopian tubes into the uterine cavity.
• Finally, if surgery needs to be performed, small instruments are inserted into the uterus through the hysteroscope.

The time it takes to perform hysteroscopy can range from less than five minutes to more than an hour. The length of the procedure depends on whether it is diagnostic or operative and whether an additional procedure, such as laparoscopy, is done at the same time.

Myomectomy is a surgery to remove fibroids without taking out the healthy tissue of the uterus. It is best for women who wish to have children after treatment for their fibroids or who wish to keep their uterus for other reasons. You can become pregnant after myomectomy. This procedure is considered standard of care for removing fibroids and preserving the uterus.

Hysterectomy is the surgical removal of all or part of the uterus, or womb. The doctor may also remove the fallopian tubes, ovaries and/or the cervix during the same surgery. It is important to know that most women undergoing hysterectomy DO NOT need to have their ovaries removed, and will therefore not experience menopausal symptoms after surgery. Hysterectomies are commonly performed as final treatment option for chronic issues such as: Uterine fibroids, Endometriosis, Pelvic support problems (i.e.uterine prolapse), Abnormal uterine bleeding, Cancer, and Chronic pelvic pain.