As previously described, laparoscopy can be performed for diagnostic purposes only. However, at the CRC, it is usually reserved for therapeutic procedures such as removal of endometriosis or ovarian cysts; repair or removal of damaged fallopian tubes, and removal of fibroid tumors. Laparoscopy involves the introduction of a needle into the abdominal cavity, generally through the navel (umbilicus).
The abdominal cavity is filled with carbon dioxide gas in order to elevate the abdominal wall and visualize the pelvic and abdominal organs. A telescope is then introduced through a small abdominal incision into the pelvis and an attached external light source and video camera are used to enhance visualization. Laparoscopy is performed under general anesthesia. Specialized instruments may be introduced through additional incisions in the lower abdomen to enable the surgeon to perform the procedures described above.
Fimbrioplasty; a laparoscopic procedure in which the edge of the fallopian tube is opened up to allow easier passage of the oocyte into the tube