In addition to the full spectrum of infertility services offered through at Duke Fertility Center, our physicians have particular expertise with laparoscopy, endometriosis and uterine fibroids.
Some of the surgical procedures we offer can be done at Duke Fertility Center, while others will need to be performed at one of our ambulatory surgery centers. Most cases that allow discharge on the same day of surgery are performed at either the Arringdon Ambulatory Service Center or the Davis Ambulatory Surgery Center. Procedures requiring an overnight stay are usually performed at Duke Regional Hospital or Duke University Hospital.
Hysteroscopy
Hysteroscopy is a surgical procedure which involves placing a small camera through the cervix into the uterine cavity. This allows your physician to view the inside of the uterus to diagnose and treat problems within the uterine cavity. Some common problems treated through this procedure include:
- Scar tissue or other issues in the lining of the uterine cavity
- Endometrial polyps
- Submucosal fibroids
- Congenital defects of the uterus and cervix
Laparoscopy
Laparoscopy is a surgical procedure involving small cameras inserted into the abdomen that are used to evaluate the pelvic organs for diagnostic or operative purposes.
The procedure can reveal information about fibroids, cysts, pelvic scar tissue (adhesions), the fallopian tubes, endometriosis, appearance of the ovaries and many other findings that may contribute to infertility.
There are many reasons to have a laparoscopy including:
- Cysts
- Pelvic pain
- Endometriosis
- Pelvic adhesions
- Ectopic pregnancy
- Evaluation of the uterus
- Evaluate of the fallopian tubes
Myomectomy
A myomectomy is the surgical removal of uterine fibroids. Fibroids typically occur during child bearing years and can cause complications when trying to conceive.
Symptoms of uterine fibroids may include heavy menstrual bleeding or pelvic pressure. A myomectomy removes only the fibroids and leaves your uterus intact.