Obstetrics, Gynecology and Reproductive Health

Minimally Invasive Gynecology

Laparoscopic Adnexal Surgery

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Laparoscopic adnexal surgery is a minimally invasive procedure done on the ovary, fallopian tube, or ovarian cysts.

Reasons for the procedure

Different circumstances sometimes make it necessary remove one or both ovaries or the fallopian tube such as:

Bleeding ectopic pregnancy
Ovarian malignancy
Ectopic pregnancy or inflammation of the fallopian tube
Ovarian cysts -- often, it is necessary to remove one or more ovarian cyst (ovarian cystectomy) due to pain, cyst rupture, or the possibility of cancer.

Sometimes, the cause of infertility can be diagnosed and treated surgically on the fallopian tubes (such as breaking down the adhesions that prevent the fertilization of the egg).

The majority, if not all, of these procedures can be performed laparoscopically.

How the procedure is done

The surgery involves making the small incision in the belly button through which the camera (laparoscope) is inserted, allowing direct, thorough, and magnified evaluation of pelvic and abdominal organs. Three tiny incisions are made in the bikini line to allow introduction of laparoscopic instruments.

Advantages of minimally invasive surgery

This minimally invasive approach reduces exposure of internal organs, minimizing the chance of infection. It also reduces the amount of blood loss, thus reducing the need for potential blood transfusion.

Because there are no large incisions, the recovery time is much shorter: most people go home the same day or the morning after the surgery. In majority of cases, full recovery takes around one week. And there are no or minimally visible scars left after laparoscopic procedure.

With the introduction of computer-augmented surgery, using the da Vinci™ robotic surgical system, the surgery truly takes on 21^st century medicine. An excellent field of view, true 3-D high definition vision, unprecedented scale of motion, and dexterity of the surgical instruments are few of many advantages of the robot-assisted laparoscopic surgery.

For more information or to make an appointment, please call 410-328-6640 or toll-free at 866-608-4228.

This page was last updated on: September 4, 2009.