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Endoscopy and Microsurgery Techniques in Southern California


Microsurgery and endoscopy are techniques a skilled surgeon can use to perform delicate procedures without the need for large surgical incisions. These techniques are used to perform both diagnostic and operative procedures.

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Dave and Yvette L.


I wanted to say thank you to the entire staff for making us feel welcome to our first visit especially on a Saturday. We met with Dr. Sadaat and was very informative and took time with us with all of our questions. For the financial department, Melissa was very helpful with keeping in contact with us regarding any paperwork that we needed as well as with setting our appointment. We do look forward for treatment with Dr. Saadat.”

What Are Endoscopy and Microsurgery?

Endoscopy

Endoscopy techniques use a small camera on the end of a tube (called an endoscope) to locate issues within the abdominal and uterine cavities.

In some cases, the endoscope can also be used to operate on pathologies.

Microsurgery

Microsurgery involves using fine instruments to handle tissue during surgery. During microsurgery, the surgeon uses cautery (heat) to seal incisions.

The primary purpose of microsurgery is to minimize scar tissue formation and improve surgical outcomes.

Which Fertility Procedures Use Endoscopy or Microsurgery?

Hysteroscopy

Hysteroscopy is a procedure where a small endoscope with a camera attached is used to observe the uterine cavity. There are two types of hysteroscopy: diagnostic and operative.

  • Diagnostic hysteroscopy is a minimally invasive inspection of the uterine cavity. It is used to identify pathologies in the uterus that can cause problems such as irregular menses, recurrent pregnancy loss, cramping during menses, anemia, and endometrial cancer.
  • Operative hysteroscopy uses microsurgery to remove pathologies from the uterine cavity. These pathologies may include fibroids, adhesions, and polyps. The operation may also be used to obtain a biopsy to rule out endometrial cancer.

Laparoscopy

Laparoscopy is a microsurgical endoscopy procedure where a laparoscope is inserted through the belly button to examine the pelvic cavity for adhesions, cysts, fibroids, or tubal blockages. A laparoscopy procedure can be used to diagnose and treat pelvic pathologies, including tubes blocked due to infection, endometriosis, or pelvic adhesions.

The procedure can also be used for other purposes, such as removing an appendix, weight loss surgery, or treating abdominal cancer.

Tube Reversal

A tubal ligation reversal procedure uses either laparotomy surgery or laparoscopic microsurgery to repair damaged or “tied” fallopian tubes and reverse infertility. 

Both procedures use microsurgical techniques to repair the fallopian tubes and enhance fertility. The laparoscopic procedure uses microsurgery techniques exclusively, while the laparotomy procedure also uses standard surgical incisions. 

  • The laparotomy procedure (most common) uses a small incision along the bikini line followed by microsurgical interventions (heat, fine instruments, and irrigation of the surgical field) to re-attach the fallopian tubes and minimize the risk of scar tissue development. The tubes are tested during the procedure to assure openness.
  • The laparoscopic procedure uses a tiny incision and microsurgical techniques, including minimal heat and precise surgical instruments, to repair the fallopian tubes.

Frequently Asked Questions

How is endoscopy performed?

Endoscopy is performed by inserting an endoscope (a small tube with a camera on the end) into either the uterine or abdominal cavities. This may be done either surgically or non-surgically depending on the area targeted.

How is microsurgery performed?

Microsurgery involves a tiny incision through which a series of small and precise tools are inserted. These tools may include a microscope (to allow the surgeon to observe the procedure), small scalpels, shears, and tools to enable precise delivery of both water and heat. The surgery is then performed in a small area on a micro-scale.

How much does microsurgery cost?

The price of any surgical procedure can vary depending on the specific operation performed. It is suggested to discuss costs with your fertility specialist during your consultation at our office in West Hollywood, Riverside, or Glendora. We offer several fertility treatment financing options.

What are the benefits of endoscopy?

An endoscopy operation allows your doctor to use a minimally invasive procedure to identify issues in areas of the body that are otherwise difficult to diagnose conclusively. This means that both you and your doctor will have more accurate and precise information to use when planning further procedures.

What are the benefits of microsurgery compared to traditional surgery?

Microsurgery produces smaller incisions, less tissue damage, fewer post-operative side effects, and a faster recovery compared to conventional surgery. Dr. Saadat also uses blood thinners to prevent adhesion formation and blood clots during microsurgery. In the case of reversing tubal ligation and other fallopian tube obstructions, these techniques also increase the rate of successful pregnancy post-intervention.

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