Pelvic Laparoscopy

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Pelvic Laparoscopy: Indications

Pelvic laparoscopy is used both for diagnosis and for treatment and may be recommended for:

• pelvic pain due to
  • uterine tissue found outside the uterus in the abdomen (endometriosis)
  • infections (pelvic inflammatory disease) not responsive to drug therapy
  • suspected twisting (torsion) of an ovary
  • ovarian cyst
  • scar tissue (adhesions) in pelvis
• puncture through the uterus (uterine perforation) following D and C or by an IUD
• evaluation of infertility
• sterilization (tubal ligation)
• evaluation and removal of an abnormal pelvic mass (such as in a fallopian tube or ovary) that was confirmed previously by abdominal ultrasound
• removal of uterine fibroids (myomectomy)
• removal of uterus (hysterectomy)
• surgical treatment of tubal pregnancy in a hemodynamically stable patient
• evaluation of a woman who may have appendicitis or salpingitis

Pelvic laparoscopy is not recommended for patients with:

• severe obesity
• existing severe pelvic adhesions from previous surgeries