Microsurgery is different from conventional open surgery. With magnification from two to 30-fold by an operating microscope, surgeons have excellent visualization. They can then use delicate tissue handling techniques and very fine suture materials to minimize skin irritation. The laparoscope is similar in theory to a telescope. It is inserted into the pelvic cavity through a small incision in the navel. Lighting and visualization are greatly enhanced.

Pelviscopy refers to a special type of operative laparoscopy, in which more extensive surgical procedures are performed. Magnification is provided by laparoscope lenses, and video monitoring may allow the surgical assistant to work as one with the surgeon. Pelviscopy is used in the treatment of ectopic pregnancy, uterine fibroids, ovarian cysts and tumors, endometriosis, and pelvic adhesions.

Pelviscopy, when used properly, offers numerous advantages. The surgeon can avoid an open abdominal incision, so procedures can be performed on an outpatient basis. It minimizes discomfort, and there is no visible surgical scar. Most importantly, in many cases the laparoscopic approach produces better results than other types of surgery, probably as a result of decreased tissue trauma and less adhesion formation.

Some of the commonly performed reproductive surgeries are:

• Fibroid removal
• Ectopic pregnancy resolution
• Endometriosis surgery
• Hydrosalpinx removal
• Ovarian cyst drainage & removal
• Tubal reversal