Gynecologist & Fertility Clinic located in Oak Brook, IL
When an anatomical problem causes infertility, all but the most severe cases can usually be surgically corrected. Dr. Daniel Rostein, MD, FACOG, and staff can use surgical techniques to treat fibroids, endometriosis and other uterine abnormalities.
Operative Hysteroscopy- Is a visual examination of the interior of the uterus to look for tumors, scars or abnormalities. This procedure is performed on an outpatient basis under general anesthesia. The cervix will be dilated to allow the hysterscope to be inserted to through the vagina and cervix into the uterus. To make viewing easier, the cavity is inflated with a small amount of carbon dioxide. If needed small sterile instruments are then inserted into the uterus through the hysterscope to perform any corrections. Some common findings may be polyps, fibroids adhesions or uterine septums.
Laparoscopy/ Robotic Assisted Laparoscopy- This procedure is also performed on an outpatient basis with the use of general anesthesia. An instrument is passed into the abdomen through a tiny incision below the navel. A second instrument is inserted through an incision at the pubic hairline. The cavity is inflated with a small amount of carbon dioxide to make viewing easier. This procedure gives a direct view of the uterus, ovaries, fallopian tubes and pelvic cavity, allowing for detection of any scar tissue. It many help to identify endometriosis which is presence of normal uterine tissue in abnormal places outside of the uterus.
Laparotomy/ Laparoscopic Myomectomy- It is performed for the removal of large fibroids. During a laparotomy, an incision is made in the abdomen for removal of the fibroid. The uterine wall is then repaired to help prevent pelvic adhesions, or scarring, while the uterus is left alone for future fertility. This procedure is major abdominal surgery and is done as an inpatient in the hospital