Minimally invasive (keyhole) surgery has revolutionised the way fertility treatments are delivered with a one-day hospital stay and quick return to normal activity. Performed under a general anaesthetic it requires between two and four small tummy incisions, to facilitate assessment with a camera and insertion of instruments. My Reproductive Surgery expertise extends to minimally invasive procedures like laparoscopy and hysteroscopy as well as open gynaecological surgery.
I use the laparoscopic approach for the diagnosis and treatment of certain conditions (ovarian cysts, endometriosis, tubal disease). If you suffer from painful periods, endometriosis might be present. I recommend a laparoscopy to make the diagnosis and treat the condition by laser vaporizing the scarring.
If tubal disease is present I use a microsurgical laparoscopic approach for freeing the tube or opening a hydrosalpinx (tube filled with fluid and sealed at the end) and placing very fine permanent sutures to restore fertility where a clear barrier to conception existed.
Ovarian (simple, dermoid or endometriotic) cysts are particularly amenable to keyhole surgery. The cyst wall and contents are routinely sent for laboratory testing and reassurance.
A hysteroscopy is a surgical procedure to inspect the inside part of your womb. It is recommended if you have a very thick lining of the womb, polyps inside the womb, small fibroids or a septum (an additional wall inside the womb cavity). Sampling of the lining is routine during a hysteroscopy. Like the laparoscopy, it is performed under a general anaesthetic and at the same time. All in one day. You can also have polyps or fibroids removed from inside the womb, under a local anesthetic.
If you have large fibroids that require surgery I use an open approach (like a cesarean section). This operation aims to preserve your uterus.
All my surgical procedures are fertility focused and aim to retain and enhance your reproductive ability.
I perform surgery in the Rotunda Hospital and in the Bon Secours Hospital. All surgical appointments are organised through my Secretary in the Rotunda Hospital at 01 8742115 or by contacting me directly here.