Surgical procedures

We offer a range of surgical procedures for gynaecological conditions.



This is a procedure where a small camera is inserted through the neck of the womb (cervix) into the uterus (womb). This enables us to look at the endometrium (womb lining), take biopsies or perform treatments.

A hysteroscopy may be recommended as part of evaluation and treatment for the following issues:

  • Abnormal bleeding patterns – often combined with an endometrial biopsy
  • Subfertility – including repeated unsuccessful IVF, intra-uterine adhesions (scar tissue), endometrial polyps, uterine septum
  • For removal of endometrial polyps, submucosal fibroids, pregnancy tissue which has been retained, or intrauterine devices (coil) where the threads have been lost.


This is a common procedure carried out in gynaecology also known as key hole surgery or minimally invasive surgery. It involves passing a laparoscope, which is a small telescope with a camera attached, into the abdomen, usually through a small cut in the belly button. Laparoscopy enables us to look at the abdomen and gynaecological organs including the womb, ovaries and fallopian tubes for diagnostic and treatment purposes.

A laparoscopy may be recommended as part of evaluation and treatment for the following reasons:

  • Pelvic pain – for conditions such as endometriosis and pelvic adhesions
  • Subfertility – to look for a cause of subfertility and to assess the fallopian tubes (often using a dye test).
  • Many gynaecological conditions can be treated laparoscopically including:
    • Endometriosis
    • Ovarian cysts
    • Swollen blocked tubes (hydrosalpinx/hydrosalpinges)
    • Pelvic adhesions (scar tissue commonly from previous surgery or infection)
    • Ectopic pregnancy

Laparoscopy is carried out under general anaesthetic, usually as a day case procedure. 

For more information see the Royal College of Obstetricians and Gynaecologists patient information leaflet.

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