Seth Levrant, MD has been performing reproductive surgery—including Advanced Reproductive Laparoscopy and Hysteroscopy—for more than 20 years.
- Laparoscopy may be done to diagnose and treat many gynecologic problems including endometriosis, pelvic pain, uterine fibroids, adhesions (scar tissue), ovarian cysts, and ectopic pregnancy. Operative laparoscopic procedures include the resection and/or ablation of endometriosis, removal of scar tissue, restoration of normal pelvic anatomy, repair or removal of damaged fallopian tubes, removal of ovarain cysts, ovarian drilling for PCOS, and myomectomy. Laparoscopy is performed on an outpatient basis under general anesthesia. After you are under anesthesia, a needle is inserted through the naval and the abdomen is filled with carbon dioxide gas. This gas pushes the abdominal wall away from the internal organs so the laparoscope can be placed safely into the abdominal cavity. One to three additional sites are used to insert additional instruments such as probes, scissors, grasping instruments and electrosurgical instruments to treat abdominal disorders. These incision sites are usually 5 to 10mm in size, heal quickly, and allow most women to return to work within a week.
- Hysteroscopy may be done to diagnose and treat women with infertility, recurrent miscarriage, or abnormal uterine bleeding. The hysteroscopy (a long, thin, lighted, telescope like instrument) is passed into the vagina, then inserted through the cervix and into the uterine cavity. No skin incisions are required. Fluid expands the uterine cavity to enable me to directly view the internal structure of the uterus and to remove polyps, uterine myomas, scar tissue, and uterine septums. Office Hysteroscopy is done under local anesthesia or IV conscious sedation in our Tinley Park office. Diagnostic and operative procedures (polyps, minor adhesive disease) can be done in the office. More extensive Operative Hysteroscopy is performed in an outpatient facility or hospital under general anesthesia. Operative hysteroscopies including large or multiple polyps, submucosal fibroids (myomas), uterine septum, and intrauterine adhesions. Hysteroscopy recovery time is usually 1-3 days. It is usually performed soon after menstruation has ended because the uterine cavity is more easily evaluated.
- Microsurgery is the precision removal of scar tissue and repair of pelvic abnormalities by laparoscopy or by open surgery (laparotomy) using magnification (operating microscope or surgical loupes).
- Tubal reversals or reanastomosis is the reattachment of tubes that were surgically interrupted or partially removed (for sterilization). Tubal reversals nay be done by minilaparotomy using magnification or DiVinci Robotic surgical assistance. WIth the growing success of IVF, fewer tubal surgeries are done.
- Da Vinci Robotic surgery, also known as robotic assisted laparoscopy, is a method of minimally invasive surgery where the surgeon controls robotic arms with the help of a computer console. Robotic surgery uses in gynecology include hysterectomies, cancer surgery, difficult removal of scar tissue, and tubal reversals.
Dr. Levrant does most laparoscopy and hysteroscopy surgeries in Tinley Woods Surgery Center, Tinley Park IL, or in Community Hospital, Munster IN. Dr. Levrant can also do laparoscopy, hysteroscopy and advanced reproductive surgery at Advocate Christ Medical Center, Ingalls Memorial Hospital, MacNeal Hospital, Methodist Hospital SouthLake and Silver Cross Hospital.
Dr. Levrant specializes in fertility preserving surgeries and does not do hysterectomies.