Reproductive surgery is an art, and the most technically demanding of all gynecologic surgery. The Southeastern Center for Fertility & Reproductive Surgery is a regional leader in minimally invasive surgery for numerous gynecologic conditions. We are also a regional referral program for patients requiring specialized or minimally invasive procedures.
Dr. Keenan has performed innumerable operations for pelvic pain, endometriosis, infertility, microsurgical tubal reversal, fibroids, adhesions (scar tissue), removal of tubes or ovaries, appendectomy, and other problems. The vast majority of these procedures are performed laparoscopically as an outpatient. As a Professor in the Dept. of OB/GYN at the University of Tennessee Medical Center, resident physicians rely on Dr. Keenan to impart his experience from more than 20 years of surgical care.
Why would I need surgery?
The principle goal of reproductive surgery is to restore normal anatomy and function to the reproductive organs. Damage caused by inflammation, infection, or endometriosis leaves these structures more vulnerable to postoperative adhesion formation.
Why should I have my surgery done by an REI specialist?
Standard surgical techniques are not appropriate for reproductive surgery, and these delicate procedures are best performed by a subspecialty trained and certified specialist in reproductive endocrinology and infertility.
Is Laparoscopic Surgery (through the belly-button) better than Open (usually Bikini cut)?
Laparoscopic surgery is usually preferable to a standard open surgical approach, because this reduces handling of tissues, prevents drying of surfaces, and allows better access to and visualization of the deep pelvic structures. It also provides magnification and the ability to achieve more complete hemostasis. The net result is a better restoration of anatomy, decreased adhesion formation, lower risk of recurrence of endometriosis or pain, and higher pregnancy rates.
If my tubes have been cut (tubal ligation) can I have them fixed?
The answer to this question depends on several factors such as how the tubes were “tied” in the first place, how old you are and are there any other fertility factors that would impact success (severe male factor, severe endometriosis).
Can’t I just go to my local Ob/Gyn to have my tubal ligation reversed?
Often, the first operation is a "make or break" procedure. If improperly performed, the
damage caused may not be reversible. It is wise to ascertain your surgeon's experience and credentials well before you schedule surgery.
I am planning on doing IVF, why would I need to consider surgery?
There are several situations in which surgery is recommended prior to IVF. These include removal of fibroids that are close to or inside of the uterine cavity; removal of a blocked, fluid-filled fallopian tube (hydrosalpinx) and removal of ovarian endometriomas (ovarian cysts that can damage the ovary and may impact the success of embryo implantation).
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