During laparoscopic radiofrequency ablation, your doctor sees inside your abdomen using two special instruments. One is a laparoscopic camera positioned above the uterus, and the other is a laparoscopic ultrasound wand that sits directly on the uterus. Using both instruments provides your doctor with two views of a uterine fibroid, allowing for more-thorough treatment than would be possible with just one view. After locating a uterine fibroid, your doctor uses another thin device to send several small needles into the fibroid. The small needles heat up, destroying fibroid tissue.