Role of Reproductive Surgery in fertility enhancement
Many patients have to undergo certain surgical procedures to improve their chances of conception. These surgeries can either be done as open procedure or keyhole(endoscopic) surgery. Nowadays most of the surgical procedures for infertility cases are done laparoscopically.
Used as Diagnostic & Therapeutic
Diagnostic :
- Uterus
- Ovaries
- Tubes
- Peritoneal factors
Therapeutic :
- Adhesiolysis
- Ovarian Drilling
- Fulguration of endometriosis
- Tubal reconstructive surgery
- Ovarian cystectomy
- Biopsy from suspicious lesions
- Resection of Gross Hydrosalpinx
- Management of fibroids
- Removal of adhesions
Advantages Of Endoscopy
- Minimally invasive
- Fewer adhesions
- less pain
- Early recovery
- Less infection
- Better visualization
- All factors evaluated & managed simultaneously
The most common indication of laparoscopy is tubal block or damage which in India is mostly due to tuberculosis. Endometriosis is another very common cause of infertility treated laparoscopically. As PCOD is very common in India ovarian drilling is also done commonly.
Hysteroscopy
It is used alone or together with lapro
