LAPAROSCOPY FOR INFERTILITY TREATMENT
Dr.Anita Mani
***Infertility& Surrogacy Specialist at Gift IVF Centre
Laparoscopy is the surgical method, in which a small camera is passed through the umbilicus, to see the internal organs on a monitor .The surgeon can do necessary procedure easily as the image is magnified .
Advantages of laparoscopy is that, no hospital admission is required for the procedure.The wound is less than 1cm , and there is no need for rest even after the procedure, as the surgery is short and precise ,there is Minimal blood loss .
The view is enlarged and clear compared to open surgery and another advantage is surgery can be recorded and viewed later.
Cost is comparatively less, when the loss of job and loss of work at home is taken into account.This is an excellent treatment for infertility, especially for checking tubes and ovarian drilling in PCOS .Risk of infection is minimal, compared to open surgery and even it happens, it is easily treatable.
Hysteroscopy gives good vision of uterine cavity and surgery possible to remove polyp, fibroid or correct septum.Risk of post op adhesions are lesser.Laparoscopy can be repeated any number of times as adhesions are less.Risk of injury to viscera is minimal .
If pregnancy has not been achieved after 3-6 months of treatment, ideally laparoscopy should be done.Taking medicines blindly is bad for the body, as it may increase risk of cancer in future.The skill of surgeon is very important for good result.
Common surgeries:
Diagnostic hysterolaparoscopy :
Done to evaluate the inside and outside of uterus, B/L tubes, ovaries and pelvis.Tubes can be checked for block.Infection in vagina, cervix, and pelvis can be detected.
Laparoscopy & ovarian drilling :
For PCOS, this is effective in getting rid of old follicles and stimulates the ovulation process.
Laparoscopy tubal/ Fimbrial cystectomy:
Small cysts on tubes make them ineffective in picking up the egg after ovulation, even if the tubes are open.The surgery helps and is very effective.
Laparoscopy & ovarian cystectomy:
Different types of cysts are formed and can be managed by laparoscopy.
Other procedures are cauterisation of endometriosis , Laparoscopy for ectopic,
Laparoscopic myomectomy, Laparoscopic varicocelectomy , Hysteroscopic polypectomy, hysteroscopic myomectomy, hysteroscopic septal division, hysteroscopic tubal cannulation etc.
