Fertility Enhancing Endoscopic Surgeries
Endoscopic reproductive surgery intended to improve fertility may include surgery on the uterus, ovaries, pelvic peritoneum, and the Fallopian tubes. It includes hysteroscopy & laparoscopy. Laparoscopy is perceived as a minimally invasive surgical technique that both provides a panoramic & magnified view of the pelvic organs and allows surgery at the time of diagnosis while Hysteroscopy is a telescopic examination of uterine cavity from inside to diagnose & correct cavity abnormalities which interfere in normal fertility.
- To evaluate pelvic organs to find the cause of infertility & ART (IUI Treatment,IVF Treatment) failures.
- After 3 COH &IUI failures.
- To treat pelvic disease to correct the infertility like uterine fibroid, endometriosis, pelvic adhesion's, uterine septum, polyp,etc. to improve success rates in ART.
- Recurrent miscarriages.
- As a screening test before IVF
- Laparoscopic tubal surgeries like salpingo-ovariolysis, fimbriolplasty, tuboplasty, salpingectomy, etc.
- Laparoscopic Myomectomy.
- Laparoscopic removal of chocolate cyst, fulguration or excision of endometriotic implants, adhesiolysis.
- Laparoscopic adhesiolysis post-infective.
- Laparoscopic removal of adnexal masses like benign ovarian cyst, dermoid cyst, paraovarian cyst,etc.
List of equipment’s:
- Hysteroscopic septum incision
- Hysteroscopic polypectomy
- Hysteroscopic adhesiolysis
- Hysteroscopic lateral metroplasty
- Hysteroscopic tubal cannulation
Office hysteroscopy is the type of diagnostic hysteroscopy performed in out-patient department as OPD based procedure which does not require any type of anaesthesia. It requires hysteroscopes of size either 2.9mm or 2mm. Certain operative procedures like polypectomy or adhesiolysis can be done by office hysteroscopy
- Day care procedure, No overnight stay.
- Quick recovery
- Can join routine duties at the earliest by next day
- Minimal pain or discomfort
- Diagnostic as well as operative work up can be done in the same sittings
- Though rare but following complications can happen during the procedure
- Uncontrolled Bleeding
- Injury to other nearby organs like intestine, bladder, ureter, cervix etc
- Injury to major blood vessels like aorta, internal & external iliac vessels etc
- Anaesthesia complications like cardiac arrest, aspiration, pulmonary anaesthesia, etc.