Laparoscopy for Infertility

laparoscopic surgery in IVF centers is a surgical procedure. The operating surgeons conduct this procedure with the help of a laparoscope. A laparoscope is an instrument, which enables the infertility specialist to see the internal organs of the abdominal or pelvic cavity of a patient. The laparoscope is a long tube-like hollow structure. It is a fiber optic instrument.  A camera is attached to the other end which shows the images on a screen put in front of the surgeon.

The patient is first put under general anaesthesia to undergo laparoscopy for infertility. A small cut is made in the belly button.  Then the laparoscope is inserted in the abdominal cavity through belly button.

The abdominal cavity is inflated with CO2. Now, another port might be inserted in some other region of the abdomen.  Because of this procedure, surgeon is able to see intra abdominal organs like intestines, pancreas, liver and pelvic organs like uterus, fallopian tubes and ovaries from outside.

Laparoscopy for Infertility:

Now a day, laparoscopic surgery for infertility is one of the key parts in the diagnosis as well as treatment of infertility. Using, it is possible for the operating surgeon to see the reproductive organs from their outer surface. A thorough evaluation of the organs can lead to a diagnosis and at the same time, corrective surgeries can also be performed.

The whole procedure can be recorded.

What can be diagnosed and treated by Laparoscopy in Fertility Centers

  1. Endometriosis: the endometriotic tissue can be seen in laparoscopy if present. And a corrective measure can be done by removing maximum tissue.
  2. Fibroids: fibroids can be diagnosed, their extent can be gauged and the surgeon may be able to remove them depending on the size.
  3. Ectopic pregnancy: in this condition, the pregnancy occurs in the fallopian tube. This is a life-threatening condition. It can be diagnosed by laparoscopy and can be removed in the same setting leading to a possible conservation of the tube.
  4. Removal of ovarian cysts: this procedure is also called as ovarian cystectomy, in which the ovarian cysts (a cavity filled with water) are drained or removed.
  5. Adhesion removal: if there are any adhesions or scar tissue formation around the tubes and the ovaries, it can be identified and removed with the help of laparoscopy.
  6. Tubal recanalization: the blocked tubes can be opened by either removing the in place clips or rings or by reconnecting the severed ends by micro-suturing.
  7. Tubal patency test: with the help of laparoscopy, the patency of the tube can be checked by using a dye.
  8. PCOD Treatment: In this condition, the patient will be having irregular cycles because of anovulation. They will have enlarged ovaries with thick central stroma on scan & elevated levels of LH (Leutinizing Hormone). On Laparoscopy this is diagnosed and a procedure called ovarian drilling is done to the PCO. In this, each ovary is punctured with a monopolar needle using electrocautery to burn the ovarian stromal tissue. Approximately 4-8 punctures are made per ovary. This will improve ovulation and pregnancy
  9. Infections: Pelvic inflammatory diseases may be present which mostly affects the tubes.

Advantages of Laparoscopy

laparoscopic in Hegde Fertility, infertility clinics is a type of minimal invasive procedure. The hospital stay is reduced considerably. The patient does not get an ugly looking scar as only 1 stitch small cuts are made. The post operative pain is less. The chances of post-operative infections are less as not much internal area is exposed. It is actually cost effective if all the previously mentioned things are considered as hospital stay is reduced and post operative chances of infections are decreased.