Laparoscopy for Surgical Infertility Testing and Treatment

 

General Laparoscopy Surgical Procedure Nebraska Patient Education

Video taken from the channel: Nebraska Medicine Nebraska Medical Center


 

LAPAROSCOPY SURGERY FOR INFERTILITY!

Video taken from the channel: Follow The Hills


 

Laparoscopic Ablation and Fulguration of Endometriosis of Cul-De-Sac

Video taken from the channel: DR RK Mishra


 

Diagnostic Pelvic Laparoscopy

Video taken from the channel: Covenant Health


 

How does Laparoscopy help in infertility?Dr. Nupur Sood

Video taken from the channel: Doctors’ Circle World’s Largest Health Platform


 

Laparoscopy with dye test

Video taken from the channel: Care IVF


 

Diagnostic Laparoscopy, Hysteroscopy and Dye Test for Infertility

Video taken from the channel: DR RK Mishra


Laparoscopy may be used to diagnose infertility or to treat a fertility problem. 1  Laparoscopy is a surgical procedure that involves making one, two, or three very small cuts in the abdomen, through which the doctor inserts a laparoscope and specialized surgical instruments. How Laparoscopy helps Surgical Infertility Testing and Treatment Patients with unexplained infertility and normal hysterosalpingogram (HSG) findings following standard infertility screening tests usually undergo timing therapy that coordinates the time of ovulation and coitus, controlled ovarian hyperstimulation, or intrauterine insemination.

Examples of fertility problems that can be corrected with laparoscopy include removal of adhesions (scar tissue) from around the fallopian tubes and ovaries, opening of blocked tubes, removal ovarian cysts, and treatment of endometriosis. In certain situations, uterine fibroids can also be removed laparoscopically. A laparoscopy is usually done under general anesthesia in a surgical center or hospital, and most women go home the same day of the surgery.

Dr. Taraneh Gharib Nazem is Senior Fellow in Reproductive Endocrinology and Infertility at the Icahn School of Medicine at Mount Sinai/Reproductive Medicine Associates of New York. Laparoscopy for infertility is a minimally invasive surgical procedure in which a telescope-like instrument (laparoscope) with light and small camera allows the surgeon to examine the pelvic anatomy for causes of female infertility.

Laparoscopy can be diagnostic, assessing for causes of infertility in the uterus, fallopian tubes and ovaries. An operative laparoscopy involves surgical treatment for problems found during a diagnostic laparoscopy procedure, utilizing small surgical tools. Laparoscopy is a diagnostic tool used to detect possible conditions that could cause unexplained female infertility.

Using laparoscopy, the specialist is able to visually examine the internal reproductive system. Laparoscopy is a surgical procedure that involves insertion of a narrow telescope-like instrument through a small incision in the belly button. This allows visualization of the abdominal and pelvic organs including the area of the uterus, fallopian tubes and ovaries. What is laparoscopy used for in women with infertility?Laparoscopy for infertility.

Laparoscopy is a surgical procedure that allows a fertility doctor to see inside of the abdomen. In a female, the uterus, fallopian tubes and ovaries are located in the pelvis which is at the very bottom of the abdomen. Laparoscopy allows the fertility doctor to see abnormalities that might interfere with a woman’s ability to conceive a pregnancy. Minimally Invasive Laparoscopy Laparoscopy is a surgery performed for diagnosis and treatment of female infertility.

We use a thin, lighted tube (Laparoscope) fitted with a small camera that is inserted in an 1/2-3/4 inch incision in the abdomen or pelvic region to directly visualize infertility problems that may be occurring in a patient. Laparoscopyused to treat infertility is a minimally invasive surgery that uses a system containing a small camera and operating instruments to see the reproductive organs (ovaries, fallopian tubes and uterus). The surgeon will make a minor incision in the abdomen to insert the camera that is used in the surgical procedure.

List of related literature:

Laparoscopy can guide transabdominal intrauterine artificial insemination.

“Textbook of Veterinary Internal Medicine eBook” by Stephen J. Ettinger, Edward C. Feldman
from Textbook of Veterinary Internal Medicine eBook
by Stephen J. Ettinger, Edward C. Feldman
Elsevier Health Sciences, 2009

If not performed before treatment begins, HSG also is recommended for women who fail to conceive after 4–6 therapeutic donor insemination cycles.

“Clinical Gynecologic Endocrinology and Infertility” by Leon Speroff, Marc A. Fritz
from Clinical Gynecologic Endocrinology and Infertility
by Leon Speroff, Marc A. Fritz
Lippincott Williams & Wilkins, 2005

Finally, laparoscopy is indicated if no other significant cause of infertility is identified.

“Family Medicine: Principles and Practice” by A.K. David, S.A. Fields, D.M. Phillips, J.E. Scherger, Robert Taylor
from Family Medicine: Principles and Practice
by A.K. David, S.A. Fields, et. al.
Springer New York, 2002

There are both diagnostic and therapeutic indications for laparoscopy in infertile women.

“Comprehensive Gynecology E-Book” by Rogerio A. Lobo, David M Gershenson, Gretchen M Lentz, Fidel A Valea
from Comprehensive Gynecology E-Book
by Rogerio A. Lobo, David M Gershenson, et. al.
Elsevier Health Sciences, 2016

• Laparoscopy can be safely performed during any trimester of pregnancy.

“Obstetrics: Normal and Problem Pregnancies E-Book” by Steven G. Gabbe, Jennifer R. Niebyl, Henry L Galan, Eric R. M. Jauniaux, Mark B Landon, Joe Leigh Simpson, Deborah A Driscoll
from Obstetrics: Normal and Problem Pregnancies E-Book
by Steven G. Gabbe, Jennifer R. Niebyl, et. al.
Elsevier Health Sciences, 2016

Laparoscopy is now combined with hysteroscopy as a comprehensive one-stop infertility work up, to detect the cause of infertility and treat the cause in one go.

“Howkins & Bourne, Shaw's Textbook of Gynecology, 17edition-EBOOK” by Sunesh kumar, V. G. Padubidri, Shirish N Daftary
from Howkins & Bourne, Shaw’s Textbook of Gynecology, 17edition-EBOOK
by Sunesh kumar, V. G. Padubidri, Shirish N Daftary
Elsevier Health Sciences, 2018

Laparoscopy has traditionally been a part of the basic female infertility evaluation.

“Clinical Reproductive Medicine and Surgery” by Tommaso Falcone, William W. Hurd
from Clinical Reproductive Medicine and Surgery
by Tommaso Falcone, William W. Hurd
Mosby/Elsevier, 2007

However, since laparoscopy is an invasive procedure requiring general anesthesia and is costly, it should be performed only if there is a substantial likelihood of either improving the prognosis for fertility or changing the course of treatment.

“Management of Common Problems in Obstetrics and Gynecology” by T. Murphy Goodwin, Martin N. Montoro, Laila Muderspach, Richard Paulson, Subir Roy
from Management of Common Problems in Obstetrics and Gynecology
by T. Murphy Goodwin, Martin N. Montoro, et. al.
Wiley, 2010

Some have suggested that laparoscopy should be omitted as part of the routine workup in otherwise unexplained infertility and that ovarian stimulation coupled with intrauterine insemination be tried first [83].

“Reproductive Endocrinology and Infertility: Integrating Modern Clinical and Laboratory Practice” by Douglas T. Carrell, C. Matthew Peterson
from Reproductive Endocrinology and Infertility: Integrating Modern Clinical and Laboratory Practice
by Douglas T. Carrell, C. Matthew Peterson
Springer New York, 2010

Many fertility specialists argue that if laparoscopy is not performed in the evaluation of infertile couples with normal ovulation, normal semen analysis, and patent fallopian tubes, many cases of endometriosis and ovarian adhesions will be misdiagnosed as unexplained infertility.

“Yen & Jaffe's Reproductive Endocrinology E-Book” by Jerome F. Strauss, Robert L. Barbieri
from Yen & Jaffe’s Reproductive Endocrinology E-Book
by Jerome F. Strauss, Robert L. Barbieri
Elsevier Health Sciences, 2009

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

View all posts

7 comments

Your email address will not be published. Required fields are marked *

  • Excellant demonstration prof.
    Thanks for that.
    But what is the instrument which you used to hold the ovary during drilling, it is like modefied endoclose?

  • I’m getting ready to have the dye ran intio my tubes like this but they never mentioned anything about nothing going thru my belly button??? Said I’m awake and that at most I’ll have cramps like period cramps I’m so scared

  • Sir I am a patient of severe endometriosis..My rectum gut all adherent to my Uterus..I had one Laparoscopy in 2017 December…but the surgery was incomplete as the Dr only operaye my chocolate cyst..she didnt operate the adhesions…please help me and let me knw how would I connect you..I can share you my Operation CD as well..I am from Kolkata..

  • When you are an infertile couple, kindly give a try on the ThePregnancyFact. Com I highly got troubled with the outcomes that I was getting from the West prescriptions. Right after a some few months of undergoing planned acupuncture treatment plans as well as sticking to a healthy diet plan, I became conceiving a child. Seeing my year old daughter walking around around the house is highly enchanting. get much about this wonderful plan from Google.?

  • My surgery booked in 17 days from now n m beyond nervous.I watched your video and read most of the comments n gave me a bit idea. My case I don’t particularly know what is wrong as Gynaecologist couldn’t find anything so far apart from relatively small tissue growth ( upon asking she clarified it’s not Cyst) which according to medical science shouldn’t cause any issues. My bleeding is throughout the month and level of pain increasing so apparently this is the best way to look-into what is causing the issue. She emphasised this is not remove the tissue. I’m extremely nervous. The other related terms or issues or solutions are Rx of endometriosis, Hyshoscopy and endometrial biopsy Mirua

  • I had laproscopy for right fallopian tube blockage last month 28jan now i had period on 28th feb can i become pregnant next month march plz reply sir

  • I had this procedure done last year and I recovered fast and my scars are still there but slowly going away:) considering that was my 1st surgery in my whole life I was pleased with the procedure and the same night they gave me broth, jello, juice, water and a lemon Italian ice