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!

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

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Diagnostic Pelvic Laparoscopy

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Laparoscopy with dye test

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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

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22 comments

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  • 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

  • i take abotion tablet last 1 year back now i want to get pregnent, but my fallopion tubes are blocked in hsg test, what can i do please tell me

  • All thanks to Dr keghor who uses his natural roots and herbs to unblock my fallopian tube blockage and infertility. My marriage was on the verge of collapsing, because I was unable to bear a child for my husband for 10 years, i was in deep pain, crying all day, Until one faithful day i came across Dr keghor recommendation on line, and i summon courage to contacted him. And he administered his wonderful herbs on me within a couple of weeks i notice some changes in my body and went for medical check up the result came out that was pregnant and doctor said my fallopian tube is open, to cute the story short friends help me celebrate i now have a child i can called my own. In case you want to contact him for a similar problem, or all other issues, you can reach him through his email: on [email protected] gmail.com or +2348085931683

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  • Sir laproscopy me tubual blockage ho unilateral tube blockage later on delayed free spillage seen in rt fallopian tube than after how many months can i become pregnant

  • I had the procedure two days ago. What are some of the side effects followed Laparoscopic.? I am experiencing bilateral shoulders and neck pain.

  • Right after making efforts to get pregnant for 3 months, I decided that I must try something totally new. Thankfully, I found “Sοkοpο Wοzz” (Google it) and tried it The plan is awesome at helping you study your periods and signs to see your body`s differences. I recommended my friends to try the plan also. You can learn further by getting to Google.

  • If you`re an infertile couple, please give a shot on the “tοsορο wucu” (Google it) I highly got troubled with the results that I was getting from the West prescriptions. I was able to conceive right after having a healthy diet plan and getting planned acupuncture treatment options for a few months. I`m just happy seeing my one year old little girl walk around the house. Check out Google to learn more about this amazing plan.

  • I’m just on here because its fascinating to watch, but I love how you all are still aware of the aftermath. How you cut makes it so the scar is hidden, or small. Thank you for not only saving lives but being thoughtful of the lives once you save them❤❤

  • Sir Dr. Ne mujhe uterus inside outside laparoscopy advice ki as i hv no baby yet.
    Is laparoscopy me kitna time lag jata hai pls bataye. Aapse kaise mil sakte hai?

  • Hlo Dr..meri 27 may 2020 ko abi gudiya hui h meri baby ki poty ki jgh ni BNI h Dr ne pet se rasta bnaya h 6 mhine bad wo poty ki jgh bnayenge…mujhe ye Janna h ki ye process Kaise hoga..plzsir aap wo video upload kriy…mujhe Soch Soch k bahut dar lgta h…

  • i am Dr Chabane Zoheir thank you Sir Professor R.K. Mishra for sharing us your excellent work really we are operating your surgical cases without assisting creation of pneumoperitoneum are always excellent didactic and verry educational veress needle closed technic using scandinavian smiling incision if possible is it possible to demonstrate how to calibrate your insuflator before using it and what is the capacity of your insuflator and in term of every intervention would you please demonstrate us what is the total amount of gas used duration we know approximatively using 18 liter of co2 an one hour is good during surgical hysteroscopic procedure can you teach us how to use safely electrosurgical source in order to ovoid any inadvertent injury and what are warnings as your excellent lecture use of electrosurgery in laparoscopy in 2 volumes finally your ergonomic during Da Vinci procedure are as in laparoscopy verry important especially during the Docking of robotic arms thank you our mentor we hope you in excellent health be well Sir we are always your students thanks

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  • Mujay period nhi hotay dare Sall say or eggs nhi hain Kia laproscopy say mujay periods theak ho Jain gay or eggs BHI bn jain gay plz reply me in now

  • Maim meri dono overy may syst h maim pregnant nhi ho Rahi hu treatment chal Raha h 4mount se mam laproscopy best rahe gi kya maim plz reply plz maim

  • This hurts.my shoulder was so cramped up i read its from the gas stuck there?the worst cramp ever.and it was so hard to move around as most things does require use of your stomach muscle.i have 3 holes in my stomach now and an 8cm cyst was removed from my left ovary.but i guess it’s still better than cutting up my entire stomach.so ill be grateful