Operative treatment of infertility: laparoscopy, hysteroscopy
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Surgical treatment of infertility

Surgical treatment of infertility

Highly effective methods of reproductive surgery allow:

  • To identify various forms of diseases, including hidden ones, using state-of-the-art medical equipment;
  • The least traumatic methods, which do not require skin sutures;
  • The most complex operations are performed using high-frequency electrosurgery;
  • A unique technique of using optics with a diameter of 0, 5 mm - the most informative method of selecting patients for the program of extracorporeal fertilization and embryo transfer. Hysteroscopic Resection Hysteroscopic resection – an alternative to traditional cavity surgical treatment. This is the most sparing and minimally traumatic surgical method of treating uterine diseases, one of the advanced techniques of surgical treatment, so-called "minimally invasive surgery": special endoscopic equipment (a resectoscope), equipped with an optical system and micro-instruments, is inserted through the cervical canal (the cervical canal of the uterus) for performing operations inside the uterine cavity. An automatic electronic pump delivers a special solution with high conductivity, which allows for the expansion of the uterine cavity. Thus, the surgeon can see a detailed image of the operated area of the uterine cavity on the monitor. This allows achieving high accuracy in the operation. With the aim of operationally removing myomatous nodules, endometriosis and adhesions, high-frequency electrosurgery is used for conducting more complex intrauterine operations. Hysteroscopy, as a rule, is performed under intravenous anesthesia, recovery from which occurs comfortably, without side effects such as dizziness and nausea, but the overall duration of the operation ranges from half an hour to an hour (it all depends on the nature of the pathological formations in the uterine cavity and the volume of the operation).

    Laparoscopy

    Laparoscopy is one of the modern types of minimally invasive surgeries, which is performed using micro-incisions of the abdominal wall up to 5 mm in diameter under the control of an endoscope (video camera).

    Elimination of common pathological causes of female ailments, which prevent the onset of pregnancy (adhesions in the pelvic area, Pathological spread of uterine cavity tissue, as well as removal of a cyst), through laparoscopy allows women to achieve positive results in treatment in the future and soon become pregnant on their own. During laparoscopy, the doctor can detect and separate adhesions in the pelvis, which prevented pregnancy from occurring. Also, during laparoscopy, it is possible to eliminate endometriosis – the pathological spread of tissue, Lining the walls of the uterine cavity onto the walls and organs of the small pelvis and the ligamentous apparatus of the uterus, which leads to the development of pain syndrome and makes it difficult to become pregnant. Elimination of this ailment by special surgical manipulations in many cases soon allows for natural pregnancy to occur. Removal of an endometrioid cyst during laparoscopy – a common cause of the absence of desired pregnancy – is another happy opportunity for a woman to soon become pregnant independently. Diagnostic laparoscopy is recommended for inspecting the external surface of the internal reproductive organs (uterus, fallopian tubes, ovaries, and other pelvic organs). Most patients suffering from infertility are advised to undergo diagnostic laparoscopy to identify hidden forms of diseases. Surgical Laparoscopy is indicated primarily for the removal of scar tissue (adhesions or adhesions), cysts, myomatous nodes, endometriosis.

    Diagnostic and operative minilaparoscopy are the least traumatic methods used in surgical practice, not requiring skin sutures.

    If you have any of the above-mentioned pathologies or if you need to undergo laparoscopy, call us at (056) 370-13-23 and schedule an appointment with our specialists.

    Hysteroscopy

    Hysteroscopy an endoscopic method for examining the uterine cavity using an optical system, the main requirement of this procedure is the dilation of the uterine cavity to inspect its walls. At the "Genesis Dnipro" reproductive medicine clinic, specialists use an office hysteroscope, it allows avoiding the use of anesthesia (unless separate diagnostic curettage is indicated). On the clinic's website, you can familiarize yourself with the list of indications, for which the procedure uterine hysteroscopy is prescribed.

    In our clinic, we use an office hysteroscope. It is small in diameter and allows us to perform the procedure without anesthesia (but only in cases where separate diagnostic curettage is not indicated).

    An essential condition for performing any hysteroscopy is the dilation of the uterine cavity, so that its walls can be inspected.

    Depending on the method of uterine cavity dilatation, hysteroscopy is divided into:

    • Liquid;
    • Gas.

    Based on the timing of the procedure, it is divided into:

    • Scheduled;
    • Urgent.

    Based on its purpose, hysteroscopy is divided into:

    • Diagnostic - inspection of the uterine cavity to identify intrauterine pathology;
    • Surgical - intrauterine surgical intervention;
    • Control - assessment of the effectiveness of surgical or conservative treatment.

    The distinction of these types of hysteroscopy is rather conditional, as the procedure always starts with the inspection of the uterine cavity, and then, if necessary, progresses to surgery.

    The indications for diagnostic hysteroscopy are:

    • suspicion of internal endometriosis;
    • submucosal fibroid node;
    • intrauterine adhesions;
    • residuals of the fetal egg;
    • presence of a foreign body;
    • endometrial cancer, endometrial pathology;
    • perforation of the uterine walls;
    • clarification of the nature of the developmental defect;
    • disorder of the menstrual cycle in women of childbearing age;
    • metrorrhagia in postmenopause;
    • infertility;
    • for control examination in the uterine cavity after uterine surgeries, molar pregnancy, post hormonal treatment;
    • in case of miscarriage.

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