Corrective Surgeries for Pelvic Resurrection

Types of Surgical Correction for Female Infertility

1. Reproductive Microsurgery (Laparotomy with Magnification)

Tubal reconstructive surgery is performed under magnification in women who have undergone tubal occlusive procedures such as tubal ligation and wish to conceive again. With modern advancements, tubal recanalization can now also be performed precisely using endoscopic techniques.

2. Open Reproductive Surgery (Non-Magnified Laparotomy)

Procedures like tubal reconstruction, removal of fibroids, ovarian cysts, and pelvic correction can be performed via traditional open surgery. However, laparoscopic methods are generally preferred due to better visualization, precision, and reduced post-operative complications.

3. Endoscopic Surgery (Laparoscopy & Hysteroscopy)

Endoscopy allows detailed internal examination using specialized instruments. Our center performs all fertility-promoting endoscopic procedures as daycare surgeries, with minimal recovery time.

Laparoscopy

Involves viewing the uterus, fallopian tubes, and ovaries using a laparoscope. Simultaneous correction can restore pelvic anatomy and improve fertility outcomes.

Hysteroscopy

Uses a hysteroscope inserted through the cervix to inspect and operate within the uterine cavity. It enables diagnosis and treatment of intrauterine conditions in one sitting.

Laparoscopic Surgeries That Promote Fertility

Release of adhesions due to endometriosis, infections, or prior surgeries

Removal of ovarian cysts: endometriotic, dermoid, or other types

Tubal surgeries:
– Proximal blocks: hysteroscopic tubal cannulation
– Distal blocks: fimbrial dilation or salpingostomy

Removal of intramural or subserosal fibroids

Management of ectopic pregnancies

Pre-IVF tubal occlusion for gross hydrosalpinx

Ovarian de-torsion or removal (in case of twisted ovary)

Frequently Asked Questions (FAQs)

1. What are the main types of surgical procedures available to treat female infertility?

The three main types include: reproductive microsurgery (laparotomy with magnification), open reproductive surgery (without magnification), and endoscopic surgery (laparoscopy and hysteroscopy).

2. What is the advantage of laparoscopic surgery over open surgery?

Laparoscopy offers smaller incisions, quicker recovery, reduced pain, minimal scarring, and lower risk of post-operative adhesions compared to open surgery.

3. Can tubal ligation be reversed to restore fertility?

Yes. Tubal recanalization using microsurgery or laparoscopy can restore fertility in women who previously underwent tubal ligation.

4. What is hysteroscopy, and how does it help?

Hysteroscopy is a minimally invasive procedure that examines and treats intrauterine issues like polyps, fibroids, adhesions, and allows uterine biopsies and tubal cannulation.

5. Which ovarian conditions can be treated surgically to enhance fertility?

Surgery can treat endometriotic cysts, dermoid cysts, benign tumors, and ovarian torsion to restore reproductive health and function.

6. What fertility issues can laparoscopy correct?

Laparoscopy can correct pelvic adhesions, endometriosis, tubal blockages, uterine fibroids, hydrosalpinx, and ectopic pregnancy.

7. Is hospital admission needed for endoscopic surgery?

No. Most laparoscopic and hysteroscopic procedures are outpatient (daycare) surgeries, with no overnight stay required.

8. How does fibroid surgery improve fertility?

Myomectomy (surgical fibroid removal), particularly for intramural and subserosal fibroids, can restore normal uterine function and enhance the chances of conception.

9. Are fertility surgeries safe?

Yes. When performed in specialized centers with expert surgeons, fertility surgeries are generally safe with a low risk of complications.

10. Can diagnostic and corrective procedures be done at the same time?

Yes. Both laparoscopy and hysteroscopy enable simultaneous diagnosis and surgical treatment, improving efficiency and reducing the need for repeat procedures.