Almost all infertility surgery can be done under laparoscopic visualization.
Most commonly this surgery involves excision of endometriosis or division
of adhesions often between the tubes and ovaries.
Published Studies by Adlap Surgeons Related to Infertility
Laparoscopic myomectomy and pregnancy outcome in infertile patients
Ribeiro SC, Reich H, Rosenberg J, Guglielminetti E, Vidali A
Fertil Steril 1999 Mar;71(3):571-
OBJECTIVE: To assess outcomes and pregnancy-related complications after laparoscopic myomectomy in infertile patients.
DESIGN: Retrospective analysis.
SETTING: Tertiary care advanced laparoscopic center.
PATIENT(S): Twenty-eight infertile patients with at least one uterine leiomyoma of >5 cm in diameter.
INTERVENTION(S): Laparoscopic myomectomy.
MAIN OUTCOME MEASURE(S): Occurrence of pregnancy, delivery rate, and pregnancy-related complications.
RESULT(S): The average size of the myomas removed was 6 cm (range, 4-13.3
cm). None of the procedures were converted to laparotomy. The postoperative
rate of intrauterine pregnancy was 64.3% (n = 18), including 1 of 2 patients
who underwent concomitant hysteroscopic myomectomy. Four patients had spontaneous
abortions and 14 delivered viable term neonates. Six women had a vaginal
delivery without complications and 8 had a cesarean section. No antepartum
or intrapartum complications were reported.
CONCLUSION(S): Laparoscopic myomectomy can be offered to patients who want to have children and who refuse to undergo an abdominal myomectomy. Patient selection as well as meticulous surgical technique are the key factors in achieving a successful outcome.
PMID: 10065802, UI: 99163685