Surgical Options for Infertility

 

In recent years, microsurgery – an operative technique which used high power magnification – has led to dramatic advances infertility treatments. With microsurgery, a gynecologic surgeon can correct problems that previously were considered incurable, including fertility enhancing surgery.

Microsurgery involves very fine suture materials that minimize tissue irritation and delicate handling techniques. An operative microscope allows magnification from 2 to 30 times, providing excellent visualization. Tubal reanastomosis, also known as tubal reversal surgery, is an example of a highly specialized microsurgical technique.

Laparoscopy refers to a special type of operative laparoscopy in which more extensive procedures are performed. A laparoscope is similar to a telescope and is inserted into the pelvic cavity through a small incision in the navel, greatly enhancing lighting and visualization. Laparoscope lenses provide magnification, and video monitoring may allow a surgical assistant to work as one with the surgeon. Laparoscopy can effectively treat an ectopic pregnancy, uterine fibroids, ovarian cysts and tumors, endometriosis, and pelvic adhesions.

Laparoscopy, when used properly, offers numerous advantages. The surgeon can avoid an open abdominal incision, allowing an outpatient procedure, minimizing discomfort and leaving no visible surgical scar. Most importantly, in many cases the laparoscopic approach produces better results than other types of surgery, probably as a result of decreased tissue trauma and less adhesion formation.

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Learn more about specific surgical options:

Microsurgery for reversal of sterilization

A recent survey indicated that more than 12 million people in the United States have been sterilized, and more than 60 percent of those procedures are performed on women. Some sterilized women eventually want to reverse the procedure because of a renewed desire for children.

Microsurgical techniques can repair fallopian tubes with excellent results. At RSC, women who have had reversal surgery can anticipate a term-pregnancy rate of 75 to 80 percent if at least 4 centimeters of the fallopian tube remains.

If you have had a tubal ligation procedure and are thinking of having more biological children, learn about the options of tubal reversal surgery and IVF.