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Most Updated
Management
Of Female Infertility |
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IVF, ICSI , TESE |
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Although laparoscopy has revolutionized many aspects of modern gynecologic practice some of its applications have been replaced by even newer techniques. FOR in vitro fertilization (IVF), the physician removes eggs from the ovaries and combines them with active sperm. The the fertilized eggs are later placed in the uterus where the fetus can develop. Initially , all egg recovery procedures were performed by laparoscopy. Now, all IVF egg recoveries are performed using an ultrasound-guided needle technique.
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If cases with sever male factor causing infertility, Injection of the retrived ova with a single well chosen sperm, can now achieve pregnancy ( Inra Cytopeasmic Sperm Injection- ICSI). Even in cases suffering from complete Azospermia, sperms can be obtained from the testes and these are subsequently injected in the ova (TESE).
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| Microsurgery for Female Infertility | ||
| Microsurgery has led to many dramatic advances in the field of infertility . the gynegologic surgeon can correct problems that previously were considered incurable , including the following problems : |
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Microsurgery is different from conventional open surgery in that is performed with the aid of magnification with an operating microscope or a laparoscope. It involves very fine suture materials that minimize skin irritation and delicate tissue handling techniques. The OPERATING MICROSCOPE allows magnification from 2 to 30 fold , providing excellent visualization.
Pelviscopy , when used properly
, offers numerous advantages. The surgeon can avoid an open abdominal
incision , allowing an outpatient procedure. It minimize discomfort and
there is no visible surgical scare. Most Importantly, in many cases the
laparoscopic approach produces better results than other types of surgery ,
probably as a result of decreasd tissue trauma and less adhesion formation.
Pelvic and Tubal Adhesions
Sexually transmitted infections may , cause pelvic
adhesions and tuba obstructions that damage a woman’s fertility. Adhesions
may encapsulate the end of a fallopian tube , an ovary, or both. This can
cause infertility by preventing the egg from reaching the tube. Even minimal
adhesions may substantially reduce fertility. Pelviscopic surgery is ideal
for treating these types of adhesions, because the scarring is less than
with open surgery.
Endometriosis
Endometriosis occurs when the lining of the uterus
backs up into pelvic structures. This can creat internal scarring and subtle
hormonal changes.
Endometriosis can prevent pregnangy even if the
scarring is minor Laparoscopic surgery can be used to treat all stages of pelvic endometriosis , from mild to severe with excellent results. Surgical lasers , ultrasonic scalpels, or other techniques are frequantly used to increase accuracy and decrease trauma to nearby tissues. This leads to better postoperative healing and better results.
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