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Reproductive Surgery

Laproscopic Surgery

Adhesions: removing scarring around the ovary and fallopian tubes.

Tubal surgery: if the tubes are blocked it is sometimes possible to open then and regain their function through laparoscopic surgery.

Reversal of tubal sterilization: young women who undergone tubal sterilization in the past has the option to pursue IVF or laparoscopic surgery to reconnect the fallopian tubes, if feasible.

Endometriosis: resection of endometriosis on the pelvic lining can reduce pelvic pain and increase the odds of pregnancy.

Ovarian cysts: Cysts of the ovary that persists can be removed with the laparoscope. Caution should be exercised not to damage the surrounding ovarian tissue.

Hydrosalpinx (dilated fallopian tube): dilated fallopian tube can leak fluid into the uterus and prevent pregnancy. A dilated fallopian tube should be removed before proceeding with IVF.

Fibroids: Large fibroids that distort the uterus can be removed with the laparoscope in select women.

 

Hysteroscopic Surgery

Uterine polyps: poloyps can prevent implantation of embryos and should be removed before proceeding with fertility treatment.

Fibroids: small fibroids protruding into the uterine cavity can be removed with a hysteroscope with no incisions

Intrauterine scarring (Asherman): due to prior scrapping of the uterine cavity can be precisely cut using a hysteroscope to establish a normal uterine cavity and allow regeneration of a healthy lining.

Uterine septum: A septum is a vertical divider in the middle of the uterus may prevent pregnancy or lead to miscarriage. Septum can be removed using a hysteroscope with no major surgery.

Tubal cannulation: A hysteroscope is used to pass a catheter into the fallopian tube to establish patency

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