Overview of Laparoscopy for infertility :

Around 30–40% of infertility cases require laparoscopic surgery because of uterine obstructions, fallopian tube adhesions, fibroid tumours, endometriosis, congenital uterine malformations and more.

They are as follows:

  • Diagnostic laparoscopy:
  • A laparoscopic procedure is used to identify, diagnose, and visualise infertility causes.

  • Operative laparoscopy:
  • This kind of laparoscopy is used to perform surgical procedures to remove adhesions and aberrant growths.

Who is recommended laparoscopy?

Laparoscopy can help one to evaluate the tubal factor that causes infertility in many cases. Some of the typical signs for laparoscopy that suggest you would be a good candidate include the following:

  • Age is above 35
  • Endometriosis
  • PCOS
  • Abnormal HSG result
  • Undiagnosed infertility issue
  • Tumours in the ovaries or fallopian tubes
  • Removal of adhesions
  • Uterus prolapse

When is a laparoscopy not an option?

You may not be qualified for both therapeutic and diagnostic laparoscopy in some situations such as:

  • more than 16 weeks pregnant
  • advanced stage of the cancer
  • extensive pelvic tumour
  • serious cardiopulmonary conditions
  • significant pelvic infections
  • blockage in the intestines and more.

It is important to inform the specialist about your health conditions and any sorts of medication that you are receiving.

Laparoscopy process

  • Prior to the surgery, your doctor conducts a number of tests to rule out any contraindications and get your permission to proceed. You must follow a light diet the day before surgery, and you are not allowed to eat anything the morning of the procedure. However, it is advised to avoid eating or drinking for eight hours before the operation.
  • Once you are in a comfortable posture for the treatment, a small cut is made below the umbilical area to insert a needle into your abdomen. In order for your doctor to see the abdominal organs, the abdomen is inflated with gas. Then a laparoscope is inserted into the body.
  • The pelvic and abdominal organs are thoroughly examined to identify and visualise the infertile cause once the laparoscope has been inserted.
  • Laparoscopy is carefully visualised when it is carried out as a component of a diagnostic procedure. However, if it is a surgical procedure, all the necessary instruments are inserted before the operation is carried out.
  • Similar to any other operation, thorough aftercare is necessary for operative laparoscopy as well. Your doctor will prescribe an antibiotic course. You are free to resume eating normally after 12 hours.
  • It's also advisable to avoid exercising for 10–12 days. Additionally, you should abstain from sexual activity for six weeks after the surgical laparoscopy.

What risks are included with laparoscopy for infertility?

Despite the benefits, laparoscopy can also cause significant difficulties. Several of the difficulties include:

  • Blood vessel damage
  • Infection
  • When there are adhesions, a laparoscopic device might cause damage to the bowel.
  • Organ injuries, like those to the gut or bladder
  • Haemorrhage
  • complications from the laparoscopy-related gas introduction

FAQS:

Talk to your doctor immediately if you develop a fever, intense discomfort, bleeding, or urinary issues following your surgery.

Using small incisions, laparoscopy is a technique for performing medical procedures.

You must stay for at least 2 days, though your doctor may decide to change that.

It is extremely advisable due to its many advantages such as with the use of laparoscopy, the tubal and peritoneal variables and more are being treated. Additionally, this surgical method has fewer difficulties, a short hospital stay, tiny scars, and a quick recovery period.