Infertility afflicts over 10% of couples seeking offspring today. However, new advances in medicine and technology have given an outlet for those seeking fertility. One measure used today is laparoscopic surgery. Laparoscopic surgery Malaysia has proved methods for conception or fertilization for those having difficulty with this minimally invasive surgeries and procedure. Laparoscopic surgery involves using minimally invasive techniques with telescopes and cameras through small incisions through the abdomen. This helps allows visualization of the organs involved without having to perform open surgery. Laparoscopic surgery is used in patients with infertility to determine if there are any etiologies or anatomical causes of infertility such as scar tissue, endometriosis, fibroids, anomalies, or disrupted organs. This technique also helps with corrections of the organs involved that contribute to infertility. Infertility is usually a standard workup, though it is generally not advised as a primary evaluation. Patients undergoing laparoscopic surgery are usually put under anesthesia in a hospital’s surgical operating rooms or fertility specialist’s office. With other even less invasive technologies, such as ultrasounds, IVF, semen analysis and hormonal testing, laparoscopic evaluation should be reserved for when all these other measures have failed or do not provide appropriate information for infertility.
Candidates for laparoscopic surgery include women with an unknown etiology for infertility, abnormal menstruation, malignancy, history of pelvic inflammatory disease or multiple abdominal surgeries. Laparoscopic surgeries can also be performed to preserve ovarian functions and women who are at risk of premature ovarian failure. This is especially useful for those undergoing chemotherapy or radiation therapy for malignancy and maintains a viable environment for fertilization. Women undergoing IVF in the future also benefits from laparoscopic salpingectomy, which is removal of the fallopian tube or correction for those with occluded tubes due to fluid accumulation or scarring. Whether the procedure is formed in the hospital or in the office, there are certain steps and measures that are performed for those seeking this type of operation. The patient is first and foremost evaluated as a proper candidate for the procedure and passes all pre-authorizations. The patient is put under general anesthesia or local anesthesia depending on the preferred surgeon’s technique. The surgeon starts by making an incision through the navel (belly button) while small incisions are made around the abdomen. Air is conducted through the abdomen to allow an expansion of the stomach for better visualization as the camera is inserted through another incision. These incisions are known as ports. Once the area is visualized, any corrective treatments that are needed are performed or evaluated. The operation usually takes half an hour to 3 hours depending on the amount of correction needed. Factors that complicate this process is size, weight, and adhesions, past surgeries, the patient’s vitals and any bleedings. Patients are generally discharged the same day or the next day and are told to refrain from strenuous activity for a week. Mild pain is noted and can last up to 2 weeks after the procedure.
Procedures performed during laparoscopic surgery vary from the reasons for infertility. Most women undergoing laparoscopic surgery have removal of adhesions and Scar tissues along the fallopian tube, ovaries and uterus. Most of the time, this is sufficed for correcting infertility. Patient is suffering from cysts are also benefited from the surgery as they can be fully removed or attempted. Fibroids from uterine fibroids are another reason for infertility and those having such complications may undergo uterine reconstruction or myomectomies. Some patients have undergone sterilization however want to reverse the procedure benefit from laparoscopic surgery as a fallopian tubes can be reattach to allow for fertilization, how are these patients are more susceptible to ectopic pregnancies.
Certain risks and complications should be noted for those seeking laparoscopic surgery evaluation. Any patient who goes under anesthesia is susceptible of complications if they have a known history of complications or cardiac health risks. A small percentage of damage to other pelvic and abdominal structures such as the bowel bladder or arteries can occur unexpectedly. Though this chance is minimal, it is still noted. Nevertheless, laparoscopic surgery has allowed Innovation and visualization for those afflicted with infertility of known and unknown etiologies.