Home > INFERTILITY TREATMENT > Infertility-Diagnosis > Surgical
treatment of infertility
Hysteroscopy uses an endoscope to determine the abnormality in the uterine cavity
and diagnosed with leiomyomas or polyps from the inside of uterus and it can be
surgically treated at a same time.
- Hysteroscope is necessary for the case of
- Unknown cause of infertility or repetitive failure of in vitro fertilization (IVF)
treatment
- Continuous of thin endometrium during IVF treatment or ovulation induction
- When a suspicion of uterine cavity abnormality (polys, submucous myomas, endometrial
adhesion) has been detected by ultrasound or hysterosalpinography or for needs of
diagnosis and treatment for congenital malformations of the uterus
- Unknown cause for habitual abortion
- Ongoing or recurrent abnormal uterine bleeding
Instead of the conventional laparotomy, laparoscopic surgery conducts a fine abdominal
incision, 5~10mm. this surgery can be carried out diagnosis and treatment for most
of gynecological diseases. After the surgery, the patient can return to their daily
life and it also has a benefit in cosmetic point of view as it leaves nearly no
scars. Hence, the laparoscopic surgery is universally recognized.
Laparoscopy can be used for diagnosis and treatment of infertility. It can diagnose
and treat leiomyomas, pelvic adhesions, endometriosis, hydrosalpinx and ovarian
cysts. Also, suspected obstruction of fallopian tubes by hysterosalpinography can
be accurately determined.
- Tubal reanastomosis by laparoscopy
In the past, bilateral tubal ligation was carried out for the contraceptive purpose.
However, when women choose to have children later, then tubal ligation reversal
or tubal reanastomosis is an option available. Through this surgery, the function
of the fallopian tube can be restored. Tubal reanastomosis include a variety of
procedures which involve removing the damaged portion of the tubes and rejoining
the healthy ends of the tube together. The most advanced laparoscopic technique
is required for the surgery. Fertility Center of CHA Medical Center has the largest
surgical operation experiences in worldwide and shows high pregnancy success rate.
In CHA Medical Center, a study was conducted with 1005 patients who undergo laparoscopic
microsurgical tubal reconstructive surgery (tubal reanastomosis) from 1993 to 2003.
The study resulted with a high cumulative pregnancy success rate of 81.7%. This
surgery facilitates to conceive natural pregnancy and it is also economically efficient
compare to high cost of IVF treatment. Furthermore, it has advantages of avoiding
ovarian hyperstiumlation syndrome during IVF treatment and multiple pregnancies.
Therefore, this could be an effective procedure.