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Surgical treatment of infertility

Hysteroscopic surgery

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
  • Laparoscopic surgery

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.