Fertility Promoting Surgery
A significant number of women experience infertility due to surgically
correctable causes. Most cases are a result of endometriosis and/or
adhesions (scar tissue) from previous surgery or pelvic infection.
Endometriosis and adhesions cause distortion and blockage of the
fallopian tubes, thus causing infertility. Infertility surgery tries
to unblock, release and restore normal anatomy of the fallopian
- Adhesion Lysis: This procedure involves excising and
burning all of the endometriosis or adhesions (scar tissue) involved.
It tries to restores normal relationship and function of the fallopian
tube to the other reproductive organs.
- Fimbrioplasty: Adhesions sometimes involve the most distal
end of the fallopian tube or fimbriae. This procedure removes
these adhesions allowing the fimbriae to function properly.
- Salpingostomy: When the fallopian tube is completely
blocked this procedure creates a new opening for it's proper function.
- Tubotubal Anastomosis: This procedure is more commonly
known as tubal reversal. It is usually performed on patients with
a prior tubal ligation. It is also used in patients who have tubal
blockage. The blocked portion of the fallopian tube is excised
and then the tube is reattached.
The above procedures are all performed laparoscopically at the