Laparoscopic Surgery
Hope Healing Happiness
in Fertility Care
Laparoscopic surgery (also known as keyhole surgery) is a minimally invasive procedure used to diagnose and treat endometriosis. Surgeons insert small instruments through tiny abdominal incisions to remove endometrial lesions, scar tissue, adhesions, and endometriomas (ovarian “chocolate cysts”) while restoring normal pelvic anatomy.
Laparoscopic Surgery
What It is ?
Laparoscopic surgery (also known as keyhole surgery) is a minimally invasive procedure used to diagnose and treat endometriosis. Surgeons insert small instruments through tiny abdominal incisions to remove endometrial lesions, scar tissue, adhesions, and endometriomas (ovarian “chocolate cysts”) while restoring normal pelvic anatomy.
When It’s Considered ?
- Endometriotic lesions are preventing conception (especially moderate to severe cases).
- Non-surgical treatments haven't improved fertility.
- Women have tubal blockages, adhesions, or endometriomas that impede natural conception.
- Immediate restoration of anatomical function is needed to pursue fertility, especially in women desiring pregnancy.
Step Process
Procedure Overview
The steps usually involve:
Step 1 :
- Diagnostic laparoscopy to assess the severity of endometriosis.
Step 2 :
- Excision or ablation of lesions, removal of adhesions, and resection of endometriomas.
Step 3 :
- Tubal patency testing (e.g., chromopertubation) and correction of any blockages.
Step 4 :
- Restoration of normal pelvic anatomy to improve reproductive function.
Results & Outcomes
Improved Pregnancy Rates
- A meta-analysis shows higher live birth rate (relative risk ~1.52) and pregnancy rate (~1.44) after laparoscopic surgery vs diagnostic laparoscopy alone.
- In one RCT (mostly minimal/mild endometriosis), 36-week pregnancy probability was 30.7% post-surgery vs 17.7% with diagnostics alone.
Enhanced Outcomes in Severe Cases
- Women with Stage III/IV endometriosis had a 70–76% postoperative pregnancy rate, most conceiving without ART.
- In a study of 119 infertile women, 70.4% conceived within a year after laparoscopic removal of endometriomas and lesions; many also reported pain relief.
- Patients with both endometriosis and adenomyosis had a 55% live birth rate, with many conceiving spontaneously within a year.
Results & Outcomes
Overall Effectiveness
- Operative laparoscopy increased clinical pregnancy rate to ~70%, with better outcomes when lesions are completely removed and using the Endometriosis Fertility Index (EFI) for prediction.
Deep Endometriosis
- In deep infiltrating endometriosis, laparoscopic surgery led to a ~55% pregnancy rate, with a 42.6% live birth rate over 22 months.
