Laparoscopic Fertility Enhancing Tubal surgery & its outcome in terms of Pregnancy

1. Presentation By:
DR. MRS. MANJUSHREE BOOB
M.D., D.N.B., FICMCH, FICOG
DIPLOMATE OF NATIONAL BOARD.
CONSULTING OBSTETRICIAN GYNAECOLOGIST
INFERTILITY & LAPAROSCOPIC SURGEON

2. Laparoscopic Fertility Enhancing
Tubal surgery & its outcome in terms of
Pregnancy
(Study of 25 cases)
Title:

3. To evaluate outcome of
laparoscopic tubal surgery in
terms of pregnancy
Aim:

4. It’s a retrospective study of 25
cases were endoscopic tubal
surgery in the form of
fimbrioplasty cornual canulation
or adhesiolysis to restore
tuboovarian relationship was
done & results were tabulised in
terms of positive pregnancy
outcome
Objective:

5. Operative video Laparo-hysteroscopy
was done for infertility.
25 cases which required tubal
surgery were taken in present study
Material & Methods:

6. •Fimbrioplasty => 10 Cases
•Cornual Canulation=> 6 Cases
•Adhesiolysis => 9 Cases
(IIry
to endometriosis, Kochs, P.O. Adhesions or
infections)
Observation:

7. Case 1

8. Case 2

9. Case 2

10. Case 2

11. Case 2

12. Case 2

13. Case 3

14. Case 3

15. Case 3

16. Case 4

17. Case 4

18. Case 4

19. Case 4

20. Case 4

21. •13 cases were pregnant after surgery
in first 6th
months.
• 4 cases after fimbrioplasty
• 3 cases after cornual canulation.
• 6 cases after Adhesiolysis &
restoration of tubo-ovarian relationship
Results:

22. Endoscopic infertility
enhancing surgery of f. tubes
gives remarkable results in
terms of pregnancy & hence it
should always be done before
IVF.
Conclusion: