Gasless Laparoscopic Surgery MINIMALLY INVASIVE TREATMENT FOR INFERTILITY

Gasless Laparoscopic Surgery MINIMALLY INVASIVE TREATMENT FOR INFERTILITY Course content is available at http: //mdcurrent. in/courses/

INFERTILITY Affects one out of 7 couples Non invasive diagnostic procedures are inadequate

Difficulties with noninvasive methods §Difficult to diagnose §Adhesions §Endometriosis §PID §Asherman’s syndrome

Causes of Infertility Ovulation disorders Tubal infertility Endometriosis Cervical narrowing or blockage § Uterine causes § Unexplained infertility § §

Ovulation disorders Polycystic ovary syndrome Luteal phase defect Premature ovarian failure

Tubal infertility In 25% of infertile couples High success rate with modern treatment Diagnosis possible with SILLS

Causes of tubal infertility §Infection §Abdominal diseases §Previous surgeries §Ectopic pregnancies §Congenital defects

Endometriosis § 10% of couples affected § Fecundity less by 12 -36% § Laparoscopy the best chance of diagnosis

Uterine causes for Infertility Polyps Fibroids Bicornuate Uterus Asherman’s syndrome

Unexplained Infertility Smoking Alcohol Drugs Lack of proper diet & exercise

SILLS for Infertility § Lithotomy position with steel head down § Shoulder brace § Atraumatic forceps and Uterine manipulator

SILLS for Infertility – small procedures § Drilling for PCOD § Adhesiolysis § Tuboplasty § Tubal puncture § Patency testing

Procedures with Urology instruments for Infertility § Hydrosufflation and cannulation of tubes § Vaporization of Submucous Fibroids § Division of uterine adhesions

Advantages of SILLS § Regional anesthesia § Cosmetic advantage § Use of conventional instruments § Use of Urology instruments § Quick recovery