Laparoscopic Surgery

A laparoscope (telescope) is inserted into the abdomen via a small incision made in the umbilicus. Other instruments can then be inserted through additional small incisions (usually 2 or 3) so that surgery can be performed under laparoscope visualisation.

Most surgical infertility treatment can now be carried out by laparoscopic or hysteroscopic surgery. Below is a table of our analysis of results on patients who have conceived naturally after laparoscopic surgery.

Laparoscopies performed	202
Pregnancies	95
Patients lost to follow-up	27
Pregnancy	95 out of 175
Rate	54.3%

Hysteroscopic Surgery

A hysteroscope (telescope) is inserted through the cervix into the uterus. Other instruments can then be inserted through channels in the hysteroscope to remove polyps, fibroids, adhesions, scarring etc.

“Many patients have problems within their uterus and nearly all these are treatable by hysteroscopic surgery”

Below is a table indicating our pregnancy rates with hysteroscopic surgery.

Hysteroscopies performed	218
Pregnancies	70
Patients lost to follow-up	11
Pregnancy	70 out of 207
Rate	33.8%

Laparoscopic and Hysteroscopic Surgery

Some women require laparoscopy and hysteroscopy as a combined procedure, under the same anaesthetic, to treat dual problems.

Below is a table indicating our pregnancy rates with hysteroscopic and laparoscopic surgery.

Hysteroscopies and laparoscopies	251
Pregnancies	108
Patients lost to follow-up	45
Pregnancy	108 out of 251
Rate	52.3%