The role of laparoscopy-hysteroscopy in assisted reproduction
The role of laparoscopy and hysteroscopy in the diagnosis and treatment of infertility is very important.
Hysteroscopy allows us to view the cavity of the uterus, i.e. the location that will receive the developing embryo.
Laparoscopy is useful for examining the internal female reproductive organs (i.e. uterus, fallopian tubes and ovaries).
Some pathological conditions of female genital organs cannot be diagnosed with any other method but by hysteroscopy (e.g. endomitritis) or laparoscopy (e.g. peritoneal endometriosis or adhesions). It is possible that these conditions remain undiagnosed for a long time period in a significant percentage of infertile women. Many of these conditions can be identified and treated during the same operating procedure under anesthesia.
Hysteroscopic and laparoscopic surgery represent a technological revolution in surgery. The surgeon and his colleagues operate by viewing the image on the monitor via a camera attached to the laparoscopy probe. Laser beams, electrosurgery units, numerous special tools and endoscopes comprise the technological equipment used. As well as specialized scientific knowledge and experience, the surgeons must have a sound technical knowledge of the special equipment.
Pregnancy rates are significantly higher following hysteroscopic correction of pathological conditions of the uterine cavity.
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