Abstract

Background: Infertility is a major cause of morbidity in women with different pelvic
pathologies (like fibroid, endometriosis, tubal defects, etc.). The present study was
conducted to analyze the effectiveness of fertility promoting laparoscopy surgery.
Materials and Methods: 400 cases of operative laparoscopies were performed for
correction of pelvic pathology by single surgical team over a period of 2 year. Routine
preoperative investigations, checkup and preparations for laparoscopy were
undertaken. Laparoscopic or open myomectomy is to be decided according to situation.
The pregnancy outcome following surgical corrections was noted.
Results: A total of 400 cases of laparoscopic surgeries performed in infertile women. It
was observed that tubal defects were found in in 195 out of 400 cases i.e., 48.75% (minor
tubal defects were 65 out of 195 i.e., 16.25% and 130 out of 195i.e., 32.5% women had
major defects). Ovarian pathologies were found in 78 out of 400 (19.5%) women
followed by endometriosis which were found in 58 out of 400 (14.5%)infertile women. It
was observed that the pregnancy rate after laparoscopic surgery remained 7.69% (5 out
of 65) in major tubal defects and 15.39% (20 out of 130) in minor defects. Pregnancy
rate after laparoscopic surgery was maximum in women who recovered from adhesions
in POD (44.44% i.e., 8 out of 18) followed by women with ovarian pathology (29.48%
i.e., 23 out of 78).
Conclusion: The present study concluded that pregnancy rate after laparoscopic
surgery was maximum in women who recovered from POD followed by women with
ovarian pathology.