Pearl Woman’s Hospital Fertility Enhancing Surgery with Laproscopic & Hystroscopy Pearl Woman’s Hospital Dr.Ketan Hingrajia Dr.P.L.Kanani Dr.Rita Jingrajia Dr.K.P.Kanani

INTRODUCTION

OVARIES (OVULATION)

Ovarian Benign Lesion in Infertile Female Patient When Cyst Size > 5cm Associated with Infertility To Prevent Risk of Torsion To Improve Tubo Ovarian Relationship To Improve Ovulation

Benign Lesion Mucinous Cyst Simple Follicular Cyst Dermoid Cyst Par Ovarian Cyst Chocolate Cyst Ovarian Adhesion-Ovarioadhesiolysis-in case of PID previous ovarian surgery or pelvic surgery

Incision Cyst Wall Excision Wash & Cautary SOS Recontuction

OVARIOLYSIS

OVARIAN DRILLING IN PCOD High LH Learge VOLUME Poor Responder to FSH 5-6 pumcture Cutting Current 40 vot. 4-5 Second. Saline Wash.

Tubes (Fertilisation)

Benign Tubal Pathology Ectopic (Unrupture) Pragnency Salpingostomy Procidure is Better Outcome than Salpingectomy. Salpingectomy / or Tubal Clipping Before IVF, Recurrent IVF Failure in Case Of Chronic PID ; Hydrosalpinx ; Pyosalpinx. Tubal Adhesion –Tubo Adhesio Lysis in case of PID;endometrosis;previos palvice surgery . Tubal Re-canalization Tubo-Ovarion Mass Excision

Fertility enhecing surgery in tube Pathology

Fertility enhecing surgery in tube Pathology

SALPINGOSCOPY

Uterine (Implantation)

Fibroid Prolapse Of Uterus Inversion of Uterus Fibroid > 5cm Size Fibroid Disturbing Uterine-Cavity

Fertility Enhansing surgery in uterin pathology

UTERINE PROLESPE C/O :- something coming out P/V since 2 years. G2P1A1 h/o forcep delivery. Patient want conservative uterine suspension surgery. Laproscopy uterine suspension with prolene mesh and fixation at sacral promontory. Posterior repair done.

Prolapse Of Uterus

INVERSION OF UTERUS C/O:-something coming out P/V since 3 days. Dysmenorrhagia since 6 to 8 month. Nulligravida Diagnosis:- s/m fibroid 3x3 cm,pedunculated and coming out from cervix. Complete inversion of uterus. s/m myoma excision-vaginally. Reversal of inversion of uterus and reconstruction of posterior wall with v-lock suture-laproscopy.

Inversion of uterus

HYSTEROSCOPY IN INFERTILE PTS EVALUATION AND TREATMENT POLYP FB SM FIBROID ASHERMEN SYNDROM Partial Complate Septum Ressection CAVITY EXPANSION SURGERY METROPLASTY, FUNDAL AND LATERL

Operative Hystroscopy

Operative Hystroscopy

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