2. 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

3. INTRODUCTION

4. OVARIES (OVULATION)

5. 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

6. 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

7. Incision Cyst Wall Excision Wash & Cautary SOS Recontuction

8. OVARIOLYSIS

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

10. Tubes (Fertilisation)

11. 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

12. Fertility enhecing surgery in tube Pathology

13. Fertility enhecing surgery in tube Pathology

14. SALPINGOSCOPY

15. Uterine (Implantation)

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

17. Fertility Enhansing surgery in uterin pathology

18. 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.

20. Prolapse Of Uterus

21. 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.

22. Inversion of uterus

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

24. Operative Hystroscopy

25. Operative Hystroscopy

32. Thank You