Laparoscopic Surgery in Infertility

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Laparoscopic Surgery in Infertility

Laparoscopy is the examination and inspection of the interior of body organs or cavities using a device called an endoscope. Our unit performs all fertility promoting endoscopic procedures. Endoscopy involves laparoscopy as well as hysteroscopy.

Laparoscopy involves visualization of pelvic structures (uterus, tubes & ovaries) with the help of a special optical device called as laparoscope. Operative intervention can be done simultaneously, which helps in restoring the pelvic anatomy & improving your chance of conception.

Hysteroscopy is a surgical procedure that enables us to diagnose and operate on pathologies inside the cavity of the uterus. This consists of the introduction of an instrument with fibre optics called hysteroscope, through the cervical canal, which enables us to visualize the cavity of the uterus. We can diagnose and treat any existent uterine pathologies simultaneously.

We have state of the art, fully equipped dedicated theatres where these endoscopic procedures are performed usually as day care procedures and the patient does not need to be admitted overnight.


Laparoscopy is an operative procedure done under general anaesthesia that allows intra abdominal surgery to be performed with the help of a special optical device called laparoscope. This is inserted through a tiny incision made in the abdominal wall near the navel for viewing the abdominal cavity. By introducing special instruments though additional incisions or cut over abdomen it is possible to perform minimally invasive surgical procedures without the need of creating a large opening in the abdominal wall.


Laparoscopy is an important diagnostic tool in the evaluation of an infertile patient. An inspection through the laparoscope gives us a general impression of the state of the pelvis and enables us to find the cause of infertility. Also, the tubal patency can be checked by injecting a blue dye into the uterus, through a thin tube inserted through the cervix (mouth of the uterus), and seeing it spill out though the tubes. In addition the laparoscope can also be used to safely carry out operative procedures, which enhance fertility.

Infertility Laparoscopy

Moreover, if you want a risk-free gynecologist laparoscopic surgery, Dr. Sankar DasMahapatra is here to help you.


 Assessment of tubal patency by chromopertubation

 Adhesiolysis to clear tubes, ovaries and uterus and restore normal anatomy of pelvis

 Laparoscopic Ovarian drilling in PCOS

 Cyst removal from ovaries

 Laparoscopic Endometriotic cyst drainage and fulgurating all endometriotic deposits in the cyst

 Clearance of endometriosis including fulguration of all possible deposits in pelvis

 Obtaining biopsies to confirm diagnosis if in doubt from ovaries, tube or deposits in the pelvis

 Opening of the distal end of tubes

 Removal of ectopic pregnancy

 Removal of fibroids protruding on the surface of the uterus

 Clipping or removal of tubes before IVF in case of gross hydrosalpinx

 Controlling hysteroscopic septum resection or hysteroscopic adhesiolysis by direct visualization by laparoscope simultaneously, to prevent injury to uterus or any other surrounding structures

 Confirming successful cornual cauterization to achieve tubal patency by seeing spillage of dye from the outer end of the tube.


 Smaller and cosmetically better scars

 Reduced pain after surgery

 Shorter stay in the hospital

 Less chances of wound infection

 Faster recovery and resumption of normal activity


 Inability to perform the procedure due to technical problems or extreme obesity

 Intended laparotomy (open surgery) in the best interest of the patient whenever required

 Injury to internal organs and blood vessels


Hysteroscopy is an operative procedure performed under general anaesthesia where a telescope is introduced into the uterus through the vagina to visualize the inside of the uterus.


Hysteroscopy is done to visualize the inside of the uterus to make sure that there are no pathologies, which could cause infertility and which if present, can be corrected simultaneously by operative hysteroscope to improve fertility.



 Visualization of cavity of uterus and site specific targetted biopsies whenever necessary

 Removal of endometrial polyps

 Removal of sub- mucous fibroids

 Clearance of adhesions in the cavity of the uterus

 Excision of uterine septum

 Removal of foreign bodies or old products of conception or embedded intra uterine contraceptive devices

 Cornual catherizationto open up the tubes

 Insertion of ESSURE for proximal tubal occlusion


 Inability to perform the procedure due to technical problems

 Poor visualization due to thickened endometrium/ poor distension

 Difficult cervical dilation due to fibrosis/ cervical ridge

 Uterine perforation