Surgical Laparoscopy
These are laparoscopic procedures used to treat a disease detected through examination and ultrasound or to remove the organ where the disease is located.
Laparoscopic surgeries to increase pregnancy fertility
Previously formed inflammatory diseases can cause dysfunction in the tubes and ovaries, leading to the formation of adhesions. Laparoscopic surgeries are applied to patients who experience such problems for treatment and diagnosis purposes. Problems in the ovaries and tubes can be successfully resolved with laparoscopic applications. If there are no other factors causing infertility other than these problems, pregnancy can be achieved with laparoscopic surgery at a rate of 50%. However, in patients with excessive adhesions, the probability of adhesions recurring after the removal of the adhesion is high, resulting in a decrease in the pregnancy rate. In patients whose damage to the tubes cannot be repaired, the most appropriate treatment is to remove the tubes. In vitro fertilization treatments provide great success in patients with the removal of the tubes. However, the chance of success in in vitro fertilization treatments applied despite damaged tubes is very low.
Laparoscopic myoma surgery
Most of the fibroids found in women can be treated with laparoscopy. Myomas should be evaluated according to their type and size.
Size: Especially fibroids that are larger than 6 cm and grow rapidly in a short time need to be removed.
Bleeding: Myomas do not cause bleeding unless they develop in the endometrium layer. However, if myomas located in the uterus cause bleeding, they must be removed surgically regardless of their size.
Myomas that press: In some cases, myomas can cause pressure on the urinary tract. If the myoma causes pressure, it must be removed. Myomas that form in the front part of the uterus can cause pressure on the bladder, and myomas that form in the back part can cause pressure on the rectum.
Infertility: Myomas are not always a factor for infertility. If no problems are found despite detailed research in infertility treatments, the detected myomas should be removed. If the myoma is located inside the uterus and the couple cannot conceive, it is best to remove the myoma regardless of its size. If the couple still cannot conceive on their own after the myomas are removed, in vitro fertilization treatment, which is an assisted reproductive treatment, should be applied.
Intrauterine adhesion and its treatment
Adhesions that occur in the uterus can lead to infertility, miscarriage and irregular menstrual periods. Adhesions in the uterus are most common in people who have had an abortion. It is more likely to occur as a result of an abortion performed because the baby has died in the uterus. Causes of adhesions in the uterus;
Abortion
Infectious diseases
Interventions that occur as a result of the baby's placenta not being completely removed after birth
In very rare cases, tuberculosis infection occurred during childhood
Adhesions in the uterus do not occur alone. They definitely occur due to an infection or trauma. Trauma and infectious diseases are problems that occur simultaneously in adhesion problems.
Symptoms of intrauterine adhesions
More often, menstrual irregularity or complete cessation of menstruation after an abortion
Having a painful menstrual period
Inability to conceive
Constantly recurring miscarriages
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