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Chapter-11 Laparoscopic Adhesiolysis Infertility

BOOK TITLE: Practical Guide in Reproductive Surgery

Author
1. Tantia Aruna
2. Mandal Kavita
ISBN
9789352704842
DOI
10.5005/jp/books/18067_12
Edition
1/e
Publishing Year
2018
Pages
10
Author Affiliations
1. ILS Hospitals, Kolkata, West Bengal, India
2. ILS Hospitals, Kolkata, West Bengal, India
Chapter keywords
Pelvic adhesion, fibrotic tissue, pelvic cavity, postoperative adhesion, infertility, tubal blockage, assisted reproductive technique, adhesiolysis, adhesion reduction

Abstract

Pelvic adhesions are fibrotic tissue or scars that develop in the pelvic cavity between the uterus, ovaries, tubes, bowels and bladder also. They can be found inside the tubes and uterus. The adhesions can block or distort the anatomy of the tubes. It is responsible for 15–20% of all infertility causes. Tubal infertility accounts for 30–40% of female infertility. Pelvic adhesions usually result after abdominal and pelvic surgeries resulting in chronic pelvic pain, intestinal obstruction, and infertility. This chapter covers the incidence of postoperative adhesions, pathophysiology of adhesion development, type of adhesions, risk factors in the formation of pelvic adhesions, cause of pelvic adhesions and tubal lesions, mechanism resulting in infertility, methods to diagnose tubal blockage, surgery or assisted reproductive technique, choice of techniques for adhesiolysis, adjuvants for adhesions reduction, and significance of good surgical technique.

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