Pragmatic Analysis of Role and Clinical Significance of Laparoscopic Surgery in Infertility

Recent advances in endoscopic surgical techniques and the increased sophistication of surgical instruments have offered new operative methods and techniques for the gynecologic surgeon. Recent years have witnessed a marked increase in the number of gynecological endoscopic procedures performed, mainly as a result of technological improvements in instrumentation. The addition of a small video camera to the laparoscope (video laparoscopy) greatly enhanced the popularity of operative endoscopy because of the possibility of operating in a comfortable, upright position and using the magnification capabilities of the camera Currently, laparoscopy is perceived as a minimally invasive surgical technique that both provides a panoramic & magnified view of the pelvic organs and allows surgery at the time of diagnosis. Laparoscopy has become an integral part of gynecologic surgery for
the diagnosis and treatment of abdominal and pelvic disorders of the female reproductive organs. Endoscopic reproductive surgery intended to improve fertility may include surgery on the uterus, ovaries, pelvic peritoneum, and the Fallopian tubes. The aim of this review is to critically review the role of laparoscopy in the management of infertility patients.