SLS Annual Meeting and Endo Expo

Reproductive surgery could be divided into surgery as a primary treatment for infertility, surgery to enhance in-vitro fertilization outcome, and surgery for fertility preservation. Tubal disease accounts for 25%–35% of female factor infertility. A successful tubal repair gives the patient the possibility of conceiving more than once without further treatment. It also gives the couple the psychological advantage of being able to conceive spontaneously. A normal uterine cavity is a prerequisite for implantation, and hysteroscopic correction of intrauterine pathology, including polypectomy, myomectomy and metroplasty, increases the chances of having a successful pregnancy. Management of hydrosalpinx before in-vitro fertilization treatment by laparoscopic salpingectomy or proximal tubal occlusion increases the in-vitro fertilization delivery rate. Surgery also plays an important role in preservation of fertility. This includes laparoscopic ovarian transposition, ovarian tissue removal for cryopreservation and ovarian transplantation.