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Reproductive Surgery 23 February 2012
Reproductive Surgery

Of particular interest is the surgical correction of conditions which affect a woman’s ability to conceive.

  • Polyps inside the uterus (endometrial polyps) and intrauterine adhesions (Asherman’s Syndrome) or intrauterine septum can all be treated with hysteroscopic surgery.
  • Polycystic ovaries are sometimes treated at laparoscopy by performing ovarian drilling.
  • Adhesions affecting the pelvic organs will limit a woman’s chance of conceiving but can usually be successfully and completely released using laparoscopic or keyhole surgery techniques – (laparotomy) is occasionally required.
  • Previous infections that may have affected the fallopian tubes can result in blocked tubes – these can be unblocked using tubal microsurgery.
  • Microsurgical reversal of sterilisation can be performed on a woman who has been previously sterilised. Few surgeons are trained in this technique but whilst working in Singapore I completed Tubal Microsurgery Training and have been using these techniques with great success ever since.
  • Endometriosis is a common gynaecological problem affecting a woman’s ability to conceive. Treatment is both medical and surgical, with most patients being successfully treated by using laparoscopic surgical techniques.
  • Uterine fibroids or myomas can affect a woman’s ability to conceive and I have particular expertise in this field. Myomectomy surgery can be performed in three different ways depending on the fibroid size and location. Keyhole surgery (hysteroscopically / laparoscopically) or open surgery – laparotomy.

 
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