When addressing the desire for parenthood, it’s crucial to thoroughly investigate the root cause of infertility to tailor the most suitable treatment. In cases where symptoms suggest endometriosis, obtaining a comprehensive view of the abdominal cavity is paramount to confirm the suspected diagnosis.
Laparoscopy facilitates an external examination of the uterus, fallopian tubes, and ovaries, offering the only reliable means of diagnosing potential endometriosis. Moreover, laparoscopy enables the assessment of fallopian tube patency.
Prior to the procedure, the patient receives comprehensive information about the operation, including a detailed discussion of all potential surgical risks.
The surgical process begins with the introduction of gas into the abdominal cavity through a small incision near the navel, providing sufficient space for the operation. A laparoscopic camera is inserted through the same incision, transmitting real-time images from inside the abdomen to a monitor in the operating room.
To evaluate the patency of the fallopian tubes, a blue dye is injected vaginally. The visibility of the dye at the ends of the fallopian tubes confirms their patency.
After completing abdominal access, most of the introduced gas is removed, and the small incisions in the skin are closed using sutures.
The duration of hospitalization typically ranges from a few hours to one day.
Traditional patency tests, such as hysterosalpingography (HSG) or sonohysterography, involve injecting a contrast agent (like a radiopaque dye) into the uterus via the cervix. This is followed by X-ray or ultrasound imaging to observe the passage of the dye through the fallopian tubes.
On the other hand, laparoscopic chromopertubation provides direct visualization and high accuracy in assessing tubal patency, albeit requiring a laparoscopic procedure. While traditional patency tests are less invasive, they may need more real-time visualization. They could be less accurate in some cases. The choice between the two methods depends on factors, including the patient’s clinical situation.
Dr. Roukoudis brings extensive experience from his tenure in leading hospitals abroad, where he conducted numerous laparoscopic surgeries, showcasing advanced proficiency in this field. Holding the prestigious German certification in “Minimally Invasive Surgery, MIC I,” he ensures the highest standards of care.
Obstetrician – Gynecologist
Fertility Specialist
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