Minimum access surgery in the female sterility

Infertility is the inability or diminished ability to produce offspring with maintained intercourses for one year. Between the 10% and the 20% of couples has this difficulty. The minimum access surgery becomes in the cornerstone in treatment of female infertility. OBJECTIVE: To describe results of the minimum access surgery in the treatment of tuboperitoneal factors and ovarian as well as endometriosis between August, 2000 and April, 2007. A total of 205 patients were assessed from the infertility consultation. METHODS: A prospective, longitudinal and descriptive research. Bioethics: written informed consent. Data were processed with the SPSS statistical package. RESULTS: It was possible to achieve 76 pregnancies (37.07 %) distributed in: 44 deliveries, 18 cesarean sections, 9 ectopic pregnancies and 5 abortions. The more frequent age rank was from 26 to 30 years with predominance of secondary infertility and the tuboperitoneal factor (p < 0.05). The more used techniques were: the fimbrioplasty (78 %), salpingoneostomy (32.2 %) and salpingoovariolysis (29.3 %). With the multiple ovary puncture and the salpingolysis it was possible to achieve the 50% of pregnancies. Most of patients made pregnant in less than 6 months. There was a 4.3 % of complications. Theses results are comparable with those of other authors. CONCLUSIONS: The minimum-access surgery is a feasible option in the treatment of infertility in selected cases with satisfactory results.