Infertility surgery by laparotomy

Barad DH, D H Barad
Current opinion in obstetrics & gynecology · 1991 · vol. 3(3) , pp. 398–403 · doi:10.1097/00001703-199106000-00015 · PMID:1813007
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This review discusses the shift from laparotomy to endoscopy in infertility surgery, highlighting recent comparisons using life-table analysis and studies on women over 40 amidst rising assisted reproductive technology use.

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This review article examines the shifting landscape of infertility surgery, noting a transition from exclusive reliance on microsurgical techniques toward increased use of endoscopy. It highlights that recent studies often employ life-table analysis to compare outcomes and frequently focus on the efficacy of surgical interventions in women over the age of 40. The author notes that while comparative data between laparotomy and endoscopic approaches remains limited, the aging reproductive population is likely to sustain interest in these surgical options despite the rising challenge posed by assisted reproductive technologies. Relevance to endometriosis: listed as one indication for infertility surgery, though the paper's main focus is general pelvic reconstructive procedures rather than specific pathology.

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Abstract

Infertility surgeons who once exclusively used microsurgical techniques are now turning more and more to endoscopy. Although there are still few reports comparing laparotomy and endoscopic surgery, many of the series reported on in the last year used life-table analysis, which facilitates comparison. Many of the reports in the last year examined the efficacy of infertility surgery in women over the age of 40. This trend is likely to continue as the reproductive population ages. In the future, assisted reproductive technologies will represent the greatest challenge to all pelvic reconstructive surgery.
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Article: PDF Only Infertility surgery by laparotomy - David H. Barad Current Opinion in Obstetrics & Gynecology 3(3):p 398-403, June 1991. Infertility surgeons who once exclusively used microsurgical techniques are now turning more and more to endoscopy. Although there are still few reports comparing laparotomy and endoscopic surgery, many of the series reported on in the last year used life-table analysis, which facilitates comparison. Many of the reports in the last year examined the efficacy of infertility surgery in women over the age of 40. This trend is likely to continue as the reproductive population ages. In the future, assisted reproductive technologies will represent the greatest challenge to all pelvic reconstructive surgery. Copyright © Copyright © 1991 YEAR Wolters Kluwer Health, Inc. All rights reserved.

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MeSH descriptors

Infertility, Female Laparotomy Endometriosis Endometriosis Fallopian Tubes Fallopian Tubes Female Humans Infertility, Female Infertility, Female Infertility, Female Leiomyoma Leiomyoma Pelvic Neoplasms Pelvic Neoplasms Sterilization Reversal Uterine Neoplasms Uterine Neoplasms

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