Editorial: Minimally invasive surgery as a mean of improving fertility: What do we know so far?
This editorial reviews recent trends in reproductive surgery, highlighting the efficacy of salpingectomies for IVF outcomes, the use of testicular sperm for ICSI, and surgical management of uterine fibroids and endometriosis to improve fertility.
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This editorial summarizes evidence and trends on reproductive surgery aimed at improving fertility, including studies on timing and sequencing of salpingectomy relative to oocyte retrieval for IVF, and the use of testicular versus ejaculated sperm for ICSI after failed embryo transfer. It also reviews minimally invasive approaches for uterine fibroids (weighing myomectomy risks such as adhesiogenesis) and for endometriosis, noting that excision of deep lesions and CO2 laser vaporization of ovarian endometriomas may improve ART outcomes while natural conception effects remain unclear. The authors explicitly frame the overall evidence as indecisive because it is mainly based on retrospective studies and emphasizes the need to clarify timing and endometriosis subtype/classification in future research. This paper is centrally about endometriosis—an editorial that discusses how minimally invasive surgical management (e.g., excision of deep lesions and CO2 laser vaporization of endometriomas) relates to fertility and IVF outcomes.
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- europepmc
- last seen: 2026-09-13T09:25:22.628771+00:00
- pubmed
- last seen: 2026-09-16T06:10:37.054776+00:00
- unpaywall
- last seen: 2026-05-15T02:00:00.661756+00:00
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