Minimally invasive surgery in assisted conception

Carl Wood, C Wood, Wood C
Current opinion in obstetrics & gynecology · 1994 · vol. 6(3) , pp. 242–247 · doi:10.1097/00001703-199406000-00007 · PMID:8038410 · W2041186190
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⚙ AI-generated summary by qwen3.7-flash, 2026-08-20 ⓘ

This review outlines how minimally invasive surgical techniques facilitate assisted reproductive technology by treating endometriosis, diagnosing tubal abnormalities, and enabling advanced procedures like GIFT and embryo transfer.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-22 · read from full text ⓘ

This review article by Carl Wood outlines how minimally invasive surgical techniques have evolved to support assisted reproductive technology (ART) procedures. The author highlights specific advancements such as operative endoscopy for diagnosing tubal abnormalities and treating severe endometriosis without radical surgery, as well as the use of laparoscopy in patient selection and gamete intrafallopian transfer. Additionally, the text notes improvements in oocyte collection from small follicles and intracytoplasmic sperm injection to address male infertility, alongside novel embryo transfer methods that bypass the cervical canal. This paper is centrally about endometriosis — specifically its treatment via operative endoscopy to avoid radical surgery within the context of assisted conception.

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Abstract

Minimally invasive surgery enables the avoidance of, preparation for, participation in, and treatment of complications following assisted reproductive technology (ART). The major recent changes are, the development of surgical techniques to diagnose and treat intrafallopian tubal abnormalities; the use of operative endoscopy to avoid radical surgery in the treatment of severe endometriosis and large myomas; the use of endoscopy in the selection of patients for ART; the extension of gamete intrafallopian transfer (GIFT) procedures to include operative laparoscopy for endometriosis and adhesions; the ability to collect unripe oocytes from small follicles, thereby reducing the need for stimulated ovarian cycles in patients with polycystic ovaries; the ability to produce normal pregnancies from the intra-oocyte injection of a single sperm, which facilitates the treatment of severe male infertility; and the development of a promising technique to transfer an embryo to the uterus through the myometrium, thereby avoiding the cervical canal.
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Minimally invasive surgery in assisted conception - Carl Wood Minimally invasive surgery enables the avoidance of, preparation for, participation in, and treatment of complications following assisted reproductive technology (ART). The major recent changes are, the development of surgical techniques to diagnose and treat intrafallopian tubal abnormalities; the use of operative endoscopy to avoid radical surgery in the treatment of severe endometriosis and large myomas; the use of endoscopy in the selection of patients for ART; the extension of gamete intrafallopian transfer (GIFT) procedures to include operative laparoscopy for endometriosis and adhesions; the ability to collect unripe oocytes from small follicles, thereby reducing the need for stimulated ovarian cycles in patients with polycystic ovaries; the ability to produce normal pregnancies from the intra-oocyte injection of a single sperm, which facilitates the treatment of severe male infertility; and the development of a promising technique to transfer an embryo to the uterus through the myometrium, thereby avoiding the cervical canal.

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Condition tags

endometriosisinfertility

MeSH descriptors

Fertilization Laparoscopy Reproductive Techniques Embryo Transfer Endometriosis Endometriosis Endoscopy Fallopian Tubes Fallopian Tubes Female Fertilization in Vitro Gamete Intrafallopian Transfer Humans Leiomyoma Leiomyoma Pregnancy Pregnancy, Ectopic Pregnancy, Ectopic Sterilization Reversal Sterilization Reversal

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europepmc
last seen: 2026-10-06T06:14:42.462031+00:00
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License: CC0 · commercial use OK