Pelvic Adhesions
Pelvic adhesions can arrive from silent infections (Chlamydia, overt
infections, gonorrhea), or from endometriosis, appendicitis, pelvic inflammatory disease,
or various pelvic operations. Pelvic infections may result in adhesions alone or adhesions
with blockage of the tube (hydrosalpinx). When only adhesions are present without blockage
of the tube, division of these adhesions by laparoscopic microsurgery is the most
successful means of restoring fertility. Pregnancy rates of 60 to 70 percent within the
year can be expected after such treatment and represents the most successful fertility
surgery next to tubal anastomosis. At the
Reproductive Center, this operation is performed using the KTP laser with ultramicro instrumentation so that the operation
is very refined thus minimizing the risk of further adhesions forming because of the
operation.