The anatomical structure of the pelvis and the lesions of pelvic organs can be viewed as an enlarged image through an endoscopic camera, and if needed, treatment through surgical laparoscopy can be performed.

1. Unknown cause of infertility
2. Suspected occlusion of the fallopian tube or adhesion around the fallopian tube through hysterosalpingography
3. Suspected endometriosis
4. Chronic lower abdominal pain and suspected pelvic adhesions
5. Suspected ectopic pregnancy, but the location is unknown

Tuboplasty is a surgical procedure performed on the fallopian tubes. It is often necessary to remove a blockage in one of the tubes that may occur either near where the tube meets the uterus or toward the end of the tube. Fallopian tube blockages may be caused by pelvic inflammatory disease, endometriosis, and postoperative pelvic adhesions, and can prevent a woman from becoming pregnant.
Tuboplasty is performed by a laparoscopic procedure to either remove adhesions around the fallopian tube and create a new opening within the fallopian tube by rejoining existing parts. The probability of pelvic adhesion after surgery is less than that of open surgery, which may increase the chances of pregnancy.

When a woman who previously had bilateral fallopian tube ligation for contraceptive purposes wishes to get pregnant again, it is a surgery that restores the function of the fallopian tube by resecting the area where the fallopian tube is ligated with laparoscopic microsurgery and reconstructs the fallopian tube.
This surgery requires the most advanced surgical skills among laparoscopic techniques as it requires the use of a fine suture and the anastomosis of multiple layers of the fallopian tubes within the abdominal cavity. CHA Fertility Center has the most experience in surgeries related to fertility with the highest pregnancy success rates worldwide.

If the fallopian tube is restored, natural pregnancy can be attempted, while having the advantage of avoiding ovarian hyperstimulation syndrome and multiple pregnancies, which can occur during IVF procedure. Microsurgical tubal reconstruction can be an option to significantly improve a woman’s chance to conceive naturally.

Endometriosis is a common gynecological condition, affecting up to 10% of women. It is a disorder in which the tissue that forms the lining of your uterus grows outside of your uterine cavity. Swelling and scarring caused by inflammation may affect the movement of the egg so it may not reach its proper destination. The inflammation also can damage the sperm and egg when endometriosis is present. The endometriosis can also start to cause adhesions, and the pelvic organs begin to stick to each other, resulting in decreased function. Endometriosis can also block the fallopian tubes which can also be a cause of infertility. In addition, chronic lower abdominal pain, severe menstrual pain, and pain during intercourse can seriously affect the quality of life. The best method for diagnosing endometriosis is by a laparoscopy, and through laparoscopic resection of the endometriosis lesion, the adhesion of the pelvic organs can be removed to restore normal pelvic structure.

In addition, by removing ovarian cysts caused by endometriosis, you can increase the success rate of pregnancy while alleviating pain. Hormonal treatment may also be given for 3-6 months before or after surgery.

PCOS affects 4-10% of women during their childbearing years and is one of the main reasons for infertility. With PCOS, your reproductive hormones are out of balance which can affect your menstrual cycle and lead to infertility. PCOS can also cause acne, abnormal uterine bleeding, and also be associated with obesity. Small polycystic follicles are observed through an ultrasound, and in the long term, they may also be associated with metabolic diseases such as diabetes and hypercholesterolemia.