Reproductive Surgery in Assisted Conception

This evidence-based book examines the role of reproductive surgery in the current age of IVF and in modern medical practice. The authors provide a detailed insight into surgical techniques and where such practices stand relative to other fertility treatme

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Reproductive Surgery in Assisted Conception

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Reproductive Surgery in Assisted Conception

Mostafa Metwally • Tin-Chiu Li Editors

Reproductive Surgery in Assisted Conception

Editors Mostafa Metwally Reproductive Medicine and Surgery Sheffield Teaching Hospitals NHS Foundation Trust Sheffield, UK

Tin-Chiu Li Obstetrics and Gynaecology Chinese University of Hong Kong Hong Kong, China

ISBN 978-1-4471-4952-1 ISBN 978-1-4471-4953-8 DOI 10.1007/978-1-4471-4953-8

(eBook)

Library of Congress Control Number: 2015938309 Springer London Heidelberg New York Dordrecht © Springer-Verlag London 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer-Verlag London Ltd. is part of Springer Science+Business Media (www.springer.com)

Foreword

You must be brave to do it – publishing a new book on reproductive surgery in the era of IVF! I welcome it with open arms. It reflects the conviction of the editors and the importance of this discipline. All those involved in fertility treatment should read this very informative book. Not only does this book evaluate, in an objective way, the possibilities of surgery in enabling patients to conceive spontaneously, but also points out the importance of surgery in improving results in those patients referred to an IVF program. Surgical treatment of distal and proximal tubal disease is clearly explained, highlighting the importance not only of patency but also of functionality. In case of proximal occlusion, a simple tubal cannulation can achieve pregnancies avoiding the need for expensive and invasive assisted conception treatment. Acquired and congenital uterine anomalies are extensively discussed including the implications of the new ESHRE/ESGE classification of congenital uterine anomalies. The place and techniques of laparoscopic, hysteroscopic surgery and – where indicated – surgery by laparotomy is described for the different types of uterine myomas, not excluding the discussion of the questionable benef