This video demonstrates Laparoscopic ovarian drilling is a surgical treatment that can trigger ovulation in women who have polycystic ovary syndrome (PCOS). Electrocautery or a laser is used to destroy parts of the ovaries. This surgery is not commonly used.

Infertility is one of the most challenging complications faced by women suffering from Polycystic Ovarian Disease (PCOD/PCOS). Modern minimal access surgery has revolutionized the evaluation and treatment of infertility through procedures such as Laparoscopic Tubal Patency Test (Chromopertubation) and Laparoscopic Ovarian Drilling (LOD). At World Laparoscopy Hospital (WLH), these advanced minimally invasive procedures are performed using international standards of surgical care and technology, ensuring better outcomes and faster recovery for patients.

World Laparoscopy Hospital is a globally recognized center of excellence in minimal access surgery, combining patient care, research, and advanced surgical training. It is accredited by NABH and recognized internationally for high standards in laparoscopic and robotic surgery practice.

Understanding PCOD and Infertility

PCOD is a hormonal disorder characterized by irregular ovulation, excess androgen levels, and multiple small cysts in ovaries. Many women with PCOD suffer from anovulation (absence of egg release), which leads to difficulty in conceiving. When medical treatment fails, minimally invasive surgical options like ovarian drilling are considered effective alternatives.

Laparoscopic ovarian drilling has shown high success in restoring ovulation, especially in women who do not respond to ovulation-inducing medicines such as clomiphene citrate.

Laparoscopic Tubal Patency Test (Chromopertubation)

What is Tubal Patency Test?

This is a diagnostic laparoscopic procedure performed to check whether the fallopian tubes are open or blocked. During the procedure, a colored dye is injected through the uterus and observed laparoscopically to confirm whether it passes through the fallopian tubes.

Why is it Important in PCOD Patients?

Even if ovulation is corrected, pregnancy cannot occur if tubes are blocked. Therefore, tubal patency assessment is an essential step in infertility evaluation.

Advantages of Laparoscopic Tubal Testing

• Direct visualization of uterus, tubes, and ovaries

• Detection of adhesions or endometriosis

• Can be combined with corrective procedures if needed

• Minimal pain and faster recovery due to small incisions

Minimal access surgery uses small incisions and camera-guided instruments, allowing surgeons to perform procedures with less trauma and faster recovery compared to open surgery.

Laparoscopic Ovarian Drilling (LOD) for PCOD

What is Ovarian Drilling?

Ovarian drilling is a laparoscopic surgical procedure in which small punctures are made in the ovarian surface using energy sources like electrocautery or laser. This reduces androgen-producing tissue and helps restore normal ovulation.

Indications

• PCOD with anovulation

• Clomiphene-resistant PCOD

• Infertility due to hormonal imbalance

• Failure of medical management

Success Rates

Studies show:

• Ovulation rates can reach up to 63–92% after procedure

• Significant improvement in pregnancy rates in selected patients

 

Long-term follow-up studies show spontaneous ovulation rates above 80% and pregnancy rates above 50% in some patient groups.

Combined Role of Tubal Testing and Ovarian Drilling

At WLH, both procedures are often performed together during diagnostic laparoscopy. This provides:

• Complete infertility evaluation

• Immediate treatment in same sitting

• Reduced need for repeated surgeries

• Cost-effective management

Why Choose World Laparoscopy Hospital?

World Laparoscopy Hospital offers:

• Highly experienced laparoscopic surgeons

• Internationally approved surgical protocols

• Advanced laparoscopic and robotic technology

• Global training and research environment

• Patient-focused care approach

WLH is a specialized super-specialty hospital dedicated to minimal access surgery, training, and research with world-class infrastructure and expert surgical teams.

Benefits of These Procedures at WLH

✔ Minimally invasive technique
✔ Less blood loss
✔ Short hospital stay
✔ Faster recovery
✔ Improved fertility outcomes
✔ Comprehensive infertility evaluation

Recovery and Postoperative Care

Most patients:

• Go home within 24 hours

• Resume routine activity within few days

• Can attempt conception based on doctor advice

Conclusion

Laparoscopic Tubal Patency Test and Ovarian Drilling are highly effective procedures for evaluating and treating infertility in women with PCOD. When performed at an advanced center like World Laparoscopy Hospital, patients benefit from expert surgical skills, modern technology, and internationally accepted treatment protocols. These procedures offer hope to women struggling with infertility by improving ovulation, confirming tubal health, and enhancing chances of natural conception.