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Open Surgery

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Open Surgery in IVF and Pregnancy

Developments in medical science have enabled the addressing of fertility problems and pregnancy complications using different procedures. Although minimally invasive methods are the first choice, open surgery is an important option in specific situations. Open surgery during IVF or pregnancy is done if there are complex reproductive problems and direct access to the reproductive system is needed.

Open surgery may be recommended in cases where other treatments, such as medications or laparoscopic procedures, are not effective.

Open Surgery

Why is Open Surgery Performed?

Open surgery is performed when complex reproductive or pregnancy-related conditions require direct access to the abdomen or reproductive organs, and when minimally invasive options are not suitable or have not been effective.

Treat complex fertility problems (large fibroids, severe endometriosis)
Address pregnancy complications (e.g. ectopic pregnancy, uterine rupture)
Perform procedures that need full exposure (e.g. myomectomy, ovarian cyst removal)

Conditions Treated with Open Surgery

Open surgery may be used for:

Large or multiple uterine fibroids (myomectomy)
Severe endometriosis with adhesions
Large ovarian cysts not suitable for laparoscopy
Uterine abnormalities (septum, scar tissue)
Ectopic pregnancy
Cesarean section when vaginal delivery is not possible
Uterine rupture repair

How is Open Surgery Performed?

Open surgery is performed under general anaesthesia. The surgeon makes an incision in the abdomen to access the reproductive organs and perform the required procedure.

1. Pre-surgery preparation

Diagnosis (ultrasound, blood tests) and pre-operative instructions (fasting, medications). Anaesthesia and consent are discussed.

2. Anaesthesia

General anaesthesia is administered so you are asleep during the procedure.

3. Surgical procedure

An incision is made in the lower abdomen to access the uterus, ovaries, or other organs. The specific surgery (e.g. myomectomy, cyst removal) is performed. Duration depends on complexity.

4. Closing and monitoring

The incision is closed and you are monitored in recovery. Hospital stay may be several days depending on the procedure.

Recovery After Open Surgery

Recovery after open surgery takes longer than minimally invasive surgery.

Hospital stay of a few days depending on the procedure
Rest at home; avoid heavy lifting and strenuous activity for weeks as advised
Follow-up appointments to monitor healing and reproductive health
Pain relief and medication as prescribed
Healthy diet and gradual return to normal activities

Risks of Open Surgery

Risks of open surgery can include:

Infection
Bleeding
Reaction to anaesthesia
Formation of scar tissue (adhesions) that may affect future fertility
Longer recovery time compared to laparoscopic surgery

Success Rate of Open Surgery

Open surgery can effectively treat complex conditions and improve the chances of pregnancy when fibroids, severe endometriosis, or other structural issues are addressed. Success depends on the condition, extent of disease, and overall fertility factors. Our specialists will discuss expected outcomes and further fertility options (e.g. IVF) based on your case.

Cost of Open Surgery

Cost of open surgery varies with the type of procedure and hospital stay. Contact us for an estimate and to book an appointment.