Minimally invasive procedures for adhesions & desire to have children

Month after month of hope. Month after month of disappointment. All the tests are inconspicuous, the hormones are fine - and yet it just won't work. What many couples don't realise: In around 20-40% of all women with an unfulfilled desire to have children, adhesions in the abdomen are the cause.

These bAdhesions between the fallopian tubes, ovaries and other organs can only be treated by a Laparoscopy can be reliably recognised - and fortunately usually treated immediately. At the MIC Centre Munich at the Geisenhofer Clinic, we offer you the latest minimally invasive diagnostics and treatment in a single procedure. Our experienced team of Highly certified surgeons (MIC III) has already helped hundreds of couples to fulfil their desire to have children after all.

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Your advantages at the Geisenhofer Klinik

As part of the renowned MIC Centre Munich, we offer you

Comprehensive expertise:

• Highly certified surgeons (MIC III)
• Decades of experience in paediatric wound surgery
• Close cooperation with the fertility centre
• State-of-the-art endoscopic equipment

Holistic concept:

• Combination of diagnostics and therapy in one procedure
• Interdisciplinary co-operation
• Individual aftercare and fertility counselling
• Psychosomatic counselling if required

Optimum conditions:

• Short waiting times for appointments
• Outpatient or short inpatient treatment
• Modern, patient-friendly clinic
• Sensitive care in a cosy atmosphere

The path to your dream child

Adhesions do not have to remain an obstacle to your desire to have children. With our minimally invasive diagnostics and treatment, we can eliminate the causes of infertility in many cases and significantly improve your chances of a natural pregnancy.

Our treatment concept:

• Initial consultation: Detailed medical history and examination
• Diagnostics: Ultrasound, hormone analysis, further examinations if necessary
• Surgery: Minimally invasive clarification and therapy
• Aftercare: close monitoring and fertility optimisation
• Fertility treatment: transfer to the fertility centre if required

Important to know:

• Surgical diagnosis is often the decisive step towards pregnancy
• Many adhesions can only be recognised laparoscopically
• The combination of diagnostics and therapy saves time and further interventions
• Natural conception is usually possible after the operation

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Causes of adhesions in the abdomen

Adhesions are connective tissue adhesions between organs or tissues that should normally be able to move freely. They develop as a reaction of the body to various stimuli:

Common causes:

• Previous operations: Any abdominal surgery can lead to adhesions, especially after open surgery
• Inflammations: Appendicitis, ovarian inflammation or other infections in the abdominal cavity
• Endometriosis: One of the most common causes of adhesions in women of childbearing age
• Injuries: Trauma or injuries to the abdominal cavity
• Radiotherapy: After radiotherapy in the pelvic area

Adhesions can affect various structures:

• Fallopian tubes and ovaries (most common cause of mechanical sterility)
• Uterus and pelvic wall
• Intestines and other abdominal organs
• Peritoneum and abdominal wall

The consequences range from mild discomfort to serious complications such as chronic pain, bowel obstruction or even infertility.

Surgical diagnostics for unfulfilled desire to have children

At about 20-40% all women with an unfulfilled desire to have children have adhesions or other anatomical changes. Laparoscopic diagnosis is the gold standard for clarification and simultaneous treatment.

Indications for a diagnostic laparoscopy:

• Unfulfilled desire to have children for more than twelve months (for women over 35: six months)
• Repeated miscarriages
• Suspected tubal occlusion in diagnostics
• History of risk factors for adhesions
• Unclear lower abdominal pain

Procedure for surgical diagnostics:

1. Preparation: Detailed medical history and gynaecological examination
2. Operation: Minimally invasive procedure under general anaesthetic
3. Inspection: Systematic examination of the entire pelvis
4. Chromopertubation: checking the patency of the fallopian tubes with a blue colour solution
5. Documentation: Photo and video documentation of all findings
6. Therapy: Immediate treatment of pathological findings

The big advantage: diagnostics and treatment are carried out in one procedure. If we find adhesions, endometriosis or other treatable causes, we can remove them immediately.

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Removing adhesions - targeted minimally invasive treatment

Laparoscopic adhesiolysis (removal of adhesions) requires the highest surgical precision and experience. At the MIC Centre Munich, we use state-of-the-art techniques and instruments for optimal results.

Our operational strategy:

1. Precise representation:
   • HD camera systems for optimum visibility
   • Careful visualisation of all structures
   • Identification of the extent of the adhesions
2. Gentle solution:
   • Use of special atraumatic instruments
   • Sharp cutting instead of tearing
   • Minimal tissue traumatisation
   • Careful haemostasis
3. Restoration of the anatomy:
   • Free preparation of the fallopian tubes
   • Mobilisation of the ovaries
   • Removal of uterine adhesions
   • Checking the function of the fallopian tubes
4. Recurrence prophylaxis:
   • Application of modern anti-adhesion barriers
   • Special surgical technique to minimise adhesions
   • Minimisation of tissue trauma

Special features if you want to have children:

We attach particular importance to fertility patients:

• Maximum protection of the reproductive organs
• Preservation of fallopian tube function
• Optimisation of the oviduct-ovary relationship
• Avoidance of new adhesions

Combined interventions:

We often find other pathologies in addition to adhesions:

• Endometriosis (in up to 50 per cent of cases)
• Fibroids
• Ovarian cysts
• Fallopian tube closures

We can treat all of these findings in the same operation, which saves you further surgery.
At our centre, our expertise and modern technology enable us to create optimal conditions for pregnancy. Studies show pregnancy rates of 40-60% within one year of successful adhesion removal.

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Let us clarify the causes of your unfulfilled desire to have children together. Our experienced team will take time for you and develop a personalised treatment plan.

Trust in our expertise - for your path to your dream child.

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