Abstract

Background: Endometriosis is a prevalent gynaecological disease characterised by the presence of glands and submucosa of endometrium outside the uterine cavity. This illness affects 5–10% of women during their reproductive years. Objective: Our study was contributed to assess effective of laparoscopic surgery in patients with infertility. Patients and methods: A study was conducted that included the clinical analysis of 65 infertile women who underwent laparoscopic surgery in Iraq to treat infertility. The data was collected from different hospitals in Iraq over a period of 15 months, from 7 February 2022 to 18 August 2023. This study was evaluated the effectiveness of laparoscopic surgery in the treatment of infertility and to determine the extent of clinical improvements and their postoperative quality of life. Results: The surgical laparoscopic findings included an operative time of 220 ± 8.92 minutes, a blood loss of 175.48 ± 9.75 millilitres, and a bleeding rate of four cases, with one requiring admission to the intensive care unit (ICU). Two cases were successfully treated, with a 100% success rate. The average length of hospital stay was 1.88 ± 0.56 days, and the complication rate was 7.69%. The most common complication was infection, which occurred in three cases. There were no deaths. In terms of the Fertility Quality of Life questionnaire, the emotional aspect was rated at 80.19 ± 11.69, the mind-body aspect at 79.78 ± 6.83, the relational aspect at 84.43 ± 8.84, and the social aspects of infertility at 83.35 ± 6.88. Conclusion: Laparoscopic surgery is the preferred method for female infertility procedures due to its minimally invasive nature, shorter hospital stays, faster recovery, and reduced risk of post-surgical adhesions