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The role of laparoscopy in the management of the infertility patient.

Laparoscopy has traditionally been used only as a diagnostic step in the evaluation of the infertility patient. With the advent of more sophisticated instrumentation including the use of laser surgery, laparoscopic procedures can now be performed instead of conventional laparotomy. Lysis of pelvic adhesions as well as treatment of endometrial implants and endometriomas are now routine laparoscopic procedures with improvement in pregnancy rates comparable to microsurgery. New advances in instrumentation will increase the pregnancy rate following laparoscopic tubal surgery as well as laparoscopic assisted in Vitro Fertilization, and will also increase the safety of this procedure.