Endometriosis is a serious gynecological disease, which manifests itself in violation of menstrual function, severe pain, and a sharp decline in fertility rates of women (up to infertility). Treatment of endometriosis can be both conservative (hormone), and operational. Surgical removal of endometriotic lesions is performed laparoscopically. Many doctors believe that getting rid of endometriosis can only be surgically. If you have endometriosis, laparoscopy
Laparoscopy - why is it necessary?
carried out for two purposes: getting rid of the patient from pain and increase her chances of conceiving.
Laparoscopy for endometriosis
Laparoscopy is a type of advanced surgical procedures. The gist of it is small (two or three) sections at the front of the abdominal wall, through which the surgeon inserts into the abdominal cavity optical device (a laparoscope) and the necessary tools. Laparoscopy allows you to view the pelvic organs and the abdominal cavity from the inside, "with his own eyes." Not for nothing is considered the best method for diagnosing endometriosis
Diagnosis of endometriosis - it is important to identify all foci
- A laparoscopy and the operating surgeon.
Laparoscopy is divided into diagnostic and operative.
Diagnostic laparoscopy is performed for examination of internal organs and detection of endometrioid heterotopias, that is used to confirm or refute the diagnosis: "Endometriosis". Although the absence of visible endometriosis can not say with absolute certainty about its absence (sometimes endometrioid heterotopias are so small that the eye can not be visualized).
Operative laparoscopy aims - removing endometriotic lesions with subsequent cauterization (eg, husking endometrial cysts), or excision of the scar tissue.
Indications
Laparoscopic surgery for endometriosis is conducted in the following cases:
- expressed endometriosis lesions and the presence of scar tissue on the internal organs (usually the intestine and the bladder);
- pain associated with endometriosis
Endometriosis - a serious problem with serious consequences
Which is stored or held back after hormone treatment;
- endometrial severe pain that interferes with their lifestyle and disabling the patient;
- the presence of endometriosis, ovarian cysts;
- the inability to become pregnant endometriosis;
- suspected endometriosis (diagnostic laparoscopy).
After laparoscopic surgery in 70-100% of women showed a significant improvement (pain virtually disappear). In addition, laparoscopy greatly increases the likelihood of becoming pregnant. If pregnancy does not occur within six to nine months (maximum per year), the doctor will recommend a woman in vitro fertilization technique.
In vitro fertilization after laparoscopy
In some cases, the patient immediately after the laparoscopic surgery is recommended in vitro fertilization. These include:
- complex for widespread severe endometriosis, when the capacity expansion and volume operation is too dangerous, because it increases the risk of severe postoperative complications (ie, laparoscopy was carried out purely for diagnostic purposes);
- after surgery laparoscopy, the surgeon is dissatisfied with the results and suggests the inability of women to conceive in the future;
- Laparoscopic surgery was performed to eliminate pain;
- the presence of additional factors that reduce the possibility of pregnancy (age older than 35 years, long experience of infertility, poor semen quality, poor condition of the fallopian tubes);
- women older than 38 years;
- a categorical refusal by the patient's surgery.
Contraindications
Laparoscopic surgery has a number of absolute and relative contraindications.
Absolute contraindications include: decompensated diseases of the cardiovascular and respiratory systems, shock and coma, cachexia, disorders of blood coagulation, the hernia of anterior abdominal wall or diaphragm.
For relative contraindications include: severe obesity, the presence of blood in the abdominal cavity (one to two liters), large formation of the pelvic organs, ovarian cancer
Ovarian cancer: do not miss the professional examinations!
, cervical cancer.
Anna Sozinova