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Laparoscopic Management of Endometriosis
جنرل سرجری / Jun 16th, 2016 8:30 am     A+ | a-

Endometriosis surgery is usually recommended for women who do not respond to other forms of treatment. The most common form of treatment for endometriosis drugs are used to control the level of hormones and estrogen in a woman's body. Regulate the number of estrogen has a controlling effect on the growth of endometrial tissue.
 
The use of hormonal drugs is not always desirable to stop the growth of endometriosis affect. In some women, these drugs can cause unwanted or are contraindicated in young lady that are trying to comprehend side effects. Many women manage their symptoms by using the counter medications for pain, and some have found to change your diet and lifestyle (healthy living and exercise) may also be useful.
 
When drug treatments and lifestyle changes do not work more women turning to surgery to relieve the symptoms of endometriosis pain suffered through every month. The most common mild to moderate endometriosis laparoscopic surgical procedure is called. This is a minimally invasive procedure in which a surgical instrument called a laparoscope is inserted through a small incision in the abdominal cavity.
 
In fact, this procedure is the only way to confirm a diagnosis of endometriosis implants by actually see the internal organs. Even then observe the abdominal organs can not be restored diagnosis of endometriosis implants can be hidden from view, or to be too small to see.
 
Laparoscopic procedure is like any other surgical procedure and carries the same risks. It is usually performed under general anesthesia, but in some cases you can do with the (spinal anesthesia) epidural allows women to stay awake. A gynecologist or surgeon performs the procedure and to inform anyone on the operation to avoid eating or drinking for eight hours before surgery is planned.

Endometriosis laparoscopic surgery begins inflating the abdomen of the patient, either carbon or nitrogen oxide dioxide. Inflate the abdomen below the abdominal wall moves internal organs and allow the surgeon to see better and operational space.

A quarter inch small incision then is usually made below the navel. Then a laparoscope is inserted into the abdomen and the surgeon can begin to examine the internal organs signs of endometriosis. Laparoscope has a tiny camera and light on his surgeon used to visualize the abdominal cavity end.

If the endometrium or scar tissue the doctor can introduce more devices by little incisions in the appropriate way to solve the problem. There are several ways a surgeon can treat endometriosis and scar tissue implanted in the abdominal organs. Using different laparoscopic instruments that can cut tissue with small scissors and scalpels or laser or electrocautery is used to burn the offending tissue.

When you are done, small incisions are sewn with a few stitches. Because the incisions are so small, usually no scar. The entire procedure usually takes only 45 minutes to an hour, and is usually performed as an outpatient procedure.
Any pain or discomfort after laparoscopic surgery for endometriosis is usually due to inflation stretching of the stomach muscles of the abdomen. Many women may experience some discomfort in the shoulder of the gas used to inflate the abdomen rises in the upper abdomen and across his shoulders as he escapes the body. Recovery time is usually a week before the patient is able to resume normal daily activities.

Most women feel significant pain relief after surgery for endometriosis, but there is no guarantee that the endometrial cells would not return on time. Among the women who have gone through this process more than seventy percent reported that their symptoms are reduced in the first months after the procedure. One year after surgery Forty-five percent of women reported some symptoms return. Studies have shown that a combination of hormone therapy after surgery can significantly reduce the symptoms of endometriosis, prevent the growth of new cells of the endometrium.

In very rare cases, there May be complications of surgery for endometriosis laparoscopy. This can include pelvic infection, internal bleeding that requires opening the abdomen to stop the bleeding, formation of scar tissue after surgery, accidental damage to internal organs of the abdominal cavity.

Since the cause of endometriosis medical research has not been able to find the right medication is unknown. Endometriosis surgery, such as hormone therapy drugs and changes in lifestyle, the way to manage the painful symptoms can cause. Women with endometriosis should talk to your doctor about all treatment options to make an informed decision to control this disease.

Although most women with endometriosis often do not know the specific symptoms, some women with endometriosis may have:
 
• Chronic pelvic pain
• Very painful period
• Deep pain in the lower abdomen during or after sex
• Difficulties (fertility problems) pregnant
• Pelvic pain worse just before menstruation
• Pain in the pelvis or lower back
• Rich or abnormal menstrual flow
• Cleaning
• Painful urination or frequent during the menstrual period
• Exhaustion

Unfortunately, no one can account for factors responsible for endometriosis and no easy treatment for the ailment..
However, there are solutions that reduce the growth of endometriosis, and in turn minimize symptoms. These options are: watching without medical intervention; hormone drug; combination therapy, and surgery.

Most drugs are associated with unpleasant side effects, and most drugs are not tested in order to improve their chances of pregnancy in order to reduce the repetition of the disease.

Surgical treatment of endometriosis is usually done restore the appearance of the pool to the normal position by destroying the deposits of endometriosis, ovarian cysts removed without damaging healthy tissue as little as possible.
 
6 تبصرے
Dr. Raj Malhotra
#1
Apr 27th, 2020 4:19 am
Great posting of Laparoscopic Management of Endometriosis. Very very impressive and educative video. Thanks.
Sanjay singh
#2
May 18th, 2020 11:09 am
Excellent video of Laparoscopic Management of Endometriosis. The lecture notes are precise and the content is really interesting. Thank you for posting such a useful video very informative and educative.
Dr. Paul Vincent
#3
May 23rd, 2020 5:25 am
Great video presentation of Laparoscopic Management of Endometriosis. This is really a very nice video with lot of basic and detailed explanations..
Dr. Manpreet Barar
#4
Jun 12th, 2020 8:16 am
Such an excellent video. Thank you for sharing this video o.f Laparoscopic Management of Endometriosis Thank you Dr. Mishra for providing this informative video!!! I like your all video.
Dr Vikash kumar
#5
Jun 18th, 2020 5:15 am
We love you to and this video too it's really great video presentation and wonderful explaining with impressive demonstration. Thanks for sharing these amazing video presentation of Laparoscopic Management of Endometriosis. Thanks Dr. Mishra for your teaching in detailed.
Dr. Anirban Bhattacharjee
#6
Jun 18th, 2020 5:21 am
Many many thanks for Great content very impressive video presentation of Laparoscopic Management of Endometriosis!! I believe that after watching your video presentation I could do better. I really really appreciate thanks once again.
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