HealthMedicine

Laparoscopy: testimonials, indications, preparation

Today, such a type of operation as laparoscopy has become very popular. Endoscopic interventions are used in various fields of medicine, including in gynecology. They are more easily tolerated by the patient and give fewer complications. Therefore, laparoscopy, whose reviews are mostly positive, is included in the list of studies recommended for infertility.

Often it helps to discover the reason why pregnancy does not occur. In addition, if necessary, diagnostic laparoscopy goes into surgery. With this surgical manipulation, only a few small incisions are performed, through which the instruments are inserted. Among them, there must be an optical device that allows you to follow the progress of the operation on the screen.

Due to this, the muscle fibers are not damaged and the patient practically does not experience pain after the intervention. Also, during laparoscopy, blood loss is much less than with traditional laparotomy. In addition, especially for women is important and aesthetic effect, because there are no scars.

It is important that laparoscopy, which testifies that it is transferred easily enough, allows you to return to normal life after a week, and in the hospital a person is only a few days. This type of intervention can not be performed with the extensive adhesion process that occurs after large cavitary operations. Since in this case, the probability of damage to the intestines is high, which is fraught with serious consequences.

One of the often performed endoscopic operations today is the laparoscopy of the tubes. Usually, the main goal is to dissect the adhesions in them, and thus restore their patency. The fact is that now the tubal factor of infertility is one of the most common.

However, if the mucous organ is severely damaged, then restoring mechanical patency can lead to an ectopic pregnancy. Therefore, if there are a lot of adhesions, they are not dissected, and the patient is recommended to switch to IVF.

With ectopic pregnancy, laparoscopy is also widely used. If the period is small and the pipe wall is not severely damaged yet, it can be saved. Therefore, it is so important to do ultrasound after a delay to determine the location of the embryo.

Make pipes impassable and external spikes. In this case, they are also dissected. The forecast is more favorable than in the presence of pipes.

If a woman is diagnosed with an ovarian cyst , laparoscopy is the optimal solution in this case. As neoplasms can grow, regenerate, tear, twist. Laparoscopy allows maximum preservation of ovarian tissue, highlighting the cyst from the capsule.

It is effective, and sometimes the only method of diagnosis and treatment of external endometriosis. With this disease, endometrial cells appear on the ovaries, fallopian tubes, peritoneum, causing adhesion and infertility. During laparoscopy, the foci of endometriosis are cauterized. Then the patient is prescribed hormone therapy to prevent relapse.

Laparoscopy, which testifies that it gives very good results in this case, is conducted after a survey including the following studies:

  • Biochemical and general blood analysis, as well as coagulability;
  • Clinical analysis of urine ;
  • Blood on the Rh factor and group;
  • A smear on flora and cytology;
  • ECG;
  • Transvaginal ultrasound;
  • fluorography;
  • Colposcopy;
  • Blood for hepatitis, HIV, syphilis.

It should be borne in mind that many tests are only valid for 2 weeks. Indications for routine laparoscopy are as follows:

  • Endometrial hyperplasia;
  • Adenomyosis;
  • Uterine myoma;
  • PCOS;
  • Endometriosis;
  • Tumors and cysts of the ovaries;
  • sterilization.

So, laparoscopy, which is a positive feedback, is used to diagnose and treat many gynecological pathologies. This manipulation is included in the list of recommended studies on infertility.

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