Laparoscopy endometriotic ovarian cyst: removal, recovery
Ovarian cysts – a fairly common disease. It can cause the inability to have a child, pain in the lower abdomen. Cysts are of different nature, structure and Genesis, but in any case, require surgery. This files most often assigned to laparoscopy endometriotic cysts of the ovary.
What is a cyst?
It is round in shape education, hollow inside, which is on the ovary, or directly in it. The main characteristics of the cyst depends on its origin and tissue from which it occurs. It is sometimes possible malignancy education, his malignancy, which means a degeneration of cells in cancer.
Some of the above tumors are hormone-dependent, may disappear on their own. If this does not happen, and education is only increasing in size, then it should be removed. Before the removal of endometriotic ovarian cysts, appoint conservative treatment. If it is ineffective, it may be decided on the surgery. This refers to the luteal and follicular cysts. Other types require surgical treatment.
The main goal of treatment is complete removal of the tumor. How radical is the surgery depends on several factors. The young women will try as much as possible to take care of the preservation of ovarian tissue. But during menopause,most likely, will remove the entire organ.
Advantages of laparoscopy
Laparoscopic surgery is a gentle treatment for patients. Instead of the standard incision is made three small punctures, which heal quickly and easily, almost without leaving traces.
The advantages of the method:
- Compared to conventional surgery with laparoscopy lower the risk of adhesions.
- Practically does not develop hernia after the surgery. During the laparotomy to dissect the muscles of the anterior abdominal wall, which increases the risk of herniation in the future.
- Fast healing of punctures gives the possibility of quick recovery of patients after surgery.
- The recovery period has very few limitations and is characterized by early discharge from the hospital.
- Tissue heal without the formation of scars.
Preparing for surgery
To any surgical intervention requires careful preparation. Its aim is the identification of comorbidities requiring timely correction of violations in the test results. Thanks to well-conducted preparatory period decreases the risk of complications in the future.
In a standard survey included:
- General blood and urine.
- Biochemistry of blood.
- Sure – finding out the blood group and RH factor.
- The study of hormonal status.
- Tests for HIV, hepatitis and syphilis.
- A pelvic ultrasound.
- Chest x-ray.
Remember! Before the removal of ovarian cysts important contraception! Use reliable contraceptive methods.
Preparatory activities is an important food. You need to exclude some days all foods that trigger flatulence. Last time to eat no later than 6-7 PM before the operation. You can drink up to 10-11 hours. On the day of surgery nothing to eat or drink. Also be sure to shaved pubic hair the morning of surgery.
Method of operation
Before laparoscopy a woman held a conversation with the anaesthetist to find out whether there are any contraindications and to clarify the type of anesthesia that will be used during the operation. More commonly used endotracheal anesthesia. Before him, the patient is premedication including sleeping pills and sedatives.
The operating table is at a slight angle. This is to ensure that the intestine is slightly moved and does not interfere with the review. Then perform the puncture, to enter into the abdominal cavity with gas to increase its volume. In the puncture tool is carried out, the laparoscope. Then produce 2 more puncture necessary for the introduction of manipulators.
The doctor then carefully examines the operated ovary, assesses the situation and makes a decision about whether to continue to performed laparoscopy or needs to be expanded. The latter occurs when malignant process, when we need radical surgery.
Next, the doctor performs directly husking cysts or removal of part of the ovary with the cyst. In rare cases, and remove the organ entirely. The operation is completed. But before you remove the manipulators, the physician once again examines the place of operation of the cavity for bleeding. After the tools are removed, and the sewn with a puncture.
Operation finishes after the anesthesiologist will assess the patient’s condition. If everything is OK, then it is transferred to the chamber.
Contraindications to laparoscopy
Despite the apparent safety of laparoscopy endometriotic cysts or any other method has its contraindications:
- Obesity stage 3-4.
- Cardiovascular disasters in history, exacerbation of chronic diseases.
- A serious dysfunction in the coagulation of blood.
- Recent abdominal surgery, i.e., less than six months after the intervention.
- The suspicion of malignancy ovarian cyst.
- Serious condition of the patient.
- The integrity of the anterior abdominal wall.
In all of these cases, the mode of operation is decided strictly individually.
How is the postoperative period?
The patient can easily tolerate such interference. Most often the recovery after laparoscopy ovarian cyst is without serious limitations and pain. Women are recommended early postoperative activation. Literally 2-3 hours after the operation in good health, the patient should sit up in bed to get up and to move slowly at first in the ward.
It will take some time to observe sparing diet, so as not to burden the digestive tract and do not stimulate the formation of gas. It is necessary to conduct daily monitoring of body temperature and the seams. Discharged after removal of an ovarian cyst after a few days, usually 3-5 days. Care for sutures and their subsequent removal is carried out in the clinic by place of residence.
Typically, a woman restores health to the end of the second week after surgery. Sick leave is given at this time, but may be closed earlier.
In conclusion, I must say that thanks to laparoscopy women have received prompt and effective treatment of diseases of the genital organs without significant damage to the abdominal wall. Cysts can solve the problem of infertility, especially with all the rules and recommendations of experts.
Pregnancy may occur in the next menstrual cycle after surgery. It is therefore essential to consult with your doctor, how long after surgery to protect, not to harm the healing and recovery of the body after surgery.