Laparoscopy of the uterus: how’s it going, complications and rehabilitation
Laparoscopy is an innovative method of diagnosis and treatment of various gynecological diseases, which is characterized by a small degree of traumatism and a minimum percentage of severe complications. Laparoscopy is one of the best minimally invasive techniques and is used for the diagnosis and treatment of many diseases, often gynecological. In most case, it is the laparoscopic method is used for the treatment of benign and malignant tumors in the tissues of the uterus, defects in the normal structure of the body, as well as various gynaecological diseases, in particular of fibroids.
The advantages of the laparoscopic method
Removing uterine fibroids laparoscopically, and the application of techniques for treatment of other diseases is popular due to its numerous advantages.
- One of the major advantages of laparoscopy is the low degree of trauma, as well as the almost complete absence of serious consequences that often occur when performing other types of surgical treatment.
- In the majority case, laparoscopy is characterized by the absence of intense postoperative pain, the recovery period is going well.
- Organs of the female reproductive system quickly recovered, their functioning is normalized. In this adhesive process is minimal, and the bleeding.
- Laparoscopy fibroids has an important advantage – it allows you to save the uterus of the woman. This is a very strong argument in favor of this procedure, especially for nulliparous women.
- Short rehabilitation period – in most cases within a few hours the woman is allowed to get out of bed, and after 4 to 6 days after surgery the patient can leave the hospital.
- Laparoscopy fibroids is the most effective treatment method, particularly if we are talking about fibroids of large size. The risk of recurrence and growth of new fibroids site is minimized.
- After surgery on the surface the abdomen has no serious scars that are eternal «companions» to other types of surgical treatment.
How is laparoscopy
If a woman was diagnosed with «uterine fibroids,» the treatment of laparoscopic method is the most optimal. What is this disease? Myoma is a benign tumor on the surface of the uterus, which develops as a result of hormonal failure in the female body or mechanical injury to internal genital organs.
When performing a laparoscopy fails to remove the node of large size. If the woman has many nodes small nodes in one procedure to remove several tumors. The most important advantage of this method is the fact that the uterus is absolutely not damaged and remains fully functional.
Laparoscopy in the uterus takes place with the use of General anesthesia. The surgery technique looks like on the abdominal wall is 3 to 4 small puncture, through which introduced a special device with a tiny video camera and light source, as well as laparoscopic instruments, and through which made the removal of benign tumors from the surface of the uterus. Also inside the abdominal cavity is fed carbon dioxide. The introduction of the last needed to enlarge the operative field, improving visualization of all the internal organs, and to create space for the free control of laparoscopic instruments.
Throughout the process of surgery, the surgeon carefully monitors every move a camera and large monitor. This allows you to make each movement as precise and neat. Total duration of surgery is usually not more than two hours – depending on the number miomni nodes and their sizes.
Laparoscopy permitted on any day of the menstrual cycle. The only ban to be considered are those critical days. It should be noted that the removal of fibroids by laparoscopic approach is recommended only if the size of the nodes does not exceed 4 to 5 cm. In a situation when the size of the benign tumors larger than 6 centimeters, its deletion is only performed by traditional surgery. For large miomni nodes recommended abdominal surgery.
Contraindications to laparoscopy
Laparoscopy fibroids despite all its numerous advantages, has a number of contraindications. This method does not apply if:
- the woman has various diseases of the lungs, heart or circulatory system;
- the patient recently had a stroke or myocardial infarction;
- there is a serious problem with blood clotting;
- diagnosed with renal dysfunction and liver;
- there are cancers of the pelvic organs.
There are also a number of so-called relative contraindications – this means that the laparoscopy is possible, but only in case the normalization condition of the patient. These include: obesity, infectious diseases in the acute stage, anemia, hypertension.
Complications of laparoscopy the uterus
As a result after any surgery, after a laparoscopy, you may experience certain complications. Fortunately, they are extremely rare – there are no more than 1 — 2% of all cases. The possible consequences of the operation:
- mechanical damage of internal organs by surgical instruments or trauma during insertion into the abdominal cavity of carbon dioxide;
- the rupture of a blood vessel during the implementation of the puncture;
- opening internal bleeding;
- the ingress of carbon dioxide into the subcutaneous fat;
- damage to bowel, urinary tract and other internal organs.
Rehabilitation after laparoscopy
Recovery period after laparoscopic removal of uterine fibroids begins with the departure from the anesthesia. In most cases, a few hours after surgery, the woman is recommended to get out of bed and walk a bit. Need to move carefully and gradually; sudden movements can not be. Walking is recommended in order to normalize the blood circulation in the pelvis. For days after this procedure allowed to consume only water. In the first days after surgery, women may experience increased body temperature is a normal phenomenon, not requiring intake of any medicines.
Daily throughout the period of rehabilitation is made by grouting with special antiseptic agents, as well as regular change of dressings. For four weeks after laparoscopic removal of uterine fibroids is not recommended to play sports and do any physical activity, you should provide full rest the lower abdomen and in no case do not force the muscles to strain. You should also not lift weights more than 3 kg.
The limitation also applies to sexual activity. Not less than a month you should completely refuse from sex – a return to a normal sex life is allowed only after 25 — 30 days after surgery. It should be remembered that after a laparoscopy of the uterus to get pregnant it is recommended not sooner than 6 — 8 months.
During rehabilitation after laparoscopy are not allowed to visit baths, saunas, pools, tanning beds or the beaches.
During the recovery period after removal uterine fibroids it is extremely important to follow a proper diet. This is necessary in order to rejuvenate the female body, boost immunity and improve health. The diet should be followed for at least 2 — 3 weeks – so much in the majority of cases lasts for the recovery of the body after the surgery.
At the time of rehabilitation should be restricted to eating fatty, fried, spicy or savoury. From the diet should completely eliminate any alcoholic and carbonated drinks, strong tea, coffee and cocoa it is best to choose non-carbonated mineral water, berry and fruit compotes, fruit drinks, yogurt. Also for rapid recovery after surgery, need to give up pickled and canned food, cabbage, corn, beets and other gas-forming foods, fatty meats, lard and other fats of vegetable origin. Should not eat cakes, pastries and other confectionery products.
The basis of the daily menu of women after laparoscopy should be cereals, fresh vegetables, berries and fruits, bread with bran, lean meats, soups and broths, peanuts, walnuts, almonds. From cereals are allowed to eat buckwheat, rice and oatmeal. You can add nuts, pieces of sliced fruit for a delicious, nutritious and healthy dish.