The cauterization of the ovaries: features of the procedure
Cause of female infertility can be a functional disorder of the sex glands and polycystic ovary syndrome. This pathology is often not amenable to traditional drug therapy. Here comes to the aid of modern surgery, with its high-performance techniques, such as cauterization of the ovaries.
What’s the problem?
Polycystic ovary syndrome — a widespread phenomenon, which interferes with the mechanism of maturation of the follicles. Developing normally at first, the egg at the time of ovulation can not leave the ovary as follicular sheath is not broken. This is due to disruption of hormonal regulation of the functions of the reproductive system. Luteinizing hormone is produced in insufficient quantities or sex gland does not respond to it. The follicle continues to develop further, becoming a cystic bladder with a thickened capsule, filled with liquid contents.
This anomaly is repeated from cycle to cycle, the follicles one by one obolyut, forming cysts, clearly discernible on the surface of the ovary. Of course, if polycystic woman cannot conceive, as the egg does not leave the sex gland and does not go into the uterus where it might meet with the sperm.
Experts believe this condition is not a disease, namely, a syndrome feature of the functioning of the body, emphasizing that PCOS is not treated completely. However, a number of measures by which a woman with a similar anomaly can still get pregnant. This medical therapy, and surgery.
Surgical treatment of polycystic ovary
Modern surgery uses a highly efficient technology of access to the internal organs, and manipulation. Operations are less traumatic, and recovery more rapid. If earlier to access the body cavity was required to make a long incision in the abdominal wall, surgeons now use laparoscopic technology, in which instruments are inserted through several small punctures.
To ovulation in polycystic ovarian syndrome, you must in any way affect the formed cyst and the thicker the capsule bodies. The following techniques are used:
- Wedge resection — excision of the ovary in the region of the pole;
- Decortication — cutting the top of a dense layer of the capsule with an electrode;
- Electrodrilling — removal of cystic cavities of the influence of an electric current;
- Cautery — cautery follicular cysts.
The specific kind of surgery, the doctor determines, given the General state of the patient and the complexity of the pathology.
Laparoscopic cauterization of the genital glands
The essence of the operation consists in the removal of multiple ovarian cysts by cauterization. Compared to a classic resection of the damage to the body is minimal and recovery of the patient occurs very quickly.
To influence on use of needle monopolar coagulator or laser armorology. Under their action destroyed a thick cystic capsule, the liquid from the cavity of the cyst begins to drain out through the hole. Ovaries by the end of the operation is markedly reduced in volume, soon restored ovulation.
Preparing for surgery
Laparoscopic surgery is easier tolerated by patients, however, in any case, intervention in the holistic organization of the body, so they also need to prepare carefully. The patient is assigned a number of studies:
- General and biochemical blood tests;
- definition of RH factor and blood group;
- coagulation (definition of blood clotting);
- tests for HIV, hepatitis, syphilis;
- swab of the vagina for determination of microflora;
- chest x-ray.
The results of these tests are very important because any problem in the body can lead to complications during the operation.
In addition, patients with obesity are recommended before surgery to conduct its correction.
The operation is prescribed on any day of the cycle other than the menstruation to avoid excessive bleeding. Starting the night before surgery you should stop eating and drinking. The bowel is cleaned by enemas, so its volume is decreased.
Surgery is performed under General anesthesia and lasts about 30-40 minutes.
- In the body cavity is pumped carbon dioxide. This measure is necessary in the case of laparoscopy, to raise the abdominal wall and to provide the doctor workspace.
- Three small holes (one above the navel, two on each side) into the abdominal cavity introduces a laparoscope manipulators of the necessary surgical instruments (forceps, coagulator) camera, the image which is transmitted to the monitor.
- Controlling their actions on the monitor, the surgeon performs the necessary operations: captures the sex gland with forceps, and fix it in a comfortable position, the needle coagulator or laser makes the incisions on the surface of the body, destroying cystic capsule.
Blood loss during surgery is minimal. The patient is still some time in the hospital under supervision of doctors. If contraindications are not detected after 2-4 days she can leave the clinic.
After laparoscopic cauterization of the ovaries recover quickly, punctures in the abdominal wall heal within a short time. Postoperative rehabilitation consists of course vitamin and receive drugs that stimulate ovulation.
In the early days you may feel some discomfort in the lower abdomen, bloating. These effects are associated with the gas used during surgery, they pass within a few days. Taking pain medications usually are required.
The patient is encouraged to move actively, to comply with a therapeutic diet, eat often but in small portions, so as soon as possible to restore bowel function.
Pregnancy after ovarian cautery
Hot wax is so effective that often a woman cannot get pregnant the first cycle after surgery. On average, conception should be planned after 2 months—six months.
Laparoscopic cauterization significantly increases the chances of a successful pregnancy in all women suffering from polycystic syndrome.