Gynecology: Chronic parametritis — Laparoscopic resection and parametrial tissues removal. Treatment
Chronic parametritis is a prolonged infectious inflammatory disease affecting the parametrium tissue located around the uterus. Long-term inflammation leads to formation of adhesions deteriorating the clinical picture of the disease and interfering in its treatment. Conservative treatment brings temporary improvement, but in more than 60% cases, parametritis symptoms continue to bring a significant discomfort to a woman, which can be removed by surgery only.
The indications for surgical treatment of chronic parametritis are determined by the professional, based on the case history, as well as general clinical and pelvic examination findings. Surgery is usually performed under general or spinal anesthesia.
Surgery implies the laparoscopic excision and removal of the affected parametrium tissue. Access is implemented through a few small incisions-punctures, through which the surgeon inserts laparoscopic instruments and a miniature camcorder for visualization. The complexity of surgery is determined by the need to dissect the adhesions, which may impede the complete removal of the altered parametrium. Modern equipment and highly qualified surgeon allow hoping for a favorable outcome in 93% cases.
The patient stays in the clinic with a full board for up to 3 days. She is discharged after the follow-up examination and receipt of further recommendations for outpatient treatment and prevention of gynecological and abdominal inflammatory diseases.Hide
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