Gynecology: Laparoscopic Coagulation of Endometriotic Lesions and Dissection of Adhesions in Endometriosis with adhesions
Endometriosis is called a benign uterine mucosal proliferation beyond the uterus (e.g., in ovaries, fallopian tubes, kidneys and so on). The disease is inevitably accompanied by an inflammatory process, which becomes the cause of adhesions in the abdominal cavity. Simultaneous removal of endometriosis sites and destruction of adhesions is carried out during laparoscopic surgery.
The intervention takes place under general anesthesia. On the front of the abdominal wall, the surgeon makes 3 punctures, 1.5 to 2 cm in size. Into one of them, the physician inserts a laparoscope, an optical instrument to monitor the progress of surgery. The microsurgical instruments are inserted into the remaining punctures.
Endometriosis foci are destroyed using endocoagulator, a wire loop, to the end of which the electric current is delivered. Touching by the heated loop causes rapid destruction of tissues. Endocoagulation of growths is performed consistently in all areas of the peritoneum, moving from one formation to another. The adhesions are dissected with scissors or forceps. The manipulation tasks 1 to 1.5 hours.
After surgery, the patient is transported to the ward, where she remains under medical supervision. At the discretion of her physician, the painkillers and antibacterial agents may be recommended. In order to prevent the recurrence, the hormone therapy is prescribed. In the absence of complications, the hospitalization duration does not exceed 3 days.Hide
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