Surgical treatment of endometriosis

Endometriosis is a serious gynecological disease, the complications of which can be infertility, bleeding, the need to amputated the uterus. In early diagnosis, radical treatment is possible by sparing minimally invasive intervention.

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Endometriosis is a common autoimmous-inflammatory disease in women 25+, in which tissue growths similar to the inner layer of the uterus occurs, outside the genitals. Among the risk factors: metabolic disorders, hormonal failure, genetic predisposition, uterine wall damage, immune diseases.Surgical treatment in Olympus clinics is performed by various minimally invasive high -tech methods. The most secure, sparing way is hysteroscopy. She copes with small foci in the uterus, cervical canal. If the disease goes outside the female organ into the abdominal cavity, then laparoscopy is performed - removal of endometriosis through micro -proocols on the anterior wall of the abdomen.Functional gynecology in Olympus Clinic can significantly reduce the time of surgery, eliminate the cause of the pathology, reduce the risk of tissue damage and accelerate the patient rehabilitation process.

Показания и противопоказания

Показания

Large foci of endometriosis

An increase in foci of endometriosis to 2 cm or more

The presence of endometrioid ovary cysts

Pathological neoplasms in the ovary

Long abundant bleeding

Abnormal blood discharge from the uterus

Education of adhesions

Fighting internal organs and peritoneum

Infertility

Inability to conceive a child in a childbearing age

Extogenital endometriosis

Pathology that causes the formation of endometriotic foci outside the sex

Процесс проведения

01 Consultation before the operation

During the initial consultation, a gynecologist-surgeon conducts a clinical examination of the patient. Complex diagnosis is prescribed: blood and urine tests, a smear from the vagina for Bakposev. Dressed laboratory diagnostics may be prescribed depending on the related diseases. To determine the degree of endometrial growth, an ultrasound of the pelvic organs, diagnostic hysteroscopy, CT and MRI, as well as colonoscopy are carried out. Based on the data obtained, the doctor selects the type of operation, determines the time of its conduct. Typically, minimally invasive surgery is carried out in the first half of the menstrual cycle. A few days before the planned date of the operation based on the results of the examination, the patient meets an anesthesiologist for individual selection

02 Gynecological surgery

Hospitalization takes place in the morning on the day of the operation. The last intake of water, solid food should be at least 6 hours before planned surgery. Immediately before the operation, it is necessary to empty the intestines and bladder. Surgical treatment of endometriosis is carried out using spinal or general anesthesia. Hysteroscopy is performed using a special high -precision hysteroscope, which is inserted into the uterus through the vagina. The device allows you to study in detail the inner layer of the uterus, detect foci of endometriosis and remove them under visual control. Laparoscopy gives access to foci of endometriosis through micro -proocols on the front wall of the abdomen. With the help of a laparoscope, a gynecologist-surgeon finds foci of endometriosis and performs the necessary manipulations with special tools under visual control. Laparoscopy makes it possible to minimize the cuts of the abdominal wall, carefully remove the pathology without the risk of the formation of adhesions, the occurrence of complications. An extract occurs, as a rule, on the day of the operation after hysteroscopy and a day after laparoscopy.

03 Postoperative period

After the operation, the appointments and recommendations of the attending physicologist are issued. A week after the operation, you can return to the usual working graphics, if it does not include significant physical stress, hard work. Typically, the next step after minimally invasive surgical intervention is prescribed hormone therapy of endometriosis in order to prevent the relapse of the disease.

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