Laparoscopy of uterine fibroids
author: doctor Kolos EV
Myoma of the uterus is a benign neoplasm of the nodular form, consisting of muscular or serous tissue. Located in relation to the anatomical parts of the organ can be on the neck, isthmus or the body of the uterus, and in relation to the layers - submucous (under the mucous layer), inside the muscle layer, and subserosely (under the serous membrane of the organ).
To date, uterine fibroids are easily treated, both conservative and surgical. Since this pathology is diagnosed often at the stage of expressed dimensions of the myomatous node, the treatment usually ends on the operating table.
In modern surgery, the laparoscopic method of treatment is increasingly used, and in this case preference is given to this method of surgical intervention.
The essence of such an operation is the use of a laparoscope by surgeons - a special optical camera with a multiple magnification. Thanks to such a tool, one can "look" into the abdominal cavity with minimal trauma, since only 3 punctures with a diameter of about 5 mm are made in the abdominal wall, one of which is injected with a laparoscope, and the other two with special manipulators for the operation.
In order not to injure internal organs with instruments and improve the view of the organ under operation, gas is injected into the abdominal cavity before the operation, which raises the abdominal wall and expands the field of the surgeon's activity.
Laparoscopic removal of uterine fibroids is performed when it reaches a diameter of 3 cm or more, and only if the node grows toward the abdominal cavity (from the muscle mass, or subserosally). In this case, under the supervision of the camera, the image of which is broadcast on the screen in the operating room, the manipulation of the myoma is performed. After that the organ wall is closed.
The advantages of laparoscopy
This method of treatment can also be used as a diagnostic option. Thus, during the operation, additional nodes can be found, which are deleted in one step from the previous node. And if a pathology of the uterine appendages is found, it is possible to simultaneously perform the operation on these organs. This is the great advantage of laparoscopy over laparotomy:
1- minimal traumatism for the patient
2-the possibility of simultaneous removal of several nodes or an operation on appendages
3- minimal hemorrhage
4- rapid recovery after surgery.
In cases of detection of huge fibroids, or the presence of nodes in large numbers, the question of supravaginal amputation or extirpation of the uterus is solved. In the event that a woman is nulliparous, such a question is put in extremely rare cases. Read about the effects of laparoscopy in myomectomy by reference.
With the advantages of laparoscopy, its disadvantage is only that such equipment is expensive, and only such specially trained surgeons can perform this procedure. There are also spotting after laparoscopy , soreness and discomfort in the access zone, but usually it takes a few days.
Thus, in the treatment of uterine fibroids, preference is given to laparoscopic surgery, which allows a woman to be cured of this pathology, with minimal harm to her health.
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author: doctor Krivoguz I.М.
Nabotova cyst of the cervix (named after the scientist who discovered the glands in the cervix) is an education in the vaginal part of the cervix. This formation occurs as a result of occlusion of the excretory ducts of the glands of the mucous membrane and the accumulation of a secretion of glands in the form of cysts.
author: doctor Ambrosova I.A.
Almost 40% of miscarriages occur due to ICS (ischemic-cervical insufficiency). This pathology occurs against the background of failure of the uterine neck and painful opening of the uterus. This condition in the second trimester of pregnancy entails the prolapse of the bladder or the outflow of amniotic fluid. In the third trimester of pregnancy, ICI can cause premature birth.
author: gynecologist Gurshtynovich VM
Ligation of the fallopian tubes refers to surgical methods of contraception. And it is practically irreversible reliable method of preventing unwanted pregnancy for women.
author: gynecologist Artemova M.V.
This procedure is of a surgical nature, which is otherwise called medical sterilization. During this operation, the pipes are blocked, cut or bandaged. The operation is considered one of the effective, guaranteeing 99% of the absence of pregnancy. Only not many can come, when there is a passage for spermatozoa, and also for an incorrect operation.
author: doctor Kuznetsov MA
Before you start laparoscopy, you need a doctor's consultation. The doctor asks the patient about the concomitant diseases in order to identify contraindications.
author: doctor Kuznetsov MA
To get pregnant with the syndrome of polycystic ovaries, you need to make the right treatment. After all, with PCOS, the maturation and ovulation of the egg are broken, and hence pregnancy without treatment may not be.
author: doctor Kuznetsov MA
Cholecystectomy or removal of the gallbladder is a frequent operation, carried out for various reasons. First of all, it is the gallstones that accumulate in chronic calculous cholecystitis.
Gallstones occur because of a violation of cholesterol metabolism, bile pigments and bile acids. They can both clog the outflow in the gall bladder itself, and get stuck in its ducts, and also cause inflammation of the gallbladder walls.
author: doctor Kuznetsov MA
Pregnancy in the syndrome of polycystic ovaries largely depends on the woman herself. If you want to give birth to a full-fledged child, a woman can undergo not only a course of conservative therapy, but also undergo surgery, and also try a combined treatment. Combination therapy includes conservative treatment before and after surgery.