Consequences of laparoscopy in pregnant women and in myomectomy
author: doctor Kuznetsov MA
Like any other operation, laparoscopy has its consequences and complications. Despite the fact that laparoscopy refers to minimally invasive surgery, it is characterized by the same problems as for a normal operation. Depending on the type of laparoscopy, its effects are typical.
Laparoscopy in pregnant women
In medicine, it was always considered that laparoscopy during pregnancy is an absolute contraindication. However, in recent years, medicine has changed the attitude to this intervention and is now increasingly using laparoscopy for gynecological and other types of medical care. With proper preparation for laparoscopy and competent surgery, the consequences after laparoscopy can be avoided.
Theoretically there is a risk of pneumoperitoneum - a situation where air penetrates into the abdominal cavity. Normally, there is no air between the peritoneal sheets, and with laparoscopy during pregnancy several factors appear that contribute to pneumoperitoneum. During pregnancy, metabolic processes in the body are intensified and respiration is increased. Also, the volume of the lungs as the fetus develops reduces its physiological capacity.
In addition to pneumoperitoneum, there is a risk of fetal hypoxia. This is due primarily to the inadequacy of lung function during laparoscopy.
Laparoscopy is done under general anesthesia, which usually increases intra-abdominal pressure. This factor can also contribute to fetal hypoxia.
There is a low probability of damage to the uterus by a trocar, a tool inserted into the abdominal cavity at the onset of laparoscopy. As the gestation period increases, the introduction of the first trocar increases the risk of damage to the uterus. There were cases of pneumoamnion - the situation when air enters when the trocar enters the fetus.
Pregnant women are recommended to perform laparoscopy in the first or second trimester of pregnancy. In the last trimester of pregnancy, laparoscopy is performed as a last resort.
When removing the uterus, the operation of the myomectomy, there is a possibility of its rupture. The situation when the uterus ruptures is observed quite rarely, less than one percent of all operations. It is believed that in this consequence of laparoscopy, the operating one is to blame. This happens either because of improper suturing of the uterus or if a space has been left where subsequently a postoperative hematoma was formed.
It is necessary to comply with all the doctor's recommendations before and after laparoscopy, follow a diet after laparoscopy and monitor your self-esteem. Be healthy.
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author: doctor Demchenko N.I.
Aspiration of the uterus cavity is included in the group of small gynecological operations. Depending on the purpose of the intervention, aspiration of the uterine cavity can be diagnostic, therapeutic and aspiration of the uterine cavity with the purpose of abortion (mini-abortion). Such a procedure is performed under local anesthesia or under general anesthesia.
author: doctor Obukhova Yu.A.
Varicose veins of the cervix are a pathology that occurs in women of predominantly childbearing age. It is manifested by the widening of the veins of the cervix and their fullness. Very often this disease is combined with varicose veins of the uterus, ovaries, large labia, vagina and lower limbs. In most cases, varicose veins develop during pregnancy.
author: doctor Tyutyunnik DM
To date, it is very difficult to overestimate the urgency of the social and medical problem of miscarriages in a situation of a sharp increase in mortality and a decrease in the birth rate.
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
Laparoscopy of the gallbladder (laparoscopic cholecystectomy) is an endoscopic operation to remove the gallbladder. Laparoscopic examination of the gallbladder is also possible, but it is much less common.
Diagnostic laparoscopy of the cholagogue system can be carried out for oncological suspicions or clarification of the diagnosis of bile duct outflow in the absence of gallstones (eg, adhesive process).
author: doctor Kuznetsov MA
Laparoscopy, performed with polycystic ovary syndrome, is performed to remove cystic lesions. If the diagnosis is not determined, then a diagnostic laparoscopy is performed, which in turn can also go on when cysts are detected in the procedure for the removal of cystic ovaries.
The procedure for removing cysts laparoscopically involves two main causes: infertility and correction of the hormonal background of a woman.
author: doctor Valiullina Z.S.
The gallbladder is located at the lower edge of the liver, serves to accumulate bile. With certain diseases of the gallbladder, there is a need for its surgical removal. The operation is called cholecystectomy. The most sparing option is laparoscopic cholecystectomy, when the incisions of the anterior abdominal wall are not used to remove the gallbladder, but small punctures in it.
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).