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Laparoscopy for endometriosis

Laparoscopy for endometriosis is a minimally invasive surgical treatment method that allows you to diagnose and remove endometriotic foci located in the pelvic organs, such as the ovaries, uterus, fallopian tubes, intestines, etc. Laparoscopy is the gold standard for the treatment of endometriosis, as it allows you to preserve organ function and reduce the risk of postoperative complications.

Indications for laparoscopy for endometriosis:

Confirmed diagnosis of endometriosis, including deep endometriosis.
Chronic pelvic pain that is not amenable to conservative treatment.
Fertility problems that may be caused by endometriosis.
Pelvic organ dysfunction, such as painful urination or defecation.

How is laparoscopy performed?

Preparation:

The patient undergoes the necessary examinations, including blood tests, ultrasound or MRI. The doctor discusses all the details of the procedure with the patient.

Procedure:

The operation is performed under general or local anesthesia.
A laparoscope and special instruments are inserted through small incisions (1-2 cm).
The doctor examines the pelvic organs and removes endometriotic foci.
The foci can be removed by cauterization, resection or other methods, depending on the severity and location of the endometriosis.

Postoperative period:

The patient can usually be discharged a few hours or a day after the operation.
Recovery takes from several days to several weeks, depending on the extent of the intervention.
Monitoring of health and possible further consultations with a gynecologist or surgeon.

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Advantages of laparoscopy:

Minimal incision: Instead of large incisions, laparoscopy allows for the use of only small punctures.
Rapid recovery: After surgery, the patient usually recovers faster and can return to normal activities.
Minimal complications: Since the intervention is minimally invasive, the likelihood of postoperative infections and complications is significantly reduced.
Diagnostic capabilities: Laparoscopy allows not only to treat, but also to make an accurate diagnosis of endometriosis.

Rehabilitation after laparoscopy:

Slight restriction of physical activity for several weeks after surgery.
Recommendations for diet and drug therapy to reduce pain and inflammation.
Supportive hormone therapy to prevent recurrence of endometriosis.
Laparoscopy is a very effective method of treating endometriosis, which allows you to minimize risks and speed up the recovery process.

How is the consultation before laparoscopy for endometriosis?

Primary reception:

Taking an anamnesis: The doctor asks the patient in detail about the symptoms (pain, irregular menstrual cycle, fertility problems) and conducts an examination.
Discussion of medical history: The doctor learns about the presence of chronic diseases, allergies, previous operations or other medical problems in order to take them into account when planning treatment.
Assessment of the general state of health: The doctor checks the general status of the patient, her weight, blood pressure and other important indicators to determine suitability for surgery.

Surveys:

Ultrasound examination (ultrasound): To detect endometrioid lesions, especially if there is a suspicion of damage to the ovaries or other pelvic organs.
Magnetic resonance imaging (MRI): For a more accurate assessment of the extent of endometriosis and determining the size and location of foci.
Laboratory tests: blood for general and special indicators (for example, hormone levels), as well as urine tests.
Cystoscopy or rectoscopy: If there is a suspicion of damage to the bladder or intestines.

Discussion of the treatment plan:

Presentation of examination results: The doctor explains the examination results to the patient in detail and determines the need for laparoscopy.
Explanation of surgical intervention: The doctor explains how the operation will proceed, what exactly will be removed and what methods will be used for treatment.
Discussion of risks and advantages: The patient receives all the necessary information about possible complications, as well as about the advantages of laparoscopy, including quick recovery and minimal postoperative pain.
Rehabilitation plan: The doctor determines what kind of recovery process is expected and gives recommendations on physical activity, nutrition and medication after the operation.

Preparation for surgery:

Examinations before surgery: If the consultation was successful, the doctor will prescribe additional examinations to prepare for surgery.
Discussion of anesthesia: The doctor, together with the anesthesiologist, determines the type of anesthesia (general or local) depending on the patient's condition and the volume of the operation.

Appointment for surgery:

The patient chooses a convenient time for the operation, agrees on the date and receives recommendations on preparation for the surgical intervention.

Consultation is an important stage in the treatment of endometriosis, as it allows you to accurately determine the need for laparoscopy and prepare the patient for the operation, ensuring maximum comfort and minimal risks.