Laparoscopic endometriosis surgery

Endometriosis (also called endometritis) is a disease where there are cells in the lining of the womb (called the endometrium) outside the womb. It affects young women of childbearing age.

Physiologically, in the uterine cavity, the mucosa grows along with the menstrual cycle, then swelling with loosening until it collapses, followed by menstrual bleeding. The situation is different in endometriosis: endometrial cells outside their natural place, i.e. outside the uterine cavity, change and react to hormonal stimuli in the same way as cells in the correct location.

Therefore, in the premenstrual period, due to the growth of endometrial cells in a limited space and the accumulation of blood that cannot be excreted, the focus – that is, the endometriosis cluster – becomes enlarged with symptoms of pressure on the surrounding tissues. These changes involve local inflammation and the formation of adhesions. This leads to troublesome pain, which is strongest in the run-up to menstruation and during menstruation.

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At the beginning of the procedure, carbon dioxide is injected into the abdomen to create a pneumothorax. The gas raises the abdominal wall to allow the insertion of laparoscopic instruments. Then, through small incisions in the navel, a camera, a light source and micro-tools are inserted into the abdominal cavity. The monitor obtains a color image with high magnification and very high resolution. Thanks to the micro-tools, the adhesions formed as a result of the disease are removed and the endometrial cysts of the ovaries are ejected or opened, emptied and coagulated. Sometimes it removes the entire ovaries, bladder wall fragments and even parts of the intestine damaged by the disease. The removed lesions are removed from the abdominal cavity through one of the previously made incisions. After the procedure is completed, the instruments from the abdominal cavity are removed and the previously introduced carbon dioxide is released. Cosmetic sutures are applied to the wounds left by the introduced tools.

Always remember to inform your doctor about any medications you are taking and any comorbidities during your consultation. Patients diagnosed with endometriosis and indicated for laparoscopic endometriosis surgery are qualified for procedures during consultations at the Gynecological Outpatient Clinic. The recommended preparation for the procedure or the tests required may vary depending on the procedure. For this reason, before the procedure, a comprehensive diagnosis should be performed in accordance with the doctor’s recommendations and properly prepared for the operation.

A few hours after the procedure, the patient can drink liquids, and after a dozen or so hours, she can start consuming easily digestible foods. The patient is discharged home the day after the operation. Since the pain after the procedure is very small, he only uses generally available painkillers at home. After the treatment, you can return to your daily activities after 3 days, and to full activity after about 7-10 days. It is recommended that you follow an easily digestible diet for several days after surgery.

During the consultation, the doctor should be informed about any comorbidities or medications taken by the patient. It is also important to follow your doctor’s instructions, both before surgery, including all necessary diagnostic tests, and after surgery.


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