Laparoscopy For Endometriosis
Best endometriosis doctor in Bangalore
Laparoscopy is the gold standard modality to diagnose endometriosis . This technique is used to diagnose and treat endometriosis. Small cuts are made in the abdomen and a thin tube laparoscope, with a camera and light is attached to it.
Visualisation of pelvic organs is done to see any endometrial tissue and this is cauterised . Endometriomas ( choclate cyst of the ovary as it is popularly called ) are excised if present. This is the most effective form of treatment.Sometimes heat or laser energy ( called ablation ) is used to remove the endometrial tissue.
The surgeon uses specialized surgical instruments that are inserted through these small cuts and the procedure is performed. Looking for the best endometriosis doctor in Bangalore? Then visit Dr Sunil eshwar today.
Diagnosis
This condtion is an enigma and difficult to diagnose because its vague symptoms which can be similar to other conditions like fibroid, adenomyosis, pelvic inflamatory disease. The presentation of symptoms can be varied for an indivdual and all experience some other symtoms.Some of the pointers to diagnose this condtion is as follows.
- Symtoms - painful periods ,heavy bleeding, incapication to do routine work, , pain during sexual intercourse ,pain while passing stools or urine
- Pelvic Examination - internal vaginal examination can reveal the pain and nodules of deposits of tissue could be felt between vagina and rectum
- Imaging tests such as USG , MRIor a CT scan can be used to detect cysts and delineation of anatomywhether they are in normal in postion or not.
- Laparoscopy - Gold standard and the definitive way to diagnose endometriosis
- Biopsy may be taken to confirm endometriosis while laparaoscopy is performed
- Painful periods - not responding to medicines
- Painful intercourse
- Chronic pelvic pain- affecting the quality of woman's daily life
- Large endometriomas > 5 to 7 cm
- Infertility or difficulty in conceiving
- Bowel or bladder problems related to endometriosis, such as constipation or urinary urgency
Laparoscopic cystectomy is performed using specialized instruments and a laparoscope, which is a thin, lighted tube with a camera that allows the surgeon to see the cyst and surrounding tissue on a video monitor. The procedure is typically performed under general anesthesia and can take several hours, depending on the size and location of the cyst.
Here are the general steps involved in a laparoscopic cystectomy:
- It is done under general anesthesia, where the woman is not conscious .
- 2 to 3 small (0.5 cm)incisions are made in the abdomen to allow for the insertion of the laparoscope and other surgical instruments.
- The pelvic and reproductive organs are examined through the videolaparoscope.
- Normal pelvic anatomy is examined or any adhesions, cysts, and scar tissue if present are tackled .A biopsy of any abnormal tissue to confirm the diagnosis.
- If endometriosis is present, specialized instruments are used to remove or destroy the abnormal tissue. Depending on the extent of the endometriosis, this may involve removing adhesions, cysts, or tissue that has grown outside of the uterus.
- Once the surgery is done, the instruments are removed and the incisions are closed with sutures.
Time taken for laparoscopic surgery for endometriosis takes around 1-2 hour and this depends on size site and extent and location of endometriosis.
It is a simple surgery then the patient is discharged the same day . If the surgery was complicated then a 2 day stay would be advised till recovery and the patient is ambulated passed urine and moved her bowels.
- Less pain , better cosmesis
- Faster recovery and ambulation
- Shorter Hospital Stay
- Reduced Blood Loss
- Reduced Risk of Infection
- Bleeding
- Infection - fever ,foul smelling discharge per vagina , swelling and pain at operated site which is severe
- Injury: surgery can cause damage to the bladder, bowel, or other pelvic organs though this is rare
- Anesthesia Complications: General anesthesia can cause certain complications, such as allergic reactions, breathing problems, or heart issues
- Postoperative Pain: Some women experience pain or discomfort after surgery, which can be managed with simple pain killers
- Infertility: surgery for endometriosis can affect a woman's fertility as we remove the ovarain tissue
- Cost: expensive
- Limited Effectiveness over time
- Risk of Recurrence
A highly skilled and experienced gynecologic surgeon who has done specialized training in minimally invasive surgical techniques. This may include a gynecologist who has obtained medical degree in minimally invasive gynecologic surgery or a general surgeon with specialized training in laparoscopic techniques.
It's important to choose a surgeon who has a high success rate with laparoscopic surgery for endometriosis and who has experience managing the potential complications that can arise during the procedure. You should also feel comfortable discussing any questions or concerns you have with your surgeon, and they should be able to provide you with clear information about what to expect during the surgery and the recovery period.