Women's health is very finely balanced, even the most minor factors can adversely affect it. The consequences of such influence can be either insignificant or entailing serious illness. One of them is an ovarian cyst, a disease that threatens the life of a woman.
What is laparoscopy in gynecology
The most modern method of surgery is laparoscopy. From the traditional it is distinguished by a low degree of traumatism - the operation passes through a puncture of the skin of 0.5-1.5 cm in size. A laparoscope - a tube with lenses, connected to a video camera that shows an image of high definition came to the aid of a surgeon. The abdominal cavity of the patient is "puffed" with carbon dioxide to create a free space for manipulation. The spectrum of laparoscopy is very wide: from diagnosis of intestinal diseases to operations on the pelvic organs.
The laparoscopic method of operating is very widely used in the treatment of gynecological diseases. With infertility, chronic pelvic pain, diagnostic laparoscopy is performed if there is a suspicion of adhesions or endometriosis - a very accurate method for identifying the causes of the disease. With the detection of endometriosis, fibroids, ovarian cyst, already performed laparoscopic surgery.
Resection of the ovary
Resection of the ovary is one of the varieties of surgical intervention in the treatment, for example, of infertility. Indication for the operation is the follicular cyst, dermoid and endometrioid diseases, polycystosis. Previously, resection was carried out through a small incision of the abdominal wall, and today an operation to remove the cyst on the ovary is performed laparoscopically, almost without consequences.
Adnexectomy of the ovary
Adnexectomy - removal of the ovary and / or fallopian tube. Indications for it are endometriosis of the fallopian tubes, tubal pregnancy, purulent lesion of the appendages. In the absence of contraindications, the operation can be performed by laparoscopic method, in the presence of cardiovascular diseases, benign or malignant formations in the uterus, peritonitis, blood clotting disorders - laparotomically, i.e.through the cut. Monthly bleeding and menopause are not contraindications, but during the cycle start the operation is not carried out.
Pregnancy after laparoscopy
The best and fastest way to get rid of infertility is laparoscopy. The timing of pregnancy depends on the problem eliminated by the doctor. For example, after the elimination of the most common cause of infertility - tubal adhesions - pregnancy can occur already in the current cycle. When laparoscopic ovarian cysts the body needs up to three months to recover, then one should expect a long-awaited pregnancy.
Cost of ovarian cyst removal
In Moscow, laparoscopy of the ovarian cyst costs from 15 to 100 thousand rubles, an average of 30 thousand r. The exact price depends on the clinic and the set of pre- and postoperative services. With due persistence and a non-urgent specific situation, you can try to achieve free laparoscopy of the ovarian cyst. It is necessary for this purpose to address to the regional gynecologist for a direction on operation then after to rise in turn for reception of a quota on hi-tech treatment.
Ovarian laparoscopy
This operation can be carried out for different indications and the preparation will also be different. For example, laparoscopy of ovaries in polycystic disease necessarily includes an ultrasound study and an evaluation of the hormonal background of a woman. It is carried out under general anesthesia. Laparoscopy of the ovarian cyst is a serious operation, therefore it is preceded by a serious diagnosis and a wide range of tests.
Diagnosis
The need for laparoscopy of the ovarian cyst is determined by the attending physician - gynecologist or gynecologist-endocrinologist. His decision is confirmed by a preliminary diagnosis, including various tests and studies, such as ultrasound, palpation, hormonal background assessment, and others, according to the testimony of a specific situation. If the cause of laparoscopy is infertility, then the doctor before the operation is obliged to try other methods of treatment, conservative, and only with their ineffectiveness to appoint the extreme measure - surgical intervention.
Assays for operation
After the date of the operation is determined, the woman is hospitalized in a hospital. This happens in 2-3 days, during which the patient takes the tests necessary to determine contraindications, the presence of chronic diseases. One must take the so-called hospital complex of tests, which includes studies on HIV infection, hepatitis and syphilis. Also determine the blood group, the degree of coagulability, carry out a general analysis to exclude inflammatory processes.
Preparations for laparoscopy are carried out on the eve of the operation. It includes a mandatory diet - nothing fried, fatty, smoked, spicy, vegetables and fruits, legumes. The focus is on sour-milk products, biscuits, drying, black bread, dried fruits and other easily digestible food, which does not cause increased gas production. In the evening on the eve of surgery, the patient is treated with a cleansing enema.
How to remove a cyst on the ovary
The operation is carried out in several stages. The first is anesthesia. It is administered in the operating room immediately before the operation. The anesthesiologist conducts the procedure, he also observes the patient's condition throughout the time of being in the operating room. After immersing the patient in a medical dream, the surgeon processes the operated area and produces a puncture through which the abdominal cavity is "inflated" with air or carbon dioxide.
The doctor then makes 2 or 3 punctures to insert special tools on long handles through them. The laparoscope displays an image from the abdominal cavity, the instruments produce the necessary manipulations - excise the cyst and cauterize the wound. Does this is not an ordinary scalpel, but a laser or an electron-knife. After removal of the tissue, the cysts are removed through the same puncture, the abdominal cavity is drained with tampons and antiseptic treatment is performed. This ends the operation, the punctures are sewn with medical threads.
Rehabilitation after laparoscopy
Recovery after laparoscopy takes a minimum of time. If the operation was conducted in the morning, then by the end of the day the woman can move independently. Eating food on this day is not allowed, only tea. The next day, broth is allowed, from the third day the food is not limited. The sutures after laparoscopy are removed on the seventh-eighth day in the district polyclinic. In the absence of complications, the hospital is discharged on the fourth day. For another three to four weeks, it is recommended to limit sexual activity and lifting weights.
Complications after laparoscopy
Laparoscopy of the ovarian cyst differs from traditional surgery in that the recovery takes a minimum of time and passes, as a rule, without complications, but sometimes negative consequences occur. Developed on the 2-3 day after surgery, due to inflammation and suppuration of wounds. The patient gets fever, the stitch turns red, inflames. For treatment, drainage of joints, antiseptic treatment, prescribed antipyretic drugs and antibiotics.
Video: when you can get pregnant after laparoscopy
Reviews
Oksana, 35 years old : Several years could not get pregnant, went to doctors. The gynecologist has established the diagnosis - polycystosis of both ovaries and as consequence, absence of ovulation. We performed a sphenoid resection of the ovaries by laparoscopy. After 4 months, there was a long-awaited pregnancy and now I'm the mother of a charming little son.
Christina, 30 years : All my life, my monthly cycle was in order, but it happened strange - a delay. The pregnancy test is negative. The doctor at the examination found a follicular cyst on the right ovary. I prescribed laparoscopy for removal. The operation was successful, recovered quickly. The cycle immediately got better.
Varvara, 40 years old : Became painful stomach aches, not strong. I suffered until an attack occurred. The ambulance was taken to gynecology, tests showed purulent defeat of the uterine tube. Immediately transferred to the operating room and had an adnexectomy, through a puncture. I would go to the doctor at the first sign-I could do without an operation.