Post Date November, 16 2024
Endometriosis is a common gynecological disease and a modern disease. After falling ill, it can affect fertility, which is also a troublesome phenomenon for many friends. We must treat it promptly and reasonably.
What to do with infertility caused by endometriosis
For young patients who are eager to have children, the current treatment goal is not only to eliminate the spread of endometriosis in the pelvic cavity, but also to restore reproductive function as much as possible. The use of steroid drugs and surgery to treat endometriosis may improve the patient's pregnancy ability. Generally speaking, after pseudo pregnancy therapy, about 30% of cases are treated for pregnancy. After a conservative surgery mentioned earlier, while trying to remove the endometriosis lesions during the surgery, the adhesion around the uterus, fallopian tubes, and ovaries was alleviated, and the wound was carefully repaired to reduce re adhesion. The postoperative pregnancy rate reached 50%. Therefore, for these young cases, such as those with obvious cysts or nodules in the pelvic cavity, it is often inclined to undergo conservative surgery in a timely manner to provide patients with a high chance of pregnancy. Although the recurrence rate after this surgery is relatively high, it is still worth a try for women who urgently need childbirth.
Laparoscopic minimally invasive technique for correcting endometriosis
Laparoscopic minimally invasive technology has been widely used in gynecological clinics such as endometriosis. Laparoscopic minimally invasive technology is used to correct endometriosis. Surgery no longer requires an open abdomen. Instead, three or four skin incisions 0.3 to 1 cm in size are made on the patient's abdominal wall, serving as a pathway for the laparoscopy to enter the body. Everything inside the abdominal cavity can be clearly displayed one by one on a television monitor. Through the television monitor, the surgeon can observe the abdominal organ magnified by 20 times
Laparoscopic surgery only requires 3-4 small holes and minimal damage to the abdominal wall and pelvis. Patients can get out of bed on the same day after surgery and be discharged within 3 days after surgery. Generally, work can resume within a week. The implementation of laparoscopic surgery has reduced the pain of patients undergoing surgery and shortened their recovery period, making it a safe and efficient surgical project in recent years.
Treatment of endometriosis
1. Fertility preserving surgery: Resection or destruction of all ectopic endometrial lesions in the courseware, separation of adhesions, restoration of normal anatomical structure, but preservation of the uterus, one or both ovaries, and at least partial preservation of ovarian tissue.
2. Ovarian preservation surgery: Resection of pelvic lesions and uterus, preserving at least one or part of the ovaries. Suitable for patients under 45 years old with obvious symptoms and no fertility requirements, with a postoperative recurrence rate of approximately 5%.
