Endometriosis can be diagnosed and treated by a laparoscopy, which is a surgical operation. Laparoscope- long, thin viewing equipment is inserted into the belly through a small surgical incision during a laparoscopy. This allows your doctor to examine tissue or collect a biopsy sample of tissue. They may also remove endometriosis cysts, implants, and scar tissue. Endometriosis laparoscopy is a low-risk, minimally invasive surgery. A surgeon or gynecologist usually performs it under general anesthesia. The majority of patients are discharged from the hospital the same day. However, overnight surveillance is occasionally necessary.
Why is laparoscopy recommended?
Laparoscopy is used to inspect and remove implants and scar tissue from the pelvic organs explains the Best Laparoscopic Surgeon in Nashik. This method is commonly used to inspect and treat:-
• Endometriosis and scar tissue that is believed to be interfering with internal organs like the bowel and bladder.
• Endometriosis pain that persists or returns following hormone therapy.
• Endometriosis pain is severe
• An ovary with an endometriosis cyst
Infertility may be caused by endometriosis. Any visible implants and scar tissue are usually removed by the surgeon. This could help with fertility.
Not everyone is a contender for laparoscopic surgery. Hormone therapy, a less intrusive therapeutic option, might be recommended first. Endometriosis affecting the colon or bladder may necessitate a more invasive procedure.
What to do before a laparoscopy?
You could be told not to eat or drink for at least 8 hours before the treatment. Laparoscopies are usually performed as outpatient procedures. That implies you won't have to spend the night in the clinic or hospital. You may need to stay longer if issues arise. Just in case, it's a good idea to bring a few personal belongings with you. Make arrangements for a spouse, family member, or friend to drive you home following the procedure and stay with you. Some people experience nausea and vomiting after receiving general anesthesia, which allows them to enter a sleep-like state and feel no pain throughout the surgery. It's a good idea to have a bag or container ready for the automobile ride home. Following a laparoscopy, you may be advised not to shower or bathe for a period of time to enable the incision to heal. Showering soon before the treatment may help you feel more relaxed.
How is the procedure carried out?
Laparoscopy is nearly always performed under general anesthesia, and you will fall asleep and feel no pain thereafter. It's often delivered through an intravenous (IV) line, although it can also be taken orally. Your surgeon will make a small incision in your abdomen, usually under your belly button, during a laparoscopy. A cannula, a tiny tube, is then put into the opening. The cannula is used to inject gas into the abdomen, commonly carbon dioxide. This allows your surgeon to see more clearly into your abdomen. The laparoscope will be inserted through or under your belly button by your surgeon. On the top of the laparoscope is a little camera that allows them to observe your internal organs on a screen. To get a better perspective, your surgeon may make more incisions.
When endometriosis or scar tissue is discovered, your surgeon will likely treat it with one of several methods. Some of them are:-
Excision- The tissue will be removed by your surgeon.
Ablation - To destroy tissue, this treatment involves freezing, heating, electricity, or laser beams.
Your surgeon will close the incision with many stitches once the surgery is completed.
What to expect after Laparoscopic Surgery?
You may have the following symptoms right after surgery:-
• Drowsiness, nausea, and vomiting discomfort produced by excess gas are all side effects of the anesthesia
• Vaginal bleeding is minimal
• Minor discomfort at the incision location
• Mood swings because of abdominal pain
Certain activities should be avoided just after surgery. Some of them are:
• Intense workout
• Sexual intercourse
• Bending, stretching, or heavy lifting
It may take a week or longer to feel ready to resume your normal activities.
After surgery, your first period may be prolonged, heavier, or more painful than usual. Don't freak out. Even if you feel better, your body is still recovering on the inside. If the pain is severe, seek medical help from your doctor or an emergency room. You can make your recovery easier after surgery by:-
• Obtaining adequate rest
• Taking a good diet
• Drinking enough water
• Moderate movements (walking) can assist in the elimination of excess gas
• Maintaining the cleanliness of your incision and keeping it out of direct sunlight
• If you have any problems, contact your doctor right away.
A follow-up appointment between 2 and 6 weeks after surgery may be recommended by your doctor. If you have endometriosis, now is an excellent opportunity to discuss long-term monitoring and treatment choices, as well as fertility possibilities if necessary.
Is Laparoscopic Surgery worth it?
In certain studies, laparoscopic surgery is linked to a reduction in overall discomfort six and twelve months following surgery. If you've already been diagnosed with endometriosis, though, return is a possibility, and more surgery may be required.
How effective is Laparoscopic Surgery?
Pain Relief:-
Surgery, like hormone therapy, resolves endometriosis discomfort in the majority of women. However, it does not ensure long-term results. According to certain studies:-
• In the first few months after surgery, the majority of women, 60 to 80 out of 100 report pain reduction.
• More than half of every 100 women experience a recurrence of symptoms within two years of surgery. This figure rises over time.
According to some research, utilizing hormone treatment after surgery helps prolong the pain-free time by reducing the growth of new or returning endometriosis.
Infertility:-
If infertility is your main worry, your doctor will most likely do a laparoscopy to check for and remove endometriosis indications states the experts from the Best Infertility Center in Nashik.
• Mild endometriosis removal has not been proven to boost fertility in studies
• Surgery can help you get pregnant if you have moderate to severe endometriosis
• In some circumstances, a fertility doctor may advise against surgical removal and instead use in vitro fertilization
Your next actions after laparoscopy are determined by the severity of your endometriosis and your age. With each passing year after 35, egg quality deteriorates, and the probability of miscarriage rises. In that situation, your doctor may suggest fertility medicines, insemination, or in vitro fertilization as a treatment option. Try to get pregnant without infertility treatment if you are younger.
What are the complications of laparoscopic surgery?
Laparoscopic surgery has few risks, but there are certain risks with any surgery in this world. Some of them are:
• Uncontrolled bleeding bowel
• Bladder or ureter injury scarring infections in the bladder or uterus.
If you develop any of the following symptoms after laparoscopic surgery, contact your doctor or seek emergency medical attention:-
• Extreme discomfort
• Nausea or vomiting that lasts for more than a day or two
• Increased blood loss
• Irregular vaginal discharge increased pain at the incision site
• Strange discharge from the incision site pain that does not improve with pain medication
• Fever
Conclusion:-
Less tissue stress and scarring, as well as smaller incisions and the ability to have an outpatient treatment or a shorter hospital stay and recovery time, are all advantages of laparoscopic surgery versus open abdominal surgery say the experts from the Best Gynecology Hospital in Nashik. When surgery is done to treat endometriosis that is causing infertility, the surgeon's competence is crucial. A surgeon will need further training to use a laparoscope, lasers, and some of the operational techniques. After endometriosis surgery, doctors report variable pregnancy rates. IVF is an assisted reproductive technology that can be used instead of surgery to treat infertility caused by endometriosis. Laparoscopy may boost your chances of becoming pregnant in some instances. Complications are quite rare. The majority of women recover completely. Learn more about the risks and benefits of laparoscopic surgery by speaking with your doctor.