Laparoscopic surgery, as an important part of endoscopic surgery, has become the pioneer of the surgical revolution. Gynecological laparoscopic surgery has developed rapidly in recent years and has the advantages of less damage, less postoperative pain, shorter hospitalization time, faster recovery, and better cosmetic results.
With the update of surgical instruments and equipment, the accumulation of doctors’ experience and maturity of skills, and the development of intraoperative protective measures, the complications of laparoscopic surgery have been significantly reduced, the safety has been greatly improved, and the scope of clinical application has become more extensive.
Changle District Maternal and Child Health Hospital has launched gynecological laparoscopic surgery, which mainly treats ectopic pregnancy, pelvic inflammatory disease, infertility, uterine fibroids and other gynecological diseases, and protects the health of female friends with gynecological diseases.
Now, the editor will take you to understand the clinical application of gynecological laparoscopic surgery.
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Gynecological acute abdomen
can be diagnosed and treated promptly, such as ectopic pregnancy, corpus luteum rupture, pelvic mass and ovarian cyst torsion, etc. Fallopian tubes can usually be preserved in early ectopic pregnancies; ruptured, shock-type ectopic pregnancies can be resolved quickly.
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Benign ovarian tumors
Ovarian tumors are common genital tumors in women. The benign tumors are mainly ovarian simple cysts, benign mature teratomas, ovarian crown cysts, etc. Laparoscopic surgery is the preferred method for benign ovarian tumors. Laparoscopic cyst dissection or appendage resection can be completed. When surgically removing cysts or tumors, try to ensure that the cyst is intact and avoid leakage of cyst fluid. If cyst wall rupture occurs, the surgical area should be repaired immediately. Rinse thoroughly to avoid complications.
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Endometriosis
Laparoscopy is the gold standard for endometriosis diagnosis, the basis for rAFS (American Reproductive Society) staging, and the best way to treat it. Whether it is peritoneal or ovarian type, laparoscopic surgery can be used to reduce lesions, relieve pain, improve fertility and reduce recurrence.
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Chronic pelvic pain
This is a common symptom caused by a variety of reasons. Laparoscopy is the best way to make a clear diagnosis, and through microscopic treatment (such as separation of adhesions and removal of lesions), 80% of patients can have pain relief. For endometriosis, uterosacral ligament sectioning or presacral neurectomy can also be performed under the microscope, which can achieve a 70% remission rate.
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Infertility
To exclude the causes of ovulation disorders, laparoscopy focuses on infertility caused by fallopian tube factors and uterine factors. Laparoscopy can understand the condition of the pelvic cavity and directly observe whether the uterus, fallopian tubes, and ovaries have lesions or adhesions. A fallopian tube fluid test can be performed to determine whether the fallopian tubes are unobstructed under direct vision. During the operation, according to the microscopic findings, adhesions separation, fallopian tube stomy, falloplasty, fallopian tube resection and ovarian electrocoagulation puncture can be performed.
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Uterine myomectomy
Laparoscopic uterine myomectomy is a difficult operation in laparoscopic surgery. It requires mastering skilled laparoscopic surgery skills and microscopic suturing and knotting technology to accurately stop bleeding and eliminate dead space. Laparoscopic myomectomy can improve fertility and help achieve a successful pregnancy.
Source: Fuzhou Changle District Maternal and Child Health Hospital
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