Laparoscopy of the ovarian cyst is one of thethe most widespread gynecological operations - it accounts for approximately two thirds of all surgical interventions in the reproductive system of women. However, despite such a wide distribution, not all women have enough information about the disease itself and the way it is treated - laparoscopy. But it is the lack of necessary information that leads to the fact that the woman does not notice the problem in time, and before the laparoscopy she experiences much more than the one who knows exactly what the doctors will do with her during the intervention. After all, as a rule, the unknown causes much more fear than the procedure itself.
What is a cyst?
Before we talk about what islaparoscopy, and how it is performed, you should talk a little about what the ovarian cyst is, because it is the main indication for surgical intervention. So, the ovarian cyst is the cavity formed in the body of the ovary, inside of which there is some liquid. And pay attention - this cavity is not similar to the outgrowth formed on the surface of the body of the ovary, but grows just inside his body. The size that the ovarian cyst has, can be very diverse - from very small, to very, very large. Sometimes in the ovary cavity there is only one cyst, and sometimes - quite a lot. In the second case, the disease is called polycystic ovary. As a rule, doctors have to resort to laparoscopy to remove the ovarian cyst. However, sometimes the cyst in the ovary resolves completely independently, without any intervention from the doctors, and also unexpectedly, as it appears. However, if such cysts occur regularly, the doctor may decide to have a special course of hormone therapy. Such cysts are formed from the connective tissues of the body of the ovary itself - and they do not require surgical removal. This kind of cyst is called functional. There is another group of cysts, which, unfortunately, is only removed surgically. If such a cyst is not removed, it will expand rapidly, and eventually it will inevitably lead to rupture of the ovary itself - a condition that threatens not only the health of a woman, but her life. Such cysts are called organic. So, a little more about them:
- Functional ovarian cyst
Culprits for the development of a functional cyst, bothrule, are several factors at once - a weakened immune system, a disruption of the functioning of the ovary itself, a violation of the hormonal background in the body. A similar variety of ovarian cysts occurs quite often, but fortunately, they dissolve themselves quickly enough - maximum for two months, at the beginning of the third menstrual cycle after education. Such functional cysts are diagnosed using the most common ultrasound. Since they do not require removal, doctors do not use laparoscopy to diagnose functional cysts.
- Organic Ovarian Cysts
In the event that, after two months afterdetection cysts of doctors will show that the cyst has not even started to resolve, doctors suggest that the cyst is not functional at all, which means it requires much more serious treatment. Organic cyst is a dense capsule - a hard shell and the liquid contained in it. A similar cyst can be located anywhere in the ovary - both on its surface and in its body itself. Grow such a cyst can very, very quickly - in just a couple of weeks it can increase in size in two or even three times. It is necessary to remove such cysts as quickly as possible, otherwise there is a very high risk that the rapidly increasing cyst size will sooner or later lead to serious damage to the ovary itself.
- Polycystic ovary
In the event that in the ovaries of a female doctorreveals several cysts at once, it is a question of a polycystosis. Incidentally, it is polycystosis that often leads to the development of infertility. Polycysticosis manifests itself following symptoms - a menstrual cycle, excess weight, an increased amount of hair on the body of a woman. As a rule, getting rid of polycystic by usual hormonal therapy is quite difficult, and sometimes even impossible, so most often doctors resort to laparoscopy.
Laparoscopy for ovarian cysts
So, the conversation went to the most important thing - tomost laparoscopy. As already clear from the above, laparoscopy is necessary in order to remove the ovarian cysts. Many women are afraid to carry out the operation, but it is simply necessary to prevent a number of very negative complications of the disease:
- Bowel rupture
It has already been repeatedly mentioned above thatThe greatest danger inherent in the ovarian cyst is a rapid increase in size, which leads to disruption of the normal functioning of the ovary and even its rupture and extensive internal bleeding. In addition, in the event that the ovary is damaged, it will have to be completely removed, which will lead to the development of infertility.
- Torsion of the ovary
The ovary is on a low stalk, whichis necessary in order for it to receive blood and nutrients. The cyst often leads to the fact that the leg of the ovary is completely twisted, and as a result, the tissue dies quickly enough.
- Development of pathological tissues
As the cyst grows, it absorbs everythingmore and more healthy ovarian tissue, replacing them with abnormal growths. In some, especially unfavorable cases, the presence of a cyst may become a trigger for the development of an ovarian cancer. Until recently - almost a few years ago, laparoscopy was done much less often. And as a result, even with a small two to three centimeter cyst, doctors were forced to resort to a sufficiently serious cavitary operation. In recent years, even a very small cyst can be removed without resorting to a lumbar operation, using laparoscopic equipment, without any consequences for the general condition of the woman's body. In just a few hours a woman completely and completely can forget about all those troubles that are associated with such a disease as an ovarian cyst. The main goal of this disease is to remove the cyst from the membranes without injuring the tissues of the ovary itself. Doctors - gynecologists, explaining to women the principle of the operation itself, cite the purification of mandarin as an example - it must be cleaned in such a way so as not to damage the contents of the fruit. The same goes for the operation to remove the cyst - it must be completely removed from the woman's body without damaging its shell - otherwise it will spread over the abdominal cavity - and at the same time not damaging the healthy tissues of the ovary. In especially severe cases, the doctor may decide to perform a slightly different kind of laparoscopy - wedge resection. During the behavior of such an operation, the doctor, together with the cyst, removes a small area of the ovary itself.
Choosing a doctor
Very many women are afraid of paniclaparoscopy, and in vain. In fact, laparoscopy is by far one of the most effective and safe methods of treating ovarian cysts. The most important thing that is to be done to you is to choose a good and experienced doctor for whom carrying out laparoscopy is not something out of the ordinary. The most important thing that is necessary for a successful laparoscopy is the accuracy and accuracy of the doctor's movements. It depends on this aspect, whether you can after that have children, and also what will be the risk of recurrence of the disease - the development of new cysts. As already mentioned above, laparoscopy itself is a fairly simple operation, however it requires the physician conducting the operation to have increased attention, accuracy and accuracy of movements. After the capsule of the cyst is cleared, the doctor must stop bleeding from the ovarian vessels, using special power tools for this purpose. And to ensure that healthy tissues are not injured as a result of exposure to electric current and high temperatures, the ovary should be continuously cooled by wetting with special distilled water. Another important point that must be taken into account is the choice of a doctor - an anesthesiologist. After all, it depends on him how correctly the anesthetic will be made during the surgical intervention. As a rule, doctors prefer to perform laparoscopy under local anesthesia, without resorting to general anesthesia. However, in rare cases, the doctor can still accept the need for general anesthesia if the patient's condition causes any fear. That is why it is so important to choose a competent anesthetist who will adequately assess the condition of a woman and choose the best option for anesthesia. Restoration of the ovary occurs very quickly - its boundaries take their shape and the usual size is about the second day. And the ovary begins to perform its functions in one week, and sometimes even earlier. Yes, and the woman herself is recovering very quickly after the operation - literally the next day she can already lead her usual lifestyle - go in for sports, go out to work, do household chores. That is why in most cases, if the general health of a woman is not burdened by any complications, the operation is performed on an outpatient basis, without mandatory hospitalization of the woman.
Other indications for ovarian laparoscopy
However, the ovarian cyst is not the only oneindications for laparoscopic intervention in the reproductive system of a woman. So, for example, often a laparoscopy doctor appoints a woman suffering from endometriosis. Endometriosis is a serious enough disease that affects not only the body of the uterus, but also the ovaries. By the way, there is another kind of ovarian cyst - the endometrioid cyst, which, fortunately, is extremely rare. This cyst leads to a significant deterioration in the general condition and well-being of a woman - she may have a small temperature for a long time, a general weakness, a violation of the menstrual cycle, infertility. And in this case, laparoscopy of the ovaries is necessary in order to completely excise those adhesions that arise as a consequence of endometriosis. In addition, often laparoscopy is used as a method of diagnostic research. In the abdominal cavity of the woman, the doctor makes a small puncture, then introduces a special probe there, with which all the necessary information is obtained. And one more case, which very often requires laparoscopy - is an ectopic pregnancy. In the event that an ectopic pregnancy is detected in time, it is by means of laparoscopy that doctors extract the fetus from the uterine tube. Thus, physicians manage to eliminate the fetus, without damaging any mother tubes, or abdominal tissue, as is usually the case with cavitary operations. Summing up today's conversation, it should be noted that for today the most painless, effective and safe way to return women to the health of the reproductive system is precisely laparoscopy. Therefore, if the gynecologist tells you that you have an ovarian cyst in the next preventive examination, the laparoscopy will help you get rid of the problem in the shortest possible time, and practically without any negative consequences. We advise you to read: