Endometriosis should surgery?

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Currently, laparoscopic surgery is considered one of the most effective methods of treating endometriosis. However, many women still wonder and worry that they should have surgery for endometriosis or not. To answer the above question, the following article will provide you with the most useful information about surgery for endometriosis.

1. What is endometriosis?


Endometriosis is a common condition in women. This is a chronic disease that often brings discomfort and pain to the sufferer.
Most of the time, a woman's glandular tissue (also known as the endometrium) is found only in the uterus. However, for people with endometriosis, microscopic debris of this tissue exits the uterus and grows on other organs, such as: the ovaries, the outer wall of the uterus, fallopian tubes, the ligaments that support the uterus, rectum, or bladder. In rare cases, uterine gland tissue can "stray" outside the abdomen and grow on other organs such as the lungs.
Normally, the endometrial tissue will grow thicker thanks to the hormones estrogen and progesterone to get ready for pregnancy. If conception doesn't take place, this endometrial layer sheds and exits the body, causing menstrual bleeding. In cases of endometriosis, tissue exits the uterus and grows in other tissues, so menstrual blood cannot escape but will flow back in. This causes irritation to the surrounding tissues, leading to cysts, scarring and fusion of body tissues, and even more seriously, infertility.

Lạc nội mạc tử cung ở phụ nữ
Lạc nội mạc tử cung ở phụ nữ

2. Endometriosis should surgery or not?


There are now many different treatments for endometriosis, such as medication, hormone therapy, assisted reproduction, and surgery. Depending on the condition of the disease, each person will have an appropriate treatment option. The overall goals of endometriosis treatment are to help reduce pain, control disease progression, and improve fertility.
If the pain caused by endometriosis is only mild or moderate, and you do not want to get pregnant at the moment, then medication or hormone therapy will be an appropriate option. . In case you are trying to get pregnant but other treatments have not been effective, at this time, you should consider using surgery to treat.
Medical professionals generally recommend surgery for endometriosis only in the following cases:
Appearance of endometrioma in the ovary Severe pelvic pain and no symptoms in remission due to endometriosis. Endometriosis becomes more severe, besides, internal organs such as bowel or bladder are affected by scar tissue. Recurrence of endometriosis after medical treatment High risk of infertility: surgery will be an ideal option to reduce the risk of infertility for the patient, and at the same time to help eliminate the ectopic pregnancy. The endometrium is growing and developing in the body.

Hình ảnh nội soi lạc nội mạc tử cung
Hình ảnh nội soi lạc nội mạc tử cung

3. Laparoscopic surgery to treat endometriosis


The main goal of laparoscopic endometriosis surgery is to remove the endometriosis and any scar tissue from the patient's body. Besides, this is a measure with high treatment efficiency, less pain and less scarring after surgery, especially the patient has the opportunity to recover quickly.

Laparoscopic surgery for endometriosis is performed as follows:
3.1 Before laparoscopic surgery Patient must not eat or drink anything for 8 hours before surgery.
3.2 Performing laparoscopic surgery The patient will be under general anesthesia. The doctor then injects CO2 into the abdomen and makes a small cut in the abdomen to insert the laparoscope. This process usually takes at least 30 minutes to complete. In cases where scar tissue or endometriosis needs to be removed, your doctor may consider measures such as ablation or laser ablation. After a successful laparoscopic surgery, the doctor will finish this process with sutures to close the incision.
3.3 After Laparoscopic Surgery Patients who have successfully undergone laparoscopic surgery will need to stay in the hospital for at least 1 day for observation.

Phẫu thuật nội soi điều trị lạc nội mạc tử cung cần được thực hiện tại bệnh viện
Phẫu thuật nội soi điều trị lạc nội mạc tử cung cần được thực hiện tại bệnh viện

4. Care after surgery for endometriosis


Whether the surgery for endometriosis is successful or not depends more or less on postoperative care. Patients and their families should not take care after surgery lightly, it is important to strictly follow the doctor's instructions on living and eating habits.
Here are some things patients need to pay attention to after surgery:
Should eat liquid and soft foods in the first days after surgery Act gently, avoid exertion so as not to affect the incision Absolutely Do not take a bath, or soak in water for too long when the incision is not completely healed to avoid infection and festering at the incision. Avoid sex for about 2 weeks after surgery. Although surgery can effectively treat the pain and other symptoms caused by endometriosis. However, there are certain cases where there is a chance of having a recurrence of endometriosis. The reason may be that the surgery does not completely remove the endometriosis tissue in the body. In addition, the possibility of recurrence after surgery will increase if the disease is severe. Therefore, after surgery, the doctor may prescribe the patient to use drugs to prolong the time and control the recurrence of endometriosis.

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Article reference source: Webmd.com
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