Laparoscopic ovarian cystectomy to treat polycystic ovaries

This is an automatically translated article.

The article was consulted with Specialist Doctor I Truong Thi Phuong - Doctor of Obstetrics and Gynecology - Obstetrics and Gynecology Department - Vinmec Ha Long International General Hospital.

1. Learn about polycystic ovaries

Polycystic ovary syndrome is a combination syndrome of many disorders leading to ovulation disorders such as irregular menstruation, even menorrhagia, and hyperandrogenism with manifestations: hirsutism, beard growth, and clitoris enlargement. People with long-term polycystic ovary syndrome can lead to diabetes, high blood pressure, atherosclerosis, dyslipidemia, endometrial cancer, especially easy to cause infertility. Therefore, depending on the purpose, there are other treatment methods. The cause of infertility in people with polycystic ovary syndrome is that the ovulatory disorder does not stimulate the eggs to develop according to the cycle like normal people. The goal of treatment here is to induce ovulation. Ovulation disorders can be treated with medication or laparoscopic ovariectomy. People with polycystic ovary syndrome have abdominal obesity, menstrual disorders may be amenorrhea, oligomenorrhea, polymenorrhea, menorrhagia, and more severe uterine bleeding. insulin, hyperandrogenism manifests as hirsutism, clitoris hypertrophy, growth in cheekbones, chin, neck mid-chest and below navel, acne, baldness, hair loss.

Diagnosis of polycystic ovary by ultrasound, clinical signs. Ultrasound is used to diagnose abnormalities in the ovaries. Laparoscopic polycystic ovarian cystectomy is the method of choice when medical treatment fails. The purpose of the method is to reduce stromal tissue, reduce androgens, make ovulation easier so that conception can be easier. However, the disadvantage of this method is that too much burning can cause ovarian failure and complications during and after surgery. The advantage of this method is that it has a high rate of inducing ovulation, has a more regular menstrual cycle, and has cyclical ovulation. Or, after surgery, the patient has a better response to ovarian stimulation drugs.

2. Laparoscopic ovarian cystectomy to treat polycystic ovaries

Indications: Treatment of polycystic ovary syndrome for infertile patients who do not respond to oral medications before undergoing laparoscopic surgery.
Contraindications
Cases that are contraindicated for laparoscopic surgery because of systemic diseases endoscope, light source, monitor, CO2 injection system, endoscopic instruments: non-traumatic forceps, scissors, single- and double-pole electric knife, irrigation and suction system, antiseptic gauze, antiseptic solution .

Patients: Patients are carefully explained about the purpose and possible complications during surgery. The best time for surgery is after the menstrual period, surgery can also be performed on the luteal phase to evaluate ovulation. Steps:
Step 1: Perform general anesthesia, Trendelenburg position, disinfect the abdomen, thighs and genital area. Place a bladder catheter. Step 2: Place the speculum, place the syringe pump through the cervix (if need to explore the tubal patency), conduct peritoneal inflation. Then insert the light into the abdomen Step 3: Evaluate the pelvic area, the entire abdomen, and the liver. Step 4: Perform burning: Poke two trocar 5s on both sides of the iliac fossa to manipulate. Then use the disc to evaluate the ovaries. Perform ovarian point burning with a single-pole electric knife Step 5: Clean the abdomen if necessary, close the abdomen, use antibiotics.

3. Possible adverse events

Bleeding due to trocar puncture of blood vessels therefore this surgery should be performed by a physician experienced in laparoscopic surgery. Injury to the abdominal organs when performing the burning movement. It needs to be detected early and treated promptly. Infection after surgery. Treatment requires intravenous antibiotics for treatment. Customers can come to the Reproductive Center - Vinmec International General Hospital. This is the leading center in Vietnam, which has developed and applied a comprehensive medical examination and treatment process, combining both gynecology and obstetrics and gynecology to provide the optimal method for each patient's case.
Advantages when customers choose Vinmec fertility center:
Equipped with modern equipment, clean air system according to international standards to ensure lab quality, single cabinet system to optimize quality embryo, improving the success rate for each cycle of artificial insemination. Implement most advanced assisted reproductive techniques in the world: ICSI (injection of sperm into the oocyte cytoplasm); support embryo escape membrane; Reproductive reserve: embryo freezing, sperm freezing, oocyte freezing to help customers take the initiative in giving birth at will, transferring embryos on day 5, minimizing pregnancy; male infertility techniques (PESA, MESA, TEFNA, TESE) Besides advanced reproductive support methods, a team of excellent doctors in the country and the world, with prestige and long-term experience in the field of infertility .

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