Friday, January 11, 2008

Laparoscopic treatment of endometriosis

Laparoscopic since been widely used in clinical and in the diagnosis and treatment of pelvic endometriosis has played a positive role. Laparoscopy can not only detect early disease, but also in endoscopic therapy, diagnosis and treatment simultaneously. to avoid abdominal surgery disadvantages, but also prevent the indiscriminate use delay treatment. The treatment of endometriosis more expensive drugs, and there are some side effects, patients will need medication three to six months. Therefore, the treatment of endometriosis first to be elected under the endoscopic treatment, so as to minimize the removal of ectopic lesions, then consolidate drug treatment. Endoscopic surgery under different scope, can be divided into the following three types : to preserve the reproductive function surgery applied to the young, reproductive requirements of the patients. The scope of operation in order to maximize the net cut or blanch addition endometriosis lesions, but the uterus and bilateral, or at least part of the side of ovarian. Often surgery is the implementation of ovarian chocolate cysts (endometriosis a) enuclearion, pelvic adhesions grafting, pelvic Endometriosis point-burning stoves in addition, while feasible Hydrotubation (of this right because of the lifting of tubal infertility plug useful). Preservation of ovarian function surgery and pelvic lesions within the uterus to be removed to prevent endometrial via reverse tubal cultivation and spread to the abdominal cavity, but to retain at least part of the side ovary or ovarian, to maintain the patients after ovarian function. The operation suitable for the age of 45 but no severe reproductive requirements of the patients, should be added after drug treatment. Radical surgery that is womb, adnexa (fallopian tube ovarian, etc.) and all of pelvic endometriosis lesion to be removed, suitable for over the past 45 years of severe menopausal patients, after could no longer use.

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