Endometriosis surgery diagram

Under normal circumstances, the uterine wall covers the surface of the uterine ducts. If due to certain factors, the uterine wall grows in other parts of the body, it can cause endometriosis. This kind of disordered endometrium not only has endometrial glandular ducts histologically, but also has endometrial interstitial spaces surrounding it. Its function changes significantly with the level of estrogen, that is, it changes with the menstrual cycle, but only a part is affected by estrogen, which can cause a small amount of "menstruation" and cause many clinical conditions.

Surgery

(I) Traditional surgical treatment: mainly used for young people who want to have children. Preserve the uterus and its appendages (preserve both sides as much as possible), only remove the disease, separate the adhesions, reconstruct the uterus and ovaries, and repair the tissues. In recent years, the use of microscopic surgery, removal of disordered diseases, careful surgical suture of wounds, reconstruction of the pelvic retroperitoneum, careful blood circulation, and thorough cleaning have perfected the surgical effect, increased the postoperative pregnancy success rate, and reduced recurrence.

1. Laparoscopy: Through laparoscopy, the diagnosis can be confirmed, and specially designed knives, scissors, forceps, etc. can be used to remove the disease and separate the adhesions. Under laparoscopic surgery, a CO2 laser generator or a helium-neon laser generator can be used to burn the disease. That is, a second incision is made 2 cm above the ischial tuberosity. The laser knife enters the pelvis through the waterproof cannula of this incision and burns the disease under laparoscopic surgery. The cyst fluid can also be sucked out by laparoscopic puncture, then rinsed with saline, and then 5-10mL of anhydrous ethanol was introduced and fixed for 5-10 minutes before being sucked out, and finally rinsed with saline before being sucked out.

(ii) Semi-radical surgery: For women who are not pregnant, whose disease is serious, and who are relatively young (<45 years old), hysterectomy and uterine incision can be performed, but the normal uterine and ovarian tissue on one side should be preserved as much as possible to prevent the onset of menopausal symptoms too early. It is generally believed that the recurrence rate after hemisection is low and the complications are few. Hysterectomy can remove the source of active uterine wall cell implants, thereby reducing the chance of recurrence. However, because the uterus and ovaries are preserved, attacks are still possible.

(III) Radical surgery: For patients who are close to menopause, especially those with severe disease and those who have experienced relapses, total uterine and bilateral adnexectomy should be performed. During surgical treatment, try to prevent rupture of uterine and ovarian endometrial cysts. When the cyst fluid is discharged, it should be sucked out and cleaned as soon as possible. Women who experience menopausal syndrome after surgery can use sedatives and nialstradiol.

Frequently asked questions

The diet should be standardized, eat well, drink well, and get enough rest

Don't overwork, don't stay up late, don't catch a cold, don't use a hair dryer

The couple's sexual life should be effective, and should be restrained as much as possible before rehabilitation treatment, and their daily life should be arranged scientifically.