Endometriosis surgery steps

The surgical treatment process of endometriosis should be determined according to the specific situation of pelvic cysts or pelvic disorder caused by endometriosis. If a woman has uterine ovarian chocolate cysts caused by endometriosis, laparoscopic exploration can be performed. The surgical process is to produce pneumoperitoneum under laparoscopic surgery conditions, and then explore the pelvis and abdomen for uterine ovarian chocolate cysts.

Or if there is adhesion of adjacent tissues, after the adhesions are separated, cystectomy, cyst and ovary removal are performed according to the actual age of the woman. After removal, the pelvis and abdomen are checked for blood spots, blood circulation is given, and the surgery is completed. This is the detailed process of endometriosis surgery.

Endometriosis refers to a disease in which uterine wall tissue appears, grows, infiltrates and bleeds repeatedly at locations other than the endometrium covering the uterus. It is a common gynecological disease, but it has the ability to migrate and implant and grow remotely similar to malignant tumors. It mostly occurs in women of childbearing age. The main clinical manifestations are dysmenorrhea, infertility, irregular menstruation, pelvic masses, etc. The prevalence rate accounts for 1% to 7% of the general population, 10% to 15% of pregnant women, 2% to 4% of postmenopausal women, and 35% to 60% of infertile women. The prevalence rate has a significant increasing trend. It is invasive, can cause widespread and severe adhesions, and is characterized by high recurrence, which seriously affects the quality of life of pregnant women. It is vividly called the "wind and sand" of the female pelvis, "good cancer", and "modern disease".

1. The pathogenesis of endometriosis Von Rokitansky first described endometriosis in 1860, but its pathogenesis has not yet been established. The theory of retrograde menstruation and uterine wall implantation proposed by Sampson in 1921 is the core theory recognized by everyone at present. However, retrograde menstruation is very common among women of childbearing age, with an incidence rate of about 90%. It is basically a physiological phenomenon, but only 10% to 15% of people develop endometriosis. Moreover, Sampson's implantation theory cannot explain the long-distance migration of endometriosis, so this theory has been questioned. The World Endometriosis Society (WES), founded in 1998, states that endometriosis is a genetic disease, an immune system disease, a hormone-dependent disease, an inflammatory disease, an exudative disease, and an organ-dependent disease; the "dominant endometrial determinism" proposed by Lang Jinghe in the last century emphasized that the abnormal characteristics of the dominant endometrial cells in endometriosis are the root cause of the onset of the disease; and in the 20th century, Xu Congjian, based on the research that male mouse bone marrow stem cells can divide into uterine wall cells, further proposed that endometriosis is a "stem cell cosmetic disease."