روش‌های جراحی در درمان آندومتریوز پیشرفته

اصولا در موارد پیشرفته بیماری اندومتریوز، ضایعات گسترده هستند و درد مزمن و یا ناباروری وجود دارد. در این زمان پزشک گزینه روش‌های جراحی آندومتریوز پیشرفته را برای درمان انتخاب می کند. لاپاراسکوپی معمولا به دلیل کم تحاجمی بودن گزینه اول برای جراحی انتخاب می شود. در این روش با استفاده از برشهای کوچک که توسط جراح در بدن ایجاد می شود پزشک اقدام به مشاهده مستقیم ضایعات می کند. پزشک با استفاده از این روش اقدام به برداشتن ضایعات و رفع چسبندگی های ناشی از بیماری می کند. در موارد بسیار پیشرفته بیماری، مانند ضایعات گسترده و یا چسبندگی ها شدید، پزشک جراحی باز را جایگزین عمل لاپاراسکوپی می کند. در این مقاله به توضیح در مورد روش‌های جراحی آندومتریوز پیشرفته خواهیم پرداخت.

فهرست مطالب

• آندومتریوز پیشرفته چیست و چرا جراحی در مراحل پیشرفته ضروری است؟
• اهداف اصلی جراحی در آندومتریوز پیشرفته
• روش‌های اصلی جراحی در آندومتریوز پیشرفته
• مزایا و محدودیت‌های جراحی
• سوالات متداول
• جمع‌بندی و نتیجه‌گیری
• منابع

آندومتریوز پیشرفته چیست و چرا جراحی در مراحل پیشرفته ضروری است؟

وقتی که بیماری وارد مرحله ای می شود که بافتی شبیه به بافت رحم را به طور گسترده در خارج از رحم ایجاد می کند به آن آندومتریوز پیشرفته می گویند. این بافتها می توانند اندامهایی مانند تخمدان، لوله های فالوپ و یا بخشهایی از دستگاه گوارش را درگیر کنند. This causes complications such as severe pain during menstruation and digestive problems. In the advanced stages of this disease, drug treatments have no effect in curing this disease. In such a situation, the use of advanced endometriosis surgical methods plays an important role. At this stage of the disease, the doctor performs surgery to remove the lesions and remove adhesions caused by the disease. Surgery is especially necessary when the disease has the risk of damaging the ovarian tissue or the disease prevents the patient from becoming pregnant. Systematic studies have shown that surgery can reduce pain, increase the likelihood of pregnancy, and improve quality of life. As a result, surgery is considered one of the most effective methods for managing endometriosis in advanced stages. As mentioned earlier, in advanced cases, the doctor chooses endometriosis surgery. Surgery ultimately relieves the patient of pain and at the same time improves his quality of life.

pain reduction and symptom control

One of the most important goals of surgery is to reduce chronic pelvic pain and pain related to menstruation or sex. Studies have shown that complete removal of lesions and release of adhesions significantly reduces pain in the short and long term. Surgery can provide significant improvement in quality of life, especially in patients who do not respond to drug treatments. Advanced endometriosis can cause problems for the ovaries and other reproductive organs. It can also lead to digestive or urinary problems. Surgery makes it possible to treat these problems and return them to normal function. One of the biggest problems caused by this disease is problems in the pregnancy process. Advanced endometriosis surgical methods play an important role in solving this problem for patients. Studies have shown that laparoscopy to remove endometrioma and deep lesions in infertile women significantly increases the chance of pregnancy compared to medical treatment or incomplete surgery.

Advanced endometriosis

In the management of advanced endometriosis, the choice of surgical methods for advanced endometriosis depends on the extent of tissue involvement, the location of the lesions and the treatment goal. The aim of the surgery is to reduce pain, restore the normal function of the pelvic organs and increase the chances of fertility.

Laparoscopy surgery

It can be said that the main surgical method for the treatment of advanced endometriosis Laparotomy surgery In cases where there are very extensive lesions or complex adhesions, open surgery (laparotomy) may be necessary. This method allows direct access to the organs, although the recovery period is longer and the risk of complications is higher.

Endometriosis removal

Excision or complete removal of lesions is the preferred method to control symptoms and reduce the likelihood of recurrence. Compared to other methods, this method is less painful and at the same time more effective. In this method, the doctor uses laser or radio frequency energy to remove the lesions. This method is less invasive than the first method. But the probability of recurrence of the disease in this method is higher than the first method. Adhesions can cause chronic pain and organ dysfunction. Releasing them with surgery restores the normal movement of the ovaries and fallopian tubes and helps improve pelvic function. Endometriomas or ovarian cysts caused by endometriosis often require complete excision to reduce the likelihood of recurrence and preserve ovarian reserve. Surgery in advanced endometriosis, especially the use of advanced endometriosis surgical methods, has many benefits but also has its own limitations and risks.

Benefits of surgery

One of the most important benefits of surgery is the reduction of chronic pelvic pain and pain associated with menstruation or sex. The complete elimination of lesions caused by the disease can have a significant impact on the patient's quality of life. Surgery plays a major role in increasing the chance of pregnancy and is generally one of the most effective ways to resolve infertility in women with this disease. Despite its benefits, surgery has limitations and risks. There is a possibility of recurrence of lesions after surgery, especially if the removal of lesions is incomplete. There is also a risk of damage to nearby organs such as the bowel, bladder or pelvic nerves. Open surgeries have a longer recovery period and may require more post-operative care. For this reason, it is especially important to see an experienced doctor.

Frequently Asked Questions

What is advanced endometriosis?

Extensive growth Uterus-like tissue outside the uterus that involves the ovaries, tubes, or intestines, causing pain and infertility.

What are the surgical procedures for advanced endometriosis?

Laparoscopy, laparotomy, removal of lesions, burning of lesions, release of adhesions, and removal of endometrioma.

What are the benefits of surgery?

Reducing pain, improving the function of pelvic organs and increasing the chances of fertility.

Does surgery have risks?

There is a possibility of damage to surrounding organs and recurrence of lesions.

Summary

Advanced endometriosis is a disease with many problems and challenges. This disease causes many problems including chronic pain and infertility. In such circumstances, the use of advanced endometriosis surgical methods plays a key role in the management of the disease.

The benefits of surgery include a significant reduction in pain, improved quality of life, and increased chances of fertility. Laparoscopy, as a minimally invasive procedure, provides a better patient experience with shorter recovery time and less bleeding, while open surgery is used in more complex cases. However, there are limitations such as the risk of damage to the surrounding organs and the possibility of recurrence of lesions that should be considered in the decisions.

In general, advanced surgery is an effective and vital treatment option for patients who do not respond to drug therapy, have endometrium or deep lesions, or intend to become pregnant. Choosing an experienced doctor is an important and fundamental factor in obtaining the best result.

source

Cochrane