29 Jul Laparoscopic Surgery for Endometriosis in Gurgaon

Laparoscopy is commonly performed to diagnose and treat endometriosis. Instead of using a large abdominal incision, the surgeon inserts a lighted viewing instrument called a laparoscope through a small incision. If the surgeon needs better access, he or she makes one or two more small incisions (5 mm) for inserting other instruments. Dr. Manavita Mahajan at Triveni Gyn Clinic is a well-known gynaecologist in Gurgaon and practices evidence based treatments for treating endometriosis and offers solutions for infertility and pelvic pain in women.

 What is Endometriosis?

Endometriosis is a condition in which a tissue called endometrium (lining of the uterus) is found outside the uterus. The common sites at which this is found are the ovaries and the peritoneum found in pelvis. This abnormal location of the tissue causes period like blood collections wherever it is present and these along with the body’s response to these collections of blood are responsible for the problems caused by endometriosis.

 Sign and Symptoms

Pelvic pain and infertility are the two major problems caused by endometriosis. Signs and symptoms include:

• Painful periods
• Painful sexual intercourse
• Pelvic pain in between periods
• Painful urination especially during mensuration
• Painful bowel movements
• Heavy bleeding during periods
• Abnormal back pain during mensuration
• Blood in urine and stool depending upon the location of the tissue
• Infertility
• If the woman conceives, then there are higher risks of miscarriage

Diagnosis of Endometriosis

It can be diagnosed by gynaecologist with the help of careful examination along with ultrasound of abdomen and pelvis or MRI of the abdomen and pelvis. However, the gold standard of diagnosis of endometriosis is by direct inspection and this is done by inserting a laparoscope (optical instruments) attached to a camera system inside the abdomen through a small incision. Hence laparoscopy is the best way to diagnose endometriosis in Gurgaon.

Laparoscopy procedure

You will be advised not to eat or drink for at least 8 hours before a laparoscopy. Laparoscopy is usually done under general anaesthesia and A Gynaecologist or surgeon performs the procedure.

For a laparoscopy, the abdomen is inflated with gas. The gas, which is injected with a needle, pushes the abdominal wall away from the organs so that the surgeon can see them clearly. The surgeon then inserts a laparoscope through a small incision and examines the internal organs. Additional incisions are used to insert instruments to move internal organs and structures for better viewing.

 What is the role of laparoscopy in Endometriosis?

The role is both diagnostic and therapeutic. It is the best way to diagnose endometriosis in Gurgaon and now days with advancement in operative techniques, laparoscopy is one of the best ways to treat endometriosis surgically.

Therapeutic goals of treatment of endometriosis are:

• The Removal of endometriotic cyst or drainage of endometriotic cyst from the ovary
• Adhesiolysis: It is a procedure in which abnormal adhesions between uterus, ovaries and tubes are removed and bowel which may be adherent in the pelvis is also moved back to its normal position.
• Removal of all the endometriotic implants (superficial and deep) and
• Improving the relationship between tube and ovaries so that they can function appropriately

Benefits Of surgery in Endometriosis

With the Removal of endometriotic cysts, implants and adhesiolysis- the pain that a woman experience improves dramatically and this also helps in improvement of fertility.

• Cases of severe endometriosis may continue to have some fertility related issues and would be offered therapies like IUI / IVF. However Surgery improves success rates of these treatments.
• The benefits of laparoscopic surgery compared with open abdominal surgery include less tissue trauma and scarring and a shorter hospital stay and a shorter recovery time.