For women who are not responding to other medical treatment forms, laparoscopic surgery for endometriosis is recommended. Amongst the most common form of surgeries for curing endometriosis, laparoscopy ranks very high. It is a procedure that is very minimally invasive as a very thin surgical instrument known as a laparoscope is let into the abdominal cavity through a very tiny incision. Actually the procedure is just a way to confirm diagnosis by actually seeing the
implants on the organs inside the body. Even in this case the abdominal organs may not be that easily visible or can be hidden which may result in not returning an endometriosis diagnosis.
The whole process of laparoscopic surgery for endometriosis is similar to other surgeries in many contexts. The risks are usually similar. Generally, general anesthesia is used in the process. However in some cases and epidural i.e., spinal anesthesia may be used that allows the woman to remain awake during the treatment. A gynecologist will carry out the procedure usually. There are many good surgeons for this kind of treatment in India. In Delhi itself there are some good surgeons. Make sure that you get hold of a good one so that the whole surgery becomes a success.
Anyone who is undergoing this surgery is advised to avoid drinking or eating 8 hours before the scheduled time for the surgery. The procedure starts with inflating the abdomen of the patient using nitrous oxide gas or carbon di oxide. This helps in moving the wall of the abdomen away from the organs. Hence, a better view and more operating area for the surgeon are facilitated.
A small incision is made below the belly button through which the laparoscope is inserted. The examination process then begins through the camera and light present on the laparoscope. If scar tissue is found, additional instruments can be inserted using some more incisions. There are several different ways to treat endometriosis using various different kinds of laparoscopic instruments like scalpels, laser, etc.
After the surgery is over, the incisions are stitched up and as the incisions are so very small, there is generally no scarring. Normally, the whole process takes around an hour. Any pain that is witnessed after the surgery is because of the muscle stretching. Similarly some pain may be witnessed on the shoulders. It takes at least a week for the woman to return back to the normal day to day activities.
Although this surgery is usually successful, there is no guarantee that the scar cells will not return over time. As there is no known cause as yet for this kind of problem, accurate cure is not possible. This surgery is the best option available because of its high success rates.
Dr. Usha M Kumar is the Director Progeny and an expert laparoscopic surgery for endometriosis. Dr. Usha M Kumar associated with many Super-specialty hospitals in Delhi. She is super specialized in endoscopic procedures for infertility and for cancer patients. http://www.amazines.com/