Laparoscopic cauterization of the ovaries: features of the procedure, reviews. Cauterization of ovaries to stimulate ovulation

In recent years, more women are facing infertility. This diagnosis is made on the basis of complaints (lack of pregnancy), which are recorded within one year of regular sexual activity. Often in such cases, stimulation of ovulation occurs. Reviews (who became pregnant in this way, tell) positive. But not for everyone, this method becomes a panacea. Some women require laparoscopic cautery of the ovaries. About what this procedure is, you will learn from today's article.

Laparoscopic surgery

Minimally invasive intervention - laparoscopy - has been used for many years to treat and diagnose various diseases. Before the advent of this technique, doctors performed a laparotomy: a cut-through incision of the peritoneum. With the development of medicine, it became possible to use low-traumatic methods that do not cause negative consequences.

Laparoscopic surgery allows you to intervene in any organ. More often this procedure is performed on female organs: ovaries, uterus, fallopian tubes. In this case, we are interested in the manipulation performed on the ovaries. There are several types of this procedure:

• Diagnostic (used to establish the diagnosis, can, if necessary, go into the curative);
• Decortication (removal of the surface dense layer from the organ);
• Resection (excision of part of the organ);
• Electrothermocoagulation (a deepening in the ovary for a distance of one centimeter);
• Electrilling (moxibustion of neoplasms with electric current);
• Cauterization of the ovaries (execution of incisions in places of accumulation of cysts).

Each method is selected in accordance with complaints and symptoms. Before this, the patient's condition is carefully assessed and preparation is carried out.

Cautery of the ovaries: a description of the method

This method is not used as often as some of the above. When a woman is assigned cauterization of the ovaries, she has a feeling of suspense and fear. In fact, in manipulation there is nothing to worry about. It is produced exclusively within the walls of the hospital. Experienced surgeons and anaesthesiologists work with the patient. Cautery means laser cutting in the cysts. In doing so, the doctor must ensure that the contents of the ripened follicles are poured outward. By the end of the manipulation of the ovaries, women are significantly reduced in size. The purpose of the procedure is to remove multiple cysts and "unload" the ovaries, to start their work.

Necessity of manipulation

Laser cauterization of the ovaries (cauterization) is necessary for patients with polycystic disease. What is this pathology? Polycystic is a disease in which follicles mature, but do not burst. In such conditions, the ovaries form a new vesicle every cure - the cyst. As a result, the body is filled with such new formations and can no longer function normally. The cause of this circumstance can be various factors.

1. Hormonal disbalance. When the sex glands do not react to the production of hormones, or the latter are released in insufficient quantities. More often it is a luteinizing hormone.
2. Too dense ovarian membrane. The capsule does not allow the follicle to rupture and release the egg.
3. Vegetative and chronic diseases, heredity or something else

Cauterization of the ovaries is assigned to those women who have laboratory confirmed their diagnosis. Also, the procedure is necessary in the absence of the effect of medication stimulation.

Contraindications for minimally invasive treatment

Not every representative of the weaker sex can easily undergo this manipulation. There are certain contraindications for its conduct. Among them there are absolute and relative. In the first case, it is an irreversible condition in which laparoscopic treatment is not performed under any circumstances. Relative contraindications have the opportunity to undergo correction.

Absolute restriction to minimally invasive intervention will be: sepsis, pathology of the cardiovascular system, peritonitis, coma, intestinal obstruction. Relative can be called: age, history of surgery, obesity, blood diseases, infectious diseases, malignant tumors, late or early pregnancy.

How to prepare?

Cautery of the ovaries, the consequences of which will be presented to you later, requires some preparation. Before the procedure a woman should definitely pass the tests and be examined by some specialists. Physicians determine the possibility of carrying out the procedure and give their opinion. Doctors who should be visited are a neurologist, cardiologist, therapist, gynecologist. Research is assigned to the following:

• OAK, OAM, blood test for HIV, hepatitis and syphilis;
• Establishment of the blood group and Rh factor;
• Study of the vaginal microflora;
• Determination of normal clotting of blood;
• ECG and fluorography.

On the eve of manipulation, you must follow a diet: do not eat gas-producing products, eliminate fat and alcohol. Dinner should be held not later than 18 pm. Drink water can be up to 22 hours. If you have problems with the regularity of the stool, then be sure to take laxatives. Empty the intestines before bedtime and in the morning. On the day of operation, it is strictly forbidden to eat and drink. If you can not go to the toilet yourself, then use an enema.

Features of the operation

Before the beginning of manipulation, the patient is administered sedatives and analgesics. Directly on the operating table, the anesthetist gives anesthesia. During laparoscopy, the woman is in a state of sleep. As soon as the drugs began to work, the ventilator tube is injected into the respiratory tract of the weaker sex with the help of the ventilator cavity, which is pumped with gas lifting the abdominal wall. Further in the peritoneum, from 2 to 4 incisions are made, through which a camera is introduced, which supplies the image to the screen, manipulators, a laser and other necessary tools.

Using forceps, the sex glands (ovaries) are fixed in a fixed position. After that, the laser makes cuts in the places of cyst formation. The blood loss during the operation is minimal, the risks of complications are also close to zero. When all planned manipulations are carried out, the tools are removed and the holes are closed.

Recovery period

Within a few days the patient must remain under medical supervision. Monthly after cauterization of the ovaries can begin at any time, because there was interference in the work of the sex glands. In some patients, the regularity of the cycle is not impaired, bleeding begins at the scheduled time.

The woman is allowed to get up after the operation after 4 hours. We need to move as much as possible to accelerate the recovery process. On the second day after the intervention, it is allowed to return to normal diet, but it is necessary to monitor the work of the intestine. Drug treatment is prescribed as needed.

Questions that often arise in women

1. Many patients wonder whether cauterization of the ovaries is considered the first day of the cycle. No, if no gynecologic scraping of the uterine cavity was performed.
2. Is it necessary to observe sexual rest after manipulation? Yes, within two weeks it is necessary to refrain from sex.
3. Through how much pregnancy is possible after cauterization of the ovaries? It is possible to plan the conception in 2-3 months, if there are no other contraindications and the need for drug treatment.
4. Is pain caused by manipulation? During the procedure, a woman sleeps and does not feel anything. After surgery, the probability of pain is minimal, since small areas of the peritoneum are damaged.
5. Why there is discomfort in the sternum and the clavicle hurts? Often in thin women this is the manifestation of the escape of gas pumped into the abdomen. A few days later the discomfort will pass by itself.

The consequences of the procedure: the pros and cons

The procedure of cauterization has undeniable advantages over other methods of treatment. The positive has stimulation of ovulation feedback. Who became pregnant in this way, they say that they had only to take medications. But not every patient will be able to cope with this problem. If the opening of the follicles does not occur, then additional intervention is necessary.

Cautery is a safe and effective way. The probability of complications is minimal. Adhesive process does not develop, and there is no need to use antibiotics. The recovery period is short, it proceeds easily and painlessly. There are no cosmetic defects: scars and seams. There are practically no shortcomings and drawbacks to the procedure. Only in exceptional cases, there are consequences in the form of trauma to neighboring organs, bleeding and other complications.

Comments of women who passed through this

Many representatives of the weaker sex talk about the fact that after the procedure they had a long-awaited pregnancy. Some, disobeying the doctor's recommendations, were able to conceive a baby within a month. Her pregnancy was without complications and negative moments.

Patients report that after the treatment they recovered the cycle. Monthly after cauterization of the ovaries have acquired stability and regularity. Bleeding became less abundant and painless. Also, ovulation has become permanent and timely. The pain in the abdomen caused by multiple cysts disappeared.

Summarize

Cauterization of the ovaries is not practiced in all medical institutions. Most often during laparoscopy, the surgeon makes incisions on the ovaries, destroying the dense capsule, but not affecting the cysts. This method of treating the syndrome of polycystic ovaries is not so effective. Nevertheless, the therapy is very popular and has positive reviews. Talk to your doctor and find out if you have any problems. Good health!