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Diagnosing and treating Endometriosis

Reference #: 1,353
Submit Date: 05 Nov 2007
Browse Category: endometriosis
Author: none
Email Address: wsotr@hotmail.com
Treatment used: none
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Country of Remedy: USA
Remedy Source: Waters Singing on the Rocks
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Browse: endometriosis

Remedy Description

For a consultation and research contact Waters-singing-on-the-rocks at wsotr@hotmail.com



Diagnosing and treating Endometriosis



Procedures and techniques most often involved in diagnosing and treating Endometriosis

include Laparoscopy, Laparotomy, Laser Surgery and Hysterectomy.



Laparoscopy is a procedure used to observe a woman's uterus, ovaries and fallopian

tubes directly in order to detect and diagnose adhesions, cysts, ectopic pregnancy,

endometriosis and blocked fallopian tubes. It can also be utilized to perform a vaginal

hysterectomy, or to perform a tubal ligation in order to sterilize the woman. This

procedure requires special skills and training therefore my first piece of advice is to ask

your doctor about the surgeon's experience and record of successful Laparoscopies.





After general anesthesia, the surgeon makes a 1 to 1 inch incision just below the navel

and then inserts a long, thin needle, which is used to pump carbon dioxide or nitrous

oxide into the abdominal cavity. This gas raises the intestines to expose the underlying

pelvic organs. Then the surgeon inserts, though the same incision, a tube which

contains a sharp metal instrument called a trocar. This tube, or cannula, is also used to

insert a laparoscope which is similar to a periscope with a light. Other surgical

instruments can also be inserted thru the cannula when necessary.



My second piece of advice is to NOT allow the surgeon to use a local anesthetic because

this will usually allow a very uncomfortable bloating sensation during the operation.



After completion of this procedure, the gas is removed and the incision is stitched and

bandaged. If there aren't complications, the patient can usually leave the hospital within

8 hours and can resume normal activities including having sexual relations, within a day

or so. If any gas remains in the abdomen she will feel some pain under her ribs or in her

shoulder for as long as a week. Occasionally there will be some vaginal bleeding for a

week or so as well.



Considered a relatively safe procedure, laparoscopy involves less pain, risk or scarring

compared to when the procedure is done through a regular abdominal incision. However

there can be unhappy results such as abscess formation, inflammation of the lining of the

abdominal cavity, or even organ damage from the instruments used. And of course, there

is always the risks associated with anesthesia.



Laparotomy is the use of a regular abdominal incision to explore, diagnose or treat many

conditions including appendicitis, ovarian cancer, pelvic inflammatory disease,

endometriosis and etc. It is used to remove ovaries, uterine fibroids, the appendix etc. It

can also be used to reverse a tubal ligation. It is a major surgery with all the usual

associated risks.



It always requires general anesthesia and a 4-6 inch incision in the lower abdomen, just

above the pubic region. Recovery time, according to the performing doctors, is usually a

few days in the hospital and 2-4 weeks confined to the home. Complete recovery usually

takes about 6 weeks, they say. The information I have seen suggests that this time period

is more likely to be a year or so! Risks involved include bleeding that could require a

transfusion, infection, blood clots, perforation of the small intestine, abnormal scarring,

reactions to anesthesia or, rarely, death.





Laser Surgery involves concentrated light waves carried via a gas such as argon or carbon

dioxide. The powerful beams of light are used as a scalpel to cut or vaporize tissue and

seal off blood vessels. The procedure requires extensive training and very expensive

machinery. Laser surgery generally involves less pain, bleeding, risk of infection or other

complication and less recovery time than traditional surgeries. While some laser surgery

is done on an outpatient basis, when used for endometriosis it is always part of a standard

surgical procedure that requires anesthesia and an incision. It can sometimes cause

excessive bleeding, but this is rare. Other complications are also quite rare.

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