Frequent gynecological surgeries

Frequent gynecological surgeries

 The most common obstetric-gynecological surgeries are ovarian cystectomy, myomectomy, hysterectomy, and surgical treatment for endometriosis. Find out from this material when these interventions are recommended and what they consist of! In most cases, gynecological surgery is recommended when the drug treatment does not work or if the evolution of the gynecological condition that the patient suffers from is accelerated, which can endanger her health. Dr. Q Khan provides the best nephrology physicians in the USA.  These surgeries become urgent surgeries in some cases, especially when the state is left untreated.

Content

Ovarian cystectomy

·         Myomectomy

·         Hysterectomy

·         ENDOMETRIOSIS

Ovarian cystectomy

Ovarian cystectomy is a surgical excision/removal of ovarian cysts that do not respond to drug treatment, have become complicated, or have a high suspicion of malignancy. Most of the time, the surgery performed is minimally invasive, i.e., laparoscopic. This allows the patient to recover and heal quickly.

Ovarian cysts may be asymptomatic in the early stages of the disease. Therefore, patients do not even know that they have this condition, especially if they do not come to routine gynecological consultations. In some cases, the cyst ruptures or twists, a medical-surgical emergency. There is also a risk that an ovarian cyst may be malignant in routine investigations. In this case, surgery is recommended. This may only be a cystectomy if the malignancy is confirmed intraoperatively, or it may be necessary to have more extensive excisions if the extemporaneous examination and preoperative investigations show the presence of a malignant transformation. In this case, a transvaginal ultrasound, CT, MRI, and dosing of tumor markers are required. Small cysts, which do not present complications, do not indicate operation but only monitor their evolution. Surgery involves removing the cyst and its capsule while keeping the ovarian tissue healthy. In rare cases in which the whole ovary is compromised, even its excision can be done.

Myomectomy

Myomectomy is the excision of one or more fibroids, being a conservative surgery. This intervention removes only the tumor formation, and the uterus remains intact. The size of the fibroid or fibroids is significant and their location. Depending on this information, the best surgical treatment method can be chosen: open surgery, laparoscopy, or hysteroscopy. Hysteroscopy is recommended for submucosal fibroids located inside the uterus, the patient coming for surgery and leaving home in most cases on the same day. Uterine fibroids that grow in the thickness of the uterine wall cannot be approached hysteroscopically.

Suppose the uterine fibroid is located in the thickness of the uterine wall or entirely outside the uterus. In that case, abdominal surgery is resorted to, which can be by classic or laparoscopic approach. The method of choice always belongs to the surgeon, who knows which treatment is appropriate and effective for the patient. Laparoscopic surgery is preferable because the recovery is fast, and the scars are minimal. But laparoscopic surgery is not always possible.

Hysterectomy

Hysterectomy is the surgery to remove the uterus, being the most common gynecological surgery after cesarean section.

Hysterectomy is recommended, among other things, for fibroids, heavy uterine bleeding, pelvic inflammatory disease, and endometriosis.

Hysterectomy can be subtotal (only the uterine body is removed) and total (removal of the uterus and cervix).

Depending on the stage of the condition, both total hysterectomy and subtotal hysterectomy may remove either one or both ovaries.

ENDOMETRIOSIS

Endometriosis is a common condition in women of childbearing potential, ranking second in gynecological diseases in Europe. In Romania, almost 500,000 women have endometriosis.

Endometriosis leads to infertility, and treatment can be hormonal by administering anti-inflammatory drugs or minimally invasive surgery, i.e., laparoscopic. Dr. Q Khan provides the best Clinical Consultation in the USA.  Through this intervention, endometriotic proliferations are removed. As endometriosis is a condition that cannot be treated permanently, a few years after surgery, endometriosis can recur.

Complications of polycystic ovary syndrome

Polycystic ovary syndrome is one of the leading causes of infertility among patients between 14 and 40. Genetic predisposition and hormonal disorders are factors that favor this condition. Untreated, polycystic ovary syndrome increases the risk of related medical conditions.

Infertility is just one of the significant consequences of polycystic ovary syndrome, with most cases of a polycystic ovary being diagnosed when a woman is trying to conceive.

For the diagnosis, 2 out of 3 criteria must be met. One criterion is ultrasound, in which the ovaries are enlarged, with many follicles arranged predominantly in the periphery; another criterion is represented by irregular menstrual cycles; and the third is the signs of hyperandrogenism—the presence of excess male hormones manifested by hirsutism, acne, etc.

Useful for diagnosis are laboratory tests

 Useful for diagnosis are laboratory tests that show hormonal changes characteristic of this condition and associated changes, such as increased insulin resistance. The drug treatment and the hygienic-dietary regime represent two effective variants for the treatment of the polycystic ovary syndrome, the treatment being adapted to the patient's needs. If pregnancy is desired, the treatment aims to induce ovulation, and if a pregnancy is not selected, the goal is to have a regular menstrual cycle, possibly offering contraception.

When you notice the first symptoms of this condition, it is recommended to go to a gynecological consultation for an accurate diagnosis. More details about the symptoms of polycystic ovary syndrome can be found here.

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