pizzaleft.blogg.se - Endo surgery meaning

It can also detect some cancers of the upper digestive system. An endoscopy offers an opportunity to collect tissue samples (biopsy) to test for diseases and conditions that may be causing anemia, bleeding, inflammation or diarrhea. An endoscopy can help determine what's causing digestive signs and symptoms, such as heartburn, nausea, vomiting, abdominal pain, difficulty swallowing and gastrointestinal bleeding. Your provider may recommend an endoscopy procedure to: The upper digestive system includes the esophagus, stomach and beginning of the small intestine (duodenum). It includes the organs necessary to digest food, absorb nutrients and process waste.Īn upper endoscopy is used to diagnose and sometimes treat conditions that affect the upper part of the digestive system. Ovarian endometriosis (endometriomata cysts) is best treated with excision techniques in order to preserve fertility potential and obtain effective pain relief.Your digestive tract stretches from your mouth to your anus.Excision and destruction (burn-off = ablation, fulguration) of superficial peritoneal endometriosis are equally effective in improving pain symptoms and fertility outcomes.Laparoscopic surgical treatment of superficial peritoneal endometriosis improves both pain symptoms and fertility outcomes.

Maximum preservation of ovarian tissue is of utmost importance for women seeking fertility. Surgical excision at the time of laparoscopy results in greater improvement in pain symptoms and better preservation of ovarian tissue. Surgical excision is typically the treatment of choice for ovarian endometriosis (endometrioma cyst) with removal of the cyst wall instead of drainage and ablation/fulguration of the ovary.Ablation/fulguration of ovarian tissue during laparoscopy for the treatment of endometriomas is not recommended as it has been associated with poor fertility outcomes. Although each of the energy sources has its own specifications, none has been shown to be better than the other for destroying endometriosis lesions. Heat can be generated by a number of sources – electricity (cautery), ultrasound (Harmonic scalpel) or laser.

This is accomplished with the application of intense heat.

Burn-off is the treatment of choice for superficial endometriosis.

Similarly, research studies have shown that both excision and destruction of endometriosis at the time of laparoscopy improves future fertility compared to diagnostic laparoscopy alone. However, both excision and destruction/ablation techniques are equally effective with improving pain symptoms. Excision of superficial peritoneal endometriosis lesions has a benefit of providing pathological confirmation because the excised tissue is sent to the laboratory for evaluation. Other medical terms that describe the destruction of endometriosis are “ablation and fulguration” which are used with different kinds of energy sources.

Excision of endometriotic lesions or nodules involves cutting out visible areas of endometriosis (excision), or burning them off.

Surgical treatment for superficial endometriosis (when lesions are just on the surface and don’t go deep into the tissues) should be treated at the time of laparoscopy. Medical and surgical treatment options for deeply infiltrative endometriosis are discussed in this web page. The goal of treatment is therefore to improve symptoms, preserve fertility for women who would like to postpone childbearing and infertility treatment for women who desire pregnancy. There is currently no cure for endometriosis. Laparoscopy also allows for treatment of endometriosis lesions during the same surgical procedure. Endometriotic lesions are commonly found in all of these areas. Laparoscopy is a surgical procedure performed under general anesthesia that allows thorough visualization and inspection of all pelvic structures including: the uterus, ovaries, fallopian tubes as well as the peritoneal surfaces covering the bowel and bladder. Although symptoms such as pain and infertility may suggest the possible presence of endometriosis, the only definite way to diagnose it is by performing a laparoscopy. Endometriosis affects women in two ways: it causes pelvic and abdominal pain, and it is associated with decreased fertility.