Modern medicine has many treatments for gynecological he alth problems in women. One of them is laparoscopy, which also allows you to quickly diagnose certain diseases. It is both a surgical method and a minimally invasive one, which is determined by minimal intervention in the body using endoscopic instruments.
Laparoscopy
This term is defined as a new method of surgery using small incisions or holes of only one and a half centimeters to perform surgery on the internal organs. The instrument used to do this is called a laparoscope. It is a telescopic tube with lenses and a video camera attached to it. Laparoscopes in the modern world have digital matrices that allow you to display high-definition images.
An optical cable equipped with"cold" light. Carbon dioxide is injected into the abdominal cavity to form an operative space, that is, the abdomen is inflated, the abdominal wall rises above the internal organs. The surgical range of laparoscopy is very large and diverse. But such operations have some consequences.
What are spikes
This formation is an element of scar tissue, which is their splicing and has the shape of thin strips similar to plastic wrap, or similar to the shape of voluminous fibrous rims
Reasons for appearance
Basically, the nature of the appearance of adhesions is the inflammatory process after surgery, as well as infections and any injuries. They occur between the internal organs, most of all between the fallopian tubes, ovaries, intestines, heart and bladder.
Adhesions after laparoscopy are whitish stripes that contradict human anatomy and prevent the body from working in its usual rhythm. Lead to he alth problems. Adhesions after laparoscopy of the fallopian tubes can prevent a woman from becoming pregnant. But in the abdomen, they cause intestinal obstruction.
According to statistics, about 30 percent of patients after surgery suffer from the formation of adhesions. However, this is affected by indicators that do not apply to everyone.
There is an approximate list of factors that affect and increase the percentage of adhesions afterLaparoscopy:
- The elderly and diabetics are among the first to be at risk. This is due to the fact that this category of the population has a low regenerative function of tissues.
- Also, the environment in which the operation is performed can become such a negative factor. The air and gas composition leads to overdrying of the abdominal cavity, which contributes to the formation of adhesions.
- Infection also belongs to such conditions. Most often, this process occurs during surgical intervention in the pelvic organs, since infectious pathogens accumulate precisely at the site of endoscopy. They penetrate into a suitable environment for their reproduction, slowing down regeneration, as a result of which seals are formed, that is, those same adhesions.
Symptoms
The manifestation of any signs that an adhesive process is formed in the pelvic organs may be completely absent. As the postoperative scar grows, pulling pains appear at the site where the intervention was performed, their intensification is possible during movements and during sexual intercourse. The list of exacerbation of pathologies looks like this:
- occurrence of intestinal obstruction;
- violation of the internal organs;
- appearance of pain in the pelvic area;
- menstrual cycle is off;
- development of infertility;
- bleeding, smelly.
Diagnosis of adhesions
When signs of the formation of this process appear, the following procedures must be carried out:
- The first of them is a medical examination with palpation, identifying a list of symptoms that disturb a person, with the help of which the doctor prescribes further examination.
- Ultrasound of the organs of the area where it is possible to see the appearance of adhesions.
- X-ray performed on an empty stomach.
- Laparoscopic examination: a video camera is inserted through a small hole, allowing you to visually detect the adhesive process.
However, the fact that the clinical manifestation of seals is too diverse is the difficulty in diagnosing them. When examined by a gynecologist, it is possible to determine the formation of adhesions after laparoscopy of the ovaries with their pain.
If infections contributed to this process, then a vaginal smear will show changes. In the general blood test, signs of inflammation will be visible.
Frequently used methods such as hysterosalpingography, in which the uterus and tubes are filled with a contrast agent and examined with an x-ray; nuclear magnetic resonance imaging is taking pictures showing the state of a particular area of the body.
The most popular is laparoscopy.
There are several stages of adhesion formation after laparoscopy:
- First - seals in the pelvic organs, or rather the fallopian tubes and ovaries, do not affect the penetration of the egg into the tube.
- Second -adhesions are located between these organs and present an obstacle to the capture of the egg.
- Third - the pipe can be completely twisted with seals or pinched by them, which indicates that there is no patency.
Treatment
There are two ways to deal with adhesions after laparoscopy of a cyst, tubes or ovaries:
- Surgical removal.
- In the early stages of the formation of seals, conservative therapy is possible if there are any contraindications for the first.
Adhesions after laparoscopy ovarian cysts are removed through a small incision during surgery. In most cases, methods are used that allow you to save all he althy tissues of the internal organs. During laparoscopy, the ability to penetrate the eggs into the uterus is restored.
Treatment of seals in the pelvic organs is possible with the use of ultrasound, currents that have a high frequency. Enzyme-assisted iontopheresis has also been listed as a method to combat the problem of adhesion formation after laparoscopy. Mud treatment belongs to the same list of actions against seals. But it is worth noting that all procedures are most often good in combination. Carrying out one of the actions is often not entirely effective.
In acute forms, surgery is indispensable.
Re-adhesion formation
After surgical removal of seals, there is a risk of their return. To prevent such a process,take appropriate action.
Prevention
Preventive measures - actions that need to be taken in order to prevent the recurrence of adhesions without fail. Carefully study these measures and follow the doctor's instructions. To avoid adhesions after laparoscopy of ovarian cysts and other internal organs, the following preventive measures are taken:
- Various physiotherapy.
- Medication treatment.
- Massage.
- Following a strict diet.
- Getting regular medical check-ups.
The most common method for preventing symptoms of adhesions after laparoscopy is medication. It includes the appointment of antibiotics, anti-inflammatory drugs, as well as medications that destroy a substance such as fibrin, which belongs to the elements for building seals. The duration of such measures varies from a few weeks to a month and a half.
There is a method that aims to separate the internal organs by introducing a special liquid into one or another area.
After the operation, one of the most effective actions is physiotherapy, or rather an active effect on the body: electrophoresis, electrical stimulation, ultrasound, paraffin applications, laser therapy.
Therapeutic massage is used as a concomitant help in the prevention of the treatment of adhesions after laparoscopy.
Adherence to a special diet is one of the important directions in preventing the appearance of seals.
Folk methods
Modern medicine is strong in the treatment of adhesions, but do not forget what people used when there were no such innovations as laparoscopy and antibiotics.
Such folk ways come to the rescue:
- Aloe. The recipe is easy to prepare and does not require costs. The age of the plant should be no more than 3 years, you need not to water the aloe for several weeks, then cut off the leaves and determine them in the refrigerator for 3 days. Then not coarsely cut and add 1:6 and milk, and honey. You need to take this remedy 2 times a day for 2 months.
- Milk thistle can also be treated if adhesions have formed after laparoscopy. To do this, you need to insist on its seeds: 1 tablespoon of them is poured with 200 milliliters of boiling water, boiled and filtered. Consume one month.
- Psyllium seeds are also poured with boiling water and infused, in the same proportions as milk thistle. You need to drink within 2 months, 30 minutes before meals at least 3 times a day.
- St. John's wort. If adhesions appear after laparoscopy of the tubes, then treatment with this plant will come in handy. 1 tablespoon of dried St. John's wort is poured with boiling water, then boiled and filtered. The decoction should be drunk once a day, 1/4 cup, from one to three months.
Possible Complications
The appearance of adhesions has bad consequences. Seals provoke such complications:
- infertility;
- intestinal obstruction;
- peritonitis;
- ectopicpregnancy;
- menstrual cycle gets off.
Most often, complications of the adhesive process require immediate surgical intervention.
Conclusion
Preventing the appearance of seals after interventions such as laparoscopy of internal organs depends on the attending physician who performs the operation, and subsequently monitors the patient, and on the patient himself. All prescriptions must be followed: follow a strict diet, do not sit still, move a lot, avoid all kinds of infections, but also do not overload the body.
All measures that need to be taken should be explained by the doctor in order to avoid the recurrence of such an unpleasant and sometimes dangerous problem with complications in the body, like adhesions after laparoscopy.
