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Laparoscopic Method in Myoma, Chocolate Cyst and Uterine Tumors

26 August 2021

Laparoscopic Method in Myoma, Chocolate Cyst and Uterine Tumors

Laparoscopy, popularly known as closed surgery, is a closed surgical method where all kinds of gynecological operations can be performed. Laparoscopy has unique anatomical, physiological and technical features. Laparoscopic operations are performed by entering surgical instruments with a diameter of 5 mm from 2 or 3 places in the lower part of the abdomen and a camera with a diameter of 10 mm in the navel. In such operations, a long and wide incision is not made on the abdomen of the patient as in open surgeries.

Except for advanced ovarian cancers, all gynecological operations can be performed with the laparoscopic method. These can be counted as removal of myoma or uterus, removal of ovarian cysts, removal of uterine tumors, surgeries for the tubes, and urinary incontinence surgeries. Performing such operations with the laparoscopic method is of great importance in terms of patient health and comfort. With closed surgery (laparoscopy), a faster return to daily life is provided. Incision site hernias, incision site infections, intestinal obstructions and abdominal adhesions in open surgeries are almost never seen in closed surgeries.

Laparoscopy in Myoma

Chocolate Cyst and Laparoscopic Method

Chocolate cyst is a type of cyst that occurs as a result of endometriosis. A chocolate cyst occurs because the tissue called the endometrium, which covers the inner part of the uterus, settles on the ovaries and multiplies there. Because the cyst is filled with brown fluid, it is called a chocolate cyst.

In chocolate cysts, the decision of surgical intervention is the most important point. The decision for surgery is taken by evaluating factors such as chronic inguinal pain and cyst size. After the decision for surgical intervention is made, the laparoscopic method is often applied.

Fibroid and Laparoscopic Method

Fibroids are intra-abdominal tumors that are frequently encountered in women, develop from the uterine muscle tissue, and mostly do not have cancer characteristics. Findings such as intense and prolonged, painful menstrual bleeding, feeling of intra-abdominal pressure and pain, painful sexual intercourse, frequent urination, urinary incontinence, constipation can be symptoms of uterine fibroids.

Fibroids are treated by making personalized planning, taking the age of the patient into account, the location of the fibroid, the number of fibroids. If surgical intervention is planned, the laparoscopic method is mostly used. In the laparoscopic method, there is no large incision as in open surgery. Laparoscopic surgeries; It is more advantageous than open surgery with features such as less pain, less hospital stay, quick return to social life, smaller and uncertain surgical scars, and better cosmetic results. Apart from these, problems such as wound inflammation, bleeding, wound opening and herniation in open surgery are very unlikely to occur in laparoscopic surgery.