Biology, asked by Blakestevenson2750, 11 months ago

Laparoscopic surgery for stage i/ii endometriosis in infertile patients

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Answered by Rajeshkumare
0
Endometriosis is defined as the presence of endometrial-like tissue (glands or stroma) outside the uterus, which induces a chronic inflammatory reaction. Although endometriosis impairs fertility, it does not usually completely prevent conception. The question of evidence based-medicine guidelines in endometriosis-associated infertility is weak in many situations. Therefore, we will highlight in this issue where the challenges are.

Keywords: endometriosis, infertility, female, laparoscopic surgery, IVF, hormonal therapy




Introduction

Ovulatory disorders, tubal obstruction, and semen abnormalities account in nearly 75% of infertile couples. The remaining 25% of infertility is due to endometriosis (in up to 40% of the case


Laparoscopy (from Ancient Greek λαπάρα(lapara), meaning 'flank, side', and σκοπέω(skopeo), meaning 'to see') invented by George Kelling in 1901, in Germany, is an operation performed in the abdomen or pelvisusing small incisions (usually 0.5–1.5 cm) with the aid of a camera. The laparoscope aids diagnosis or therapeutic interventions with a few small cuts in the abdomen.

Laparoscopy

Illustration of Laparoscopy

ICD-9-CM54.21MeSHD010535OPS-301 code1-694

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Laparoscopic surgery, also called minimally invasive surgery (MIS), bandaid surgery, or keyhole surgery, is a modern surgicaltechnique. There are a number of advantages to the patient with laparoscopic surgery versus the more common, open procedure. These include reduced pain due to smaller incisions, reduced hemorrhaging and shorter recovery time. The key element is the use of a laparoscope, a long fiber optic cable system which allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location.

Laparoscopic surgery includes operations within the abdominal or pelvic cavities, whereas keyhole surgery performed on the thoracic or chest cavity is called thoracoscopic surgery. Specific surgical instruments used in a laparoscopic surgery include forceps, scissors, probes, dissectors, hooks, and retractors. Laparoscopic and thoracoscopic surgery belong to the broader field of endoscopy.


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