Safe treatment of Laparoscopic Polycystic ovary syndrome
Most of the women with PCOS infertility do not have regular periods and they do not ovulate; so they have trouble getting pregnant. Hormonal treatments and fertility medicines may help women with PCO to get pregnant but when these medicines do not work; the women may be helped by a minimally invasive procedure called laparoscopic ovarian drilling.
What is Laparoscopic Polycystic ovary syndrome?
Laparoscopic surgery for PCO involves drilling the ovaries with a thin current – needle. It is done through a small incision from which a laparoscope with a camera is inserted and the surgeon performs the surgery while watching it on the Tv screen. Though not commonly done; it gives good results for fertility and PCO control.
“CPT code for Laparoscopic Polycystic ovary – 58661″
“GETTING READY FOR THE SURGERY”
Indications Of Laparoscopic Ovarian Drilling
If you are a known case of PCOD; planning to get pregnant and if medicines are not working.
Prerequisites are; your BMI should be less than 30kg/m2 and preoperative LH level is more than 10 IU/L
What Is Laparoscopic Ovarian Drilling And How Does It Help You
Women with PCOS usually have ovaries with a thick outer layer. The ovaries make more testosterone or male hormone. High testosterone levels can lead to irregular menstrual periods, acne, and extra body hair.
Ovarian drilling works by breaking through the thick outer surface and lowering the amount of testosterone made by the ovaries. This can help the ovaries release an egg each month and start regular monthly menstrual cycles. This may make it easier to get pregnant.
Benefits Of Ovarian Drilling
- Restoration of the menstrual cycle
- Positive pregnancy report
- Relief from symptoms due to excess male hormones like facial hair; acne; baldness
- Better response to fertility medicines
Pre Operative Preparations
- You will be asked to carry all your investigation reports which include your complete blood count; liver, thyroid; kidney function tests and other preoperative tests, and the x-ray chest.
- You will be asked to be on a light diet a day prior to surgery especially to avoid milk and milk products as they bloat your stomach.
- You will be asked to stop the medications like estrogen-containing medicines a month prior to surgery and also blood thinners like aspirin at least a week prior to surgery.
At the same time you will be asked to continue your thyroid; blood pressure and diabetes medications.
- You will be asked to report any signs of illness in case you have it prior to surgery.
- A night prior to surgery you will be given bowel cleansing solutions so that on the day of surgery you are not bloated and this makes your surgery and recovery easier.
- This procedure is done under general anesthesia in the operating room.
- A small incision is placed around your umbilicus and through this, your abdomen is inflated with Co2 gas then a fibreoptic telescope connected to a high definition camera and monitor is introduced and all abdominal organs are inspected
- One or two more such tiny incisions are placed on the abdomen through which other tiny laparoscopic instruments are inserted.
- Both the ovaries are inspected and 2 to 4 superficial punctures are made with current either on one or both the ovaries.
POST OPERATIVE PERIOD
You will be in the recovery room for 2 hrs after you wake up from anesthesia. You may feel sleepy for next few hours after which you will be shifted to your room.
You may have mild pain in your shoulder or back which is because of the gas used in surgery but it will subside in a day or two.
You may have some discomfort in the area or you may feel tired for a few days after the procedure but with each passing day you feel better.
Contact your doctor immediately if pain does not go away or if it is associated with nausea and vomiting or any other problems.
Recovery And Discharge After Laparoscopic Ovarian Drillinga
You will be asked to start taking clear liquids 6 hrs after the surgery followed by a light diet. You may be asked to walk around after you have had some light food.
You will be discharged the same day.
Risks Of Laparoscopic Ovarian Drilling
Laparoscopic ovarian drilling is not to be done as a common procedure to treat all patients of PCOD. Your gynecologist will thoroughly assess the level and severity of your PCOD(S) and then decide to make you opt for laparoscopic ovarian drilling.
Risks associated with the procedure are:
- Problems of anaesthesia
- Injury to internal organs
- Bleeding and infection
- After the laparoscopic ovarian drilling; some women may enter menopause at a younger age than expected.
- Some women may develop adhesions and scarring between the ovaries and fallopian tubes making it even harder to get pregnant.
FAQ of Laparoscopic Ovarian Drilling
Q: What Does Pco Mean?
A: PCO means bulky polycystic ovaries which have multiple small cysts on their surface causing hormonal disturbances. This results in irregular periods; excessive hair on the body; acne and other problems.
Q:What Are Pcos Symptoms?
A: Missed; irregular or scanty periods; excess body hair; weight gain; pimples; baldness and development of dark skin patches are some of the PCOD symptoms.
Q: What Is The First Line Of Treatment For Pcod?
A: The first line of treatment for PCO is weight loss and lifestyle management. The medicines used are metformin and hormonal pills.
Q: What Is PCOS Treatment Diet?
A: PCOS treatment diet avoids refined and processed foods; foods with high sugar and fat contents; alcohol and lays stress on fibers; drinking more water; foods with natural ingredients; more vegetables and fruits and complex carbohydrates and a lot of proteins.
Q: What Are The First Signs Of Pcod?
A: Irregular; missed or delayed periods; inability to get pregnant; acne; excessive hair growth on the body; weight gain is the first sign of PCOD.
Q: How To Cure Pcos Completely?
A: PCOS may or may not be cured completely, but there are ways to reduce the symptoms and keep it in control. Medicines like birth control pills may be used to control the symptoms and diabetic medication like metformin may be used to control insulin resistance.
Q: What Is The Treatment For Pcod?
A: Hormonal imbalance can be controlled by birth control pills; insulin resistance can be controlled by metformin tablets. All this can be combined with weight loss and lifestyle changes.
Q: How Much Does Pcod Treatment Cost?
A: PCOD treatment is a combined effort of multiple specialists like a gynecologist; infertility specialist; dietitian; physiotherapist; and dermatologist depending upon the symptoms which require the treatment. So the cost of treatment varies.
Q: What Are The Success Rates Of Pcod Drilling?
A: Though PCO drilling is not a routinely done procedure; it is indicated for a class of thin PCO patients with high LH levels; in whom the success rates can be as high as 50%.
Q: What Is Laparoscopic Drilling For Pco?
A: Laparoscopic ovarian drilling is a surgical technique of puncturing the surface of the ovary with a surgical needle using a current. This procedure helps to reduce the testosterone secretion by the ovaries and restore hormonal balance.
Q: What Is The Cost Of Laparoscopic Ovarian Drilling In Mumbai India?
A: The cost of laparoscopic ovarian drilling in India ranges from INR 35000 to 80000
Laparoscopic Polycystic ovary; MUMBAI