Laparoscopic Surgery For Endometriosis and Chocolate Cysts

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Laparoscopic Endometriosis and chocolate cysts in Goregaon, Mumbai are the frustrating and agonizing diseases a woman can have. It is best experienced by the woman herself and best understood by the gynecologist who treats her. It is a monthly ordeal for the woman suffering from endometriosis. Endometriosis develops due to the ectopic presence of endometrial tissues which line the inside of the uterus at places other than the uterus. So with each period; the woman suffers from pain due to the collection and trapping of blood inside the abdomen and the ovaries. Apart from causing pain; endometriosis can lead to difficulties in getting pregnant; and also other long-term diseases in a few women like kidney, bowel, or nerve damage. Medicines may help at times but they may not solve the problems completely. Surgery for endometriosis involves removal of abnormal tissues from the abdomen; disabling the active tissues by current; adhesiolysis; excision of chocolate cysts, etc. Surgery for endometriosis is best done by laparoscopy which offers much higher magnification of the tissues and hence more precise and accurate management of the disease.

What is Laparoscopy Endometriosis

Endometriosis is best treated by laparoscopy by which even smaller implants look magnified and ensure complete removal. The surgeon inserts a laparoscope through a tiny incision and performs surgery through the image on the TV screen; making it a pain-free and minimally invasive surgery with faster recovery and early discharge.

What is Laparoscopy Chocolate Cysts

Laparoscopic chocolate cysts in Goregaon Mumbai removal is the method of choice in which the surgeon operates through a laparoscope with a camera inserted through a small incision near the belly button. The surgeon views the image on the TV screen and performs chocolate cyst surgery which can be combined with associated endometriosis-related pathologies also. It is a pain-free surgery with fast recovery

“CPT code – 49320″

We, at Vardaan hospital; are equipped with advanced laparoscopic instrumentation. Dr. Dimple Doshi is an expert laparoscopic surgeon with an experience of more than 12 years in the field of gynec laparoscopy.

Dr. Dimple Doshi at Vardaan Hospital; believes prevention is better than cure, and thus apart from the precise treatment guidelines; preventive measures are an essential part of our consultations with the patients who have either had it or want to know more about it.

Indications for Laparoscopic Surgery for Endometriosis and Chocolate Cysts

Menstrual pain or dysmenorrhea
Pain during sexual intercourse
Infertility
When there are chances that if a disease is allowed to remain untreated; it may progress and damage kidney; bowel or certain nerves.
Chronic pelvic pain due to adhesions

Types of Laparoscopic Surgery for Endometriosis and Chocolate Cysts

Fulguration of endometrial implants: Here current is used to burn the superficial implants of endometriosis
Excision of the endometrial implants and nodules: Here the implants and nodules formed due to deeper invasion of the endometriosis.
Excision of the chocolate cysts : Here the chocolate cyst is drained and the cyst wall is removed.
Adhesiolysis : This is very important of any endometriosis were the bands or tissues which develop between abdominal organs due to endometriosis are cut by scissors and current.

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 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

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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 is introduced and all abdominal organs are inspected.
2 or 3 more such tiny incisions are placed on the abdomen through which other tiny laparoscopic instruments are inserted.
The whole abdominal cavity is examined thoroughly. The extent and nature of endometriosis are determined and further strategy about the disease clearance is determined. This includes ablation of endometrial implants; excision of nodules; adhesiolysis; removal of chocolate cysts etc.

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 Adhesiolysis

Symptoms of adnexal mass may be different for different people depending upon its cause.

Common symptoms are:

Severe lower abdominal or pelvic pain that is sometime only on one side
Abnormal bleeding pattern; including heavy nf prolonged periods.
Feeling of fullness, bloating, constipation, indigestion, nausea, vomiting
Urinary symptoms
Fatigue
Fever
Vaginal discharge

FAQ Laparoscopic Surgery For Endometriosis And Chocolate Cysts

Q: What Is Laparoscopic Endometriosis Surgery?
A:Tackling endometriosis using laparoscopic surgery involves excision of endometriotic implants; or spraying them by using electric current; excision of the chocolate cyst and/or adhesiolysis.

Q:Is Laparoscopy For Endometriosis Painful?
A: Laparoscopy for endometriosis is done under general anesthesia; which means you will sleep off while the surgery is being done. This surgery is meant to relieve you of pain. So after the surgery; there will be relief from pain.

Q: How Long Does Laparoscopic Surgery For Endometriosis Take?
A: Laparoscopic surgery for endometriosis depends upon its stage. Stage 4 endometriosis can take longer as it requires extensive release of tissues compared to stage 1.

Q:When Is Laparoscopy Needed For Endometriosis?
A:Barring stage 1 endometriosis which may be amenable to treatment with medicines; endometriosis requires surgery. The earlier the diagnosis; the earlier the treatment; the better is future outcome.

Q: Is Laparoscopic Surgery For Endometriosis A Major Surgery?
A: Though with laparoscopy; the recovery and discharge from the hospital are very fast; the surgery is still considered a major one.

Q:How Much Is The Cost Of Endometriosis Surgery In Mumbai?
A:The cost of endometriosis ranges from 45000 to 1.5 lacs depending upon the severity and complexity of the case and the type of room that is selected.

Q: What Is Laparoscopic Chocolate Cyst Surgery?
A: Laparoscopic surgery is done to remove the chocolate cyst from the ovary. It may have to be combined with adhesiolysis and excision of the endometriotic lesions situated anywhere else in the pelvis.

Q: What Causes Chocolate Cyst?
A: Chocolate cyst in the ovary develops due to gradual entrapment of blood in the ovary as a result of bleeding endometrial implants inside it.

Q: Do Chocolate Cysts Rupture?
A: Bigger chocolate cysts can rupture inside the pelvis leading to severe abdominal pain.

Q: Are Chocolate Cysts Cancerous?
A: No. chocolate cysts are benign cysts.

Q: How Do Chocolate Cysts Affect Fertility?
A: Chocolate cysts can damage the healthy ovarian tissues and this can pose a serious threat to fertility; even the surgery to remove them can lead to scarring and reduced fertility. However much depends upon the remaining healthy and functioning ovarian tissues.

Q: How Are Chocolate Cysts Removed? is Surgery Necessary For Chocolate Cysts?
A: Chocolate cysts are best removed by laparoscopy. Yes, surgery is necessary for chocolate cysts removal even when they are small.

Q:What Is The Cost Of Laparoscopic Surgery For Ovarian Chocolate Cyst?
A:The cost ranges from 45000 to 1 lac depending upon the severity of the disease and the type of room that is selected.