1. Diagnose various difficult diseases, such as acute abdominal pain, chronic pelvic pain, uterine perforation, infertility, dysmenorrhea, etc.
2. Treatment: various types of ectopic pregnancy, conservative treatment of ectopic pregnancy (preserving fallopian tube), pelvic adhesion, endometriosis, ovarian endometriosis cyst, ovarian benign teratoma, ovarian cyst, hysteromyoma, various pelvic tumors, tubal sterilization and tubal recanalization.
Second, can one operation treat gynecological diseases and gallstones at the same time?
If the patient has gynecological diseases (such as hysteromyoma, ovarian cyst, ectopic pregnancy, etc. ) and also suffering from cholecystolithiasis and cholecystitis, the traditional surgery is to do cholecystectomy first and stay in hospital for 7~ 10 days, then stay in hospital for 2~3 months after gynecological surgery, stay in hospital for 10~ 15 days, stay in hospital twice, be anesthetized twice and operate twice. If you do laparoscopic minimally invasive gynecological and surgical operations, you only need to stay in hospital once, for about 3-5 days, and anesthetize once, so you can remove gallbladder and gynecological pelvic tumors at the same time. You can move to the field within 24 hours, eat early, and recover quickly after operation.
Third, can the operation of "drilling" be thorough?
Some patients worry that "drilling" surgery is not as intuitive and reliable as open surgery, but this is not the case. Laparoscopic surgery is more convenient and reliable by improving surgical methods and instruments. Laparoscopic surgery has clearer vision, more detailed operation and less possibility of complications. At present, the United States, Singapore and other countries have enacted laws, and it is considered illegal for doctors not to use "drilling" surgery first, which increases the pain of patients.
4. Can obese patients do laparoscopic surgery to treat gynecological diseases?
Obese patients are more suitable for laparoscopic surgery. Obese patients undergoing open surgery, because the incision is large and deep, subcutaneous fat is easy to liquefy, so it is easy to cause postoperative incision infection, incision hernia and so on. In addition, the respiratory function of obese patients is significantly lower than that of normal weight patients, and postoperative complications such as pulmonary infection and atelectasis are also significantly higher than that of normal weight patients. If laparoscopic surgery is performed, there is no difference between obese patients and normal weight people in wound size, operation time, physical injury and postoperative complications. The incidence of complications such as incision infection and lung infection in laparoscopic surgery is lower than that in open surgery. Therefore, obese patients are more suitable for laparoscopic surgery.
5. How to take out larger pelvic tumors (such as hysteromyoma and intra-column cyst) from the small mouth?
If you see ectopic pregnancy, remove the fallopian tube, which can be easily taken out directly from the small mouth when you remove it. If you see ovarian cystic tumor, you can use a slender puncture needle to suck out the fluid in the cyst to shrink the tumor and take it out from the small opening of the abdominal wall. If it is a large solid tumor, such as hysteromyoma, the tumor can be cut into strips with special equipment first, and then taken out through a small incision in the abdominal wall. All the above specimens should be put into the specimen bag in advance and taken out from the small opening of the abdominal wall. The whole tumor can also be removed from the vagina. When the large tumor was removed, there was no big scar on the abdominal wall, only 3-4 small openings (0.5~ 1cm), and there was no surgical trace after healing.
6. Can laparoscopic treatment of ectopic pregnancy preserve fallopian tubes?
For tubal pregnancy, the diameter of the pregnancy mass
7. Can I get pregnant again after laparoscopic surgery with fallopian tubes preserved?
Yes Many data prove that there is no difference in pregnancy rate between tubal plastic surgery and salpingectomy without other infertility factors.
Eight, laparoscopic ovarian cyst resection can preserve the ovulation function of the affected ovary?
Yes Patients with ovarian cyst can peel off the cyst according to the condition and keep some normal ovaries. Preserve the endocrine function of ovary, and do not affect ovulation.
9. Can patients with polycystic ovary syndrome be treated by laparoscopy?
Yes Polycystic ovary syndrome is a complex syndrome caused by abnormal hormone secretion and regulation among hypothalamus, pituitary and ovary. Its characteristic is that the patient's ovary does not ovulate. Clinically, there are symptoms such as menstrual disorder, obesity, hirsutism and bilateral ovarian enlargement. Traditional surgical treatments are open surgery and wedge ovariectomy. Laparoscopic treatment of polycystic ovary syndrome can restore ovulation function in 90% patients, and the pregnancy rate after operation can reach 70%, and the operation is simple with less pelvic adhesion after operation. At present, laparoscopic treatment of polycystic ovary syndrome has replaced open ovarian wedge resection.
X can laparoscopy treat pelvic inflammatory disease and pelvic abscess?
Yes In the surgical exploration of laparotomy for pelvic inflammatory disease, most people think that inflammatory tissue is edema, tissue fragility is increased, tissue is easy to tear, tissue is congested, capillaries are easy to bleed, hemostasis is not ideal, and blood transfusion is often needed during operation. Because of infection spread and incision infection after operation, the dosage of antibiotics is large. However, laparoscopy is minimally invasive, does not require blood transfusion, and uses less drugs after operation. It is a method with little injury and good diagnosis and treatment effect, and can be used for the diagnosis and treatment of pelvic inflammatory disease and pelvic mass.
XI。 What kind of patients can laparoscopy treat?
No serious cardiovascular disease, no cardiopulmonary insufficiency, no middle and late pregnancy, no coagulation dysfunction and blood diseases can all be treated by laparoscopy.