Laparoscopy of the uterus: on what day of the cycle is it prescribed?

Posted on Sep 2nd, 2019

by Olya

Categories:

• Dependencies

Unfortunately, more and more women are forced to undergo laparoscopic surgery for one reason or another. In this article, we have collected answers to five questions about surgical intervention that most often concern patients.

No. 2. Is laparoscopy performed during menstruation?

The opinions of doctors on this matter were divided into 2 groups. Some believe that menstruation is not a contraindication to laparoscopy. Moreover, during the menstrual period, immunity and overall endurance of the body and its resistance to infections increase.

Other gynecologists believe that any surgical interventions are strictly contraindicated during menstruation. During this period, hemoglobin decreases, blood clotting decreases, and the body is already under stress. In addition, most women experience discomfort during menstruation, and surgery can further aggravate the pain syndrome. When performing laparoscopy during menstruation, the duration of the rehabilitation period may increase.

Therefore, if there are no strict indications for surgical intervention, as well as a threat to the patient’s life, then it is recommended to wait until the end of menstruation. If delay can cause serious harm to a woman’s health, and laparoscopy during menstruation is still performed, then there is a risk of complications:

• internal bleeding (due to low hemoglobin and decreased blood clotting);
• vascular damage;
• varicose veins of the pelvic organs;
• cycle failure.

Contraindications before laparoscopy

Not all patients at the clinic can undergo surgery. Laparoscopy is contraindicated for patients in the following cases:

• detection of inflammatory processes in the pelvic organs;
• state of shock;
• presence of bronchial asthma;
• anorexia;
• disruption of the respiratory system;
• hiatal hernia;
• pathologies of the nervous system, etc.

No. 3. Is it possible to do laparoscopy if you have a cold?

No you can not. With colds, there is an increase in the concentration of leukocytes in the blood, which can negatively affect anesthesia. If you have a runny nose due to a cold and the patient is given anesthesia, breathing failure and even cardiac arrest may occur. Therefore, it is necessary to carry out comprehensive treatment of a cold, and only after that carry out surgery, in order to avoid the risk of possible complications.

No. 4. Can there be a fever after laparoscopy?

Laparoscopy is a surgical intervention, that is, tissue trauma occurs, even though it is a much more modern and gentle procedure than laparotomy (abdominal surgery).

Since after the operation, enhanced restoration of damaged tissue begins, temperature after laparoscopy is a completely natural phenomenon. This is how human immunity works. Usually, a low-grade fever (37-37.5 degrees) is observed for 1-3 days. This phenomenon does not pose a danger to a woman; this temperature goes away on its own and does not require specific methods to eliminate it.

But there are situations when the temperature rises to higher levels, and is also accompanied by fever or chills, pain in the abdomen and laparoscopic punctures, swelling and hotness of the skin. This may indicate the presence of an inflammatory process, infection, or other complications of surgical intervention. Therefore, if you find at least one of these signs, you must immediately inform your doctor. In addition to the inflammatory process, a blood clot or tissue suppuration may occur after laparoscopy. In these cases, there is also a temperature that requires additional medical diagnosis.

No. 5. When can an ultrasound be done after laparoscopy?

After laparoscopy, a routine ultrasound can be performed after 2 weeks, then as needed and as prescribed by the doctor. The specific timing depends on the type of operation, that is, why exactly it was performed, as well as on how well and quickly the recovery takes place. An unscheduled ultrasound can be performed if there is pain after laparoscopy, if the right ovary is pulled, the temperature has risen, or other unpleasant symptoms.

Any operation is always stressful for the body. It’s not for nothing that before it is carried out, doctors prescribe a thorough examination, and only after this the day of surgery is planned.

Women should be especially careful when choosing a date, since it is traditionally considered undesirable to hold this event on critical days. It would seem, what special happens to the body during this natural process laid down by nature itself? And why is it advisable to have surgery after the end of menstruation?

This issue is still controversial. For example, European doctors have long stopped believing that surgery cannot be performed during menstruation. On the contrary, at this time the immunity and general activity of the body increases, and small changes in the hormonal and circulatory systems that occur during menstruation will not lead to serious consequences, which means that the patient can be operated on.

Possible violations

Whether or not there will be menstrual irregularities after laparoscopy depends both on the technique and scope of the intervention, and on the individual characteristics of the woman’s body.

If the operation involves any intervention on the ovaries, then failure is observed in almost all cases.

Prescribing hormonal therapy allows you to minimize cycle disruptions and provide additional treatment.

If hysteroscopy is performed together with laparoscopy or curettage of the uterine cavity is performed, then the day of the operation should be considered the first day of menstruation, despite previous menstruation. During these procedures, the superficial layer of the endometrium is removed. These are a kind of artificial “critical days”, after which it begins to grow again.

The following menstrual irregularities are most often observed after laparoscopy:

• Spotting and spotting immediately after surgery, as well as for the next few days.
• Delays for several days, usually no more than 14 days.
• Establishing a new menstrual schedule, when the first day of the cycle is the one when the laparoscopy was performed.
• Pain during menstruation after laparoscopy occurs when performing any serious interventions, more often after removal of fibromatous nodes.
• Menstruation can be profuse only if there is pathology of the uterine cavity, for example, hyperplasia or polyps, as well as with adenomyosis.

It should also be taken into account that stress, anxiety, as well as other reasons can lead to disruption of the menstrual cycle, and the time will coincide with the time of laparoscopy. Only a doctor can determine the true cause, who should be contacted if symptoms appear that the operating surgeon did not warn about.

Risks and complications after abdominal surgeries performed during menstruation

Negative consequences are very real, so you need to be prepared for them just in case. Moreover, abdominal surgery is classified as complex due to extensive (compared to laparoscopy) excision and a longer rehabilitation period. Therefore, you should think carefully before rushing to have surgery during this period, especially if there is no serious threat to health or life.

So, the main possible complications:

• due to reduced coagulability, sudden bleeding may occur, and this is fraught with blood loss or subsequent hematomas at the site of the intervention;
• rough postoperative scars, but not due to the fault of the surgeon, but due to the peculiarities of collagen metabolism. Scars can be polished off later, and only then will they become less noticeable;
• inflammatory processes due to increased blood supply in the operated area;
• the appearance of pigment spots due to hemorrhage in the operated area. Within a few months, the pigmentation disappears.

Based on these probable consequences, surgical intervention can be planned only for the time before or after menstruation, ideally on days 5-10 of the cycle. This will not only reduce the risk of bad consequences of the operation, but will also give the woman time to rehabilitate and restore her ability to care for herself, and to fully maintain hygiene during her next period.

If before the operation, due to strong feelings, a woman’s body malfunctions and menstruation resumes, then almost any surgeon will prefer to postpone the intervention to a later date, thereby avoiding possible postoperative complications in the patient.

Laparoscopy surgery and menstruation: important questions about conducting and restoring the cycle

The use of laparoscopic technologies today is considered the “gold standard” in the treatment of many gynecological diseases. Low invasiveness, good tolerability and rapid recovery after such an intervention are the main advantages of this method over others.

Most often, laparoscopic operations are performed for ovarian pathology, endometriosis and infertility. Sometimes the procedure can provoke some disorders, including the menstrual cycle.

If laparoscopy was performed and menstruation did not start as usual - is this normal and pathological? What are the features of the body’s recovery after surgery?

Recovery of the body after surgery

Laparoscopic surgery is performed using modern equipment, which allows access to internal organs through small incisions on the skin. Features of the procedure allow us to highlight the characteristic features of the rehabilitation period. These include:

• Laparoscopy is performed under general endotracheal anesthesia. In view of this, for some time after the operation, but not more than a few days, the woman may be bothered by unpleasant sensations in the nasopharynx area. This is due to minor trauma to the mucous membrane during intubation.
• Gynecological operations using laparoscopic techniques are performed in a position with the head end down. Often after this, women note some unpleasant sensations in the shoulder area, which disappear after a few days.
• Pain syndrome after laparoscopy is several times less pronounced compared to classical operations. This is primarily due to the fact that all incisions and tissue damage are minimal, there is no additional injury from the doctor’s hands, for example, or napkins, etc. In the postoperative period, it is rarely necessary to resort to strong painkillers, for example, narcotics. Usually analgin or a similar drug is sufficient.
• After 5 - 7 hours, a woman can begin to actively move and get up. And, as you know, the sooner a person becomes active, the easier and faster it is to recover. After conventional operations, severe pain interferes with such early movements.
• As with any such treatment, there are always restrictions on physical activity. On average for a period of about a month.
• After performing laparoscopic operations, hernias never form.
• To prevent infectious complications, sexual rest is prescribed for 2 - 3 weeks. In some cases, there is no such prohibition, for example, after performing a similar operation for polycystic ovaries. Laparoscopy is performed before menstruation, which should minimize cycle disruptions.
• You may experience some bloating in your abdomen for several days after surgery. This is due to the fact that during the intervention it is filled with carbon dioxide to visualize the entire process. It dissolves within two to three days without additional prescriptions.
• It is necessary to carefully care for small stitches on the skin of the abdomen. Despite their size, if the processing rules are not followed, they can become inflamed. So, you should not take a steam bath (in a bathhouse, bath, etc.) until the wounds are completely healed. It is better to choose loose clothing to avoid friction and damage. Processing and further removal of threads in the seams should be strictly as prescribed by the doctor.
• An important advantage of laparoscopy is the lower likelihood of developing adhesions. And, consequently, discomfort, unpleasant sensations, pain and other symptoms associated with this will be much less pronounced or absent altogether.
• During laparoscopy, the total blood loss is not so great. Only in special cases and when complications develop is it necessary to undergo a blood transfusion or take iron supplements in the postoperative period to restore hemoglobin levels.

Features of the menstrual cycle after surgery

Women often note that menstruation does not come on time after ovarian laparoscopy, and sometimes the cycle is even significantly disrupted. This may be due to several aspects. These include:

• the reason why laparoscopy was performed;
• on what day of the cycle was the manipulation performed;
• whether there were additional interventions, for example, hysteroscopy or conventional curettage of the uterine cavity;
• whether hormonal therapy was prescribed immediately after laparoscopy;
• whether ovarian tissue was removed;
• woman's age;
• characteristics of the patient’s body and some other factors.

Many women are interested in whether laparoscopy is performed during menstruation. In general, it is not advisable to carry out any diagnostic or therapeutic procedures on critical days. This is primarily due to increased tissue bleeding in girls during this period. Even according to the results of a coagulogram, some phenomena of hypocoagulation—reduced coagulation—can be observed.

It should also be taken into account that other diagnostic procedures are often performed together with laparoscopy, for example, chromohydrotubation of the fallopian tubes or hysteroscopy.

If you do this during menstruation, the risk of various complications of an infectious nature sharply increases, and the result of the study has less diagnostic value.

That is why all planned interventions, including laparoscopy, are carried out mainly in the first half of the menstrual cycle.

About polycystic disease

The purpose of laparoscopy for polycystic disease is to remove the dense tunica albuginea so that the follicle with the egg can mature. In this case, some part of the ovary is almost always removed.

All this leads to hormonal imbalance, which can ultimately lead to cycle disruption. If the operation is performed for the purpose of further pregnancy, then hormonal therapy is not prescribed. An exception is drugs for stimulating ovulation and the formation of the second phase.

But their action is always aimed at normalizing the cycle.

About ovarian cyst

If an ovarian cyst is detected, surgery can be performed routinely or urgently. In both cases, this occurs at a time close to ovulation. During laparoscopy, the cyst is removed along with part of the tissue of the ovary itself.

This leads to a sharp decrease in estrogen levels, which may manifest itself as spotting within a week after surgery. But they should not be confused with menstruation, which comes on schedule, sometimes with a delay of several days.

We recommend reading the article about the postoperative period during laparoscopy of ovarian cysts. From it you will learn about the features and duration of the operation, the rehabilitation period, nutritional recommendations, and the possibility of pregnancy after removal of the cyst.

About infertility

To diagnose infertility, diagnostic laparoscopy is most often performed, during which the patency of the fallopian tubes is also determined—chromohydrotubation.

In most cases, this is where the intervention ends; sometimes adhesions are dissected. Some gynecologists sometimes make incisions on them in order to “stimulate” the ovaries. Cycle disruption is rare in this case.

After a similar laparoscopy of the fallopian tubes has been performed, and the menstruation of the next cycle has arrived on time, you can plan a pregnancy.

About endometriosis

Endometriosis often has quite common forms. Laparoscopy is considered the “gold standard” in the treatment and diagnosis of this pathology. This is due to several reasons.

Firstly, endometriosis lesions are often very small, only a few millimeters. A special technique allows you to magnify the image tens of times, which makes it possible to examine even the usually invisible affected areas.

Secondly, using laparoscopic technologies, the traumatic nature of the operation and blood loss during it are significantly reduced.

If the foci of endometriosis are not located on the ovaries, then after surgery there is no significant disruption of the menstrual cycle. In cases where it is necessary to remove or cauterize areas here too, bloody spotting may appear on the 2nd - 3rd day after the operation.

Hormonal therapy is often prescribed after laparoscopy for endometriosis. Usually from the first day of the cycle, which, of course, affects the nature and duration of menstruation, sometimes until complete amenorrhea for a while.

Regarding ectopic pregnancy

Detection of atopic pregnancy occurs in most cases after a delay in menstruation or a few days before it. Therefore, after surgery, normal critical days often come within a few days. If before the operation there was moderate bleeding, then there may not be any afterwards.

As a means of protection and normalization of hormonal levels after pregnancy, hormonal contraceptives are often prescribed from the first hours after the intervention. In this case, heavy periods after laparoscopy are very rare, more often it is a minor spotting.

Regarding removal of uterine fibroids

Modern laparoscopic technologies even make it possible to remove myomatous nodes with intramural and subserous growth. But if a woman is planning a pregnancy in the future, it is better to perform such operations in the classical way, since in this case the likelihood of uterine rupture during pregnancy is reduced.

The first menstruation after laparoscopy of fibroids is very often painful, even if the woman had not previously noted such discomfort. This is due to the fact that during critical days the myometrium contracts, and in the area of ​​the removed node the wound does not have time to heal properly. This causes sudden and sometimes very severe attacks of pain.

As a diagnostic procedure

In order to clarify the diagnosis, laparoscopy is used in many doubtful conditions.

An acute abdomen with an unknown cause, suspected torsion of an ovarian cyst and many other surgical pathologies are a direct indication for diagnostic laparoscopy.

In 90% of cases, these manipulations should not lead to cycle disruption. The only thing that can provoke disruptions is stress and anxiety during such periods of life.

If additional procedures were performed

Often, together with laparoscopy in gynecology, hysteroscopy, chromohidrotubation of the fallopian tubes, insertion of additional instruments into the uterine cavity, etc. are simultaneously performed.

So, if a diagnostic curettage of the uterine cavity or removal of endometrial polyps occurs, a woman should not be surprised when blood is released from the genital tract immediately after the manipulation and for several days. The day of the operation should be considered the first day of the new cycle - the next menstruation will come in 28-30 days.

Watch the video about laparoscopic operations in gynecology:

Possible violations

Whether or not there will be menstrual irregularities after laparoscopy depends both on the technique and scope of the intervention, and on the individual characteristics of the woman’s body.

If the operation involves any intervention on the ovaries, then failure is observed in almost all cases.

If hysteroscopy is performed together with laparoscopy or curettage of the uterine cavity is performed, then the day of the operation should be considered the first day of menstruation, despite previous menstruation. During these procedures, the superficial layer of the endometrium is removed. These are a kind of artificial “critical days”, after which it begins to grow again.

The following menstrual irregularities are most often observed after laparoscopy:

• Spotting and spotting immediately after surgery, as well as for the next few days.
• Delays for several days, usually no more than 14 days.
• Establishing a new menstrual schedule, when the first day of the cycle is the one when the laparoscopy was performed.
• Pain during menstruation after laparoscopy occurs when performing any serious interventions, more often after removal of fibromatous nodes.
• Menstruation can be profuse only if there is pathology of the uterine cavity, for example, hyperplasia or polyps, as well as with adenomyosis.

It should also be taken into account that stress, anxiety, as well as other reasons can lead to disruption of the menstrual cycle, and the time will coincide with the time of laparoscopy. Only a doctor can determine the true cause, who should be contacted if symptoms appear that the operating surgeon did not warn about.

Spotting after laparoscopy - normal or abnormal?

Spotting after laparoscopic surgery is the most common complaint that confuses women. In fact, in most cases there is no need to worry if gynecological intervention has been performed.

As a rule, spotting can periodically bother a woman throughout the entire cycle until the start of the next menstruation. Also, such discharge may appear during hormonal therapy, especially at the beginning of treatment.

Often, some cycle disturbances may occur, for example, a delay in menstruation after laparoscopy. Particularly characteristic are changes and the appearance of irregular bleeding during various manipulations on the ovaries. If you experience concerns that your doctor has not warned you about, you should additionally seek medical help to rule out other complications.

Source: https://ProMesyachnye.ru/laparoskopiya-i-mesyachnye/

Possible complications after laparoscopy done during menstruation

Unlike abdominal operations, laparoscopy is easier to do; the incisions after it are minimal - only from 0.5 to 1.5 cm. This is due to the fact that all actions are performed only by inserting instruments inside, and extensive opening of cavities is excluded here. This operation is easier to tolerate, and the recovery period after it is much shorter. It is done under general anesthesia mainly on the pelvic and abdominal areas.

With all the advantages, they will most likely refuse to do laparoscopy during menstruation (again, if it is not urgent). It is also contraindicated in the presence of cardiovascular diseases, exhaustion, coma or shock, or bleeding disorders. Hence the consequences:

• disorders of the cardiovascular system;
• the likelihood of developing varicose veins;
• internal bleeding.

It is advisable to do laparoscopy on days 5-7 of the cycle, which can reduce the risk of blood loss due to decreased blood clotting. This will also give time for postoperative microtraumas and wounds to heal before the next period begins, which is then more likely to come on time.

If a woman who has undergone laparoscopy has painful, heavier and longer periods, there is no need to worry, this is normal. After surgery, your cycle may be disrupted and your period may not come for several more weeks. This is also not scary, since any intervention in the body from the outside causes a certain reaction. But if they haven’t been there for about 3 months, you need to see a doctor urgently: there may be complications or hormonal system disorders.

A little about laparoscopy

Laparoscopy is an endoscopic examination of the pelvic organs and the abdominal cavity. It differs from a conventional operation in that after it is performed, there are practically no traces of incisions left on the patient’s body. This is due to the fact that diagnosis and treatment of the disease is not done by opening the cavity, but by inserting instruments into it. It is performed under general anesthesia. This operation is easier for patients to tolerate. In addition, the recovery period ends faster.

So what do doctors advise?

Taking into account the fact that there may be consequences after carrying out surgical measures during critical days, doctors will advise postponing the intervention to a later or earlier date, because there is no point in taking risks if there is no question of life and death.

As for planned procedures, the first who, for obvious reasons, will prohibit operations during critical days are gynecologists. Moreover, such an event is not recommended for these particular specialists even 3 days before the onset of menstruation.

Anesthesiologists will not approve of this either: the pain threshold in women during the period under review decreases, and sensitivity to anesthesia becomes high or, conversely, decreases.

The surgeons themselves, anticipating possible associated problems when intervening during this period, will try to reschedule the planned procedure to another date so that the same bleeding can be avoided. After all, it is these specialists who are primarily responsible not only for the health, but sometimes also for the life of the patient, and possible complications during surgery increase the risk of an unsuccessful outcome.

Final recommendations

If a situation arises that it is impossible to do without the help of a surgeon on the road to recovery, you should carefully prepare for this. But be sure to pass all the tests and undergo the appropriate examination prescribed by the doctor - that’s not all. You should discuss the date of the scheduled surgical intervention with a specialist, and if it coincides with critical days, jointly choose the time when it will be possible to perform the operation.

If your period does not come as scheduled due to strong worries, you need to inform the doctor about this to change the date of the operation. In the event of a non-emergency situation, the doctor will decide on what day the event can be scheduled, taking into account the fact that the tests taken are considered valid for 2 weeks.

Relying on “maybe” in matters of one’s own health is at the very least frivolous, and sometimes even dangerous. Therefore, hiding important information about your condition from doctors is often fraught with consequences that cannot always be quickly eliminated.

The menstrual cycle is an integral part of female nature, as, in fact, are menstruation. At this time, the woman’s body is experiencing significant stress, and therefore any manipulation with it is not recommended. Therefore, many representatives of the fairer sex are interested in whether it is possible to have surgery during menstruation, and what consequences does this pose?

What complications can arise after surgery for menstruation?

There are no specific negative consequences that occur only in patients undergoing surgery for menstrual bleeding. However, doctors who perform such operations note that the risk of complications is much higher for them than for women whose operation was performed on ordinary days.

Almost all plastic and cosmetic surgical interventions are carried out as planned. Doctors, together with their patients, decide when it is best to perform surgery. The menstrual cycle, although it plays a minor, but also an important role when deciding on the date of its implementation. In addition, when choosing the date and month of the procedure, the following are taken into account:

• results of the analyzes performed,
• patient's age,
• type of operation.

If your period comes earlier or later than expected and the operation was scheduled for that day, then you should notify your doctor about this. He will most likely change the date of the surgical intervention so that negative consequences do not arise later.

Many women hide from doctors the fact that they are menstruating. They do this in order to become more beautiful as quickly as possible (if we are talking about cosmetic surgical interventions). This is by no means the best decision. Such a frivolous attitude towards surgery can lead to complications, and not only for health. The patient's appearance may also be affected.

Controversial issue

Any surgical intervention is a serious shock to the body. It is not intended to be cut, stabbed, stitched, etc. But sometimes it is necessary, and precisely to maintain health. Doctors are doing everything to ease the burden on the body. For example, a thorough preliminary examination is carried out. A patient who is found to have certain health problems is not sent for surgery until she gets rid of them.

Surgery during menstruation is traditionally considered undesirable. However, recently, specialists even from developed countries are allowing surgery during menstruation. They believe that changes in the hormonal and circulatory system will not negatively affect the conduct of this event. In defense of their opinion, such doctors cite the fact that the activity of a woman’s immune system increases during menstruation. This can help in faster post-operative recovery of the body.

But in reality it is not so simple. Just the same, the postoperative period may last longer than usual. This is due to such features as deterioration of blood clotting, decreased hemoglobin levels, and hormonal changes. In fact, during menstruation, a woman’s body functions differently, and therefore it is very difficult to predict exactly how it will behave after surgery.

In addition, during menstruation it is difficult to collect the necessary tests. For example, it will be almost impossible to obtain urine in its pure form. This reduces the amount of useful data for the specialist.

https://youtu.be/rqvLpYWDbog

In general, surgery during menstruation can be performed, but only if it is actually very important for the patient, for example, when it directly concerns the preservation of health and even life. All other interventions, especially minor ones or those that can be postponed (plastic surgery, fat pumping, removal of tumors on the skin, etc.), are strongly not recommended during this period of the menstrual cycle. If possible, such an operation should definitely be postponed.

The optimal time is approximately 10-14 days of the cycle. That is, it is recommended to have surgery before ovulation occurs. Tests should be taken at the end of the first week of the cycle - then they will be most accurate.

Possible consequences

Negative consequences after surgery, which was performed during menstruation, are quite real.

Accordingly, you need to understand what you may encounter. In this case, we need to talk about traditional abdominal operations, when the surgeon uses a scalpel and other characteristic instruments. An extensive surgical field is always more dangerous than minimally invasive operations, for example, laparoscopy, which will be discussed later.

What negative consequences can arise?

After surgery, rough scars may remain at the incision sites. The opinion that the seam will be very noticeable only if the operation was performed by an unqualified doctor is incorrect. Scars appear due to the individual characteristics of the body (how collagen metabolic processes occur). During menstruation, such features are usually very pronounced. If scars occur, do not despair. They can be dealt with by grinding them or smoothing them out using injections specially designed for this purpose.

• Various hematomas may appear. This occurs because the blood composition becomes more fluid during menstruation. As a result, bruises appear at the site of tissue dissection. Most often, after a while they go away on their own and no additional procedures are required to remove them. If a woman wants them to go away as quickly as possible, then the doctor can prescribe her special ointments for this and physiotherapeutic procedures.
• Due to hemorrhages that occurred during surgery, age spots may appear. They disappear on their own after a few months.

• Due to excess blood supply to the area where the operation was performed, inflammation or suppuration may occur. According to the observations of doctors, most often they appear in patients whose surgery was performed in the first days of menstruation. Suppuration may be accompanied by symptoms such as high body temperature, redness of the skin, and pain at the operated site. Anti-inflammatory drugs can help cope with such unpleasant consequences.
• Inflammation may occur at the implant site. They arise due to metabolic processes and disruption of the hormonal system in the patient’s body. Inflammatory processes are treated with antibiotics. In some cases, in order to cope with them, it is necessary to remove the implant, which can only be reinstalled after 6 months.

Is it possible to do laparoscopy?

Laparoscopy is a more modern type of surgery, which is traditionally performed in the pelvic and abdominal areas. Unlike classical surgical intervention, in this case there is no talk of extensive incisions. The essence of the method is to create several small punctures (0.5 to 1.5 cm in diameter), into which special tools, controlled remotely, are subsequently inserted. Thanks to this, trauma is significantly reduced, the postoperative recovery period is much faster, and the risk of complications is also reduced. During menstruation this is very important.

Are operations performed during menstruation if we are talking about laparoscopy? Despite all its advantages, many doctors still do not risk performing such an intervention. The main reason for refusal, as before, is the deterioration in the quality of blood clotting. This threatens the development of internal bleeding if the instrument damages a vessel. During abdominal operations, sudden bleeding can be quickly stopped. This is problematic during laparoscopy.

Laparoscopy is recommended to be done around the end of the first week after the end of menstruation. At this time, blood clotting is at a normal level, the patient will have time to recover and heal the wounds before the next menstruation.

If after laparoscopy, as well as other types of surgical interventions, your periods are too heavy and painful, there is no need to panic. The same applies to cases when they are protracted. Surgeries, as mentioned above, are a serious stress for the body. It goes without saying that they also affect the menstrual cycle. It takes time for all functions to be restored.

Against this background, delays in menstruation are also possible. Sometimes, especially if the surgery was complex and the postoperative period was long, menstruation may not occur for up to 2-4 weeks. However, if they have not been there for several months, you should definitely visit a gynecologist - it is quite possible that some complications have arisen, or the operation has significantly affected the woman’s hormonal levels.

Modern methods of treating gynecological diseases

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Laparoscopy is a minimally invasive operation. It is used for the diagnosis and treatment of uterine fibroids, endometriosis, and adhesive disease. Women are often interested in what day of the cycle they do laparoscopy on. Call.

You will make an appointment and arrange treatment in the best gynecological clinics. Our specialists will accompany you at all stages of diagnosis and treatment. You can get an expert answer to all your questions by e-mail.

Doctors often suggest that a woman diagnosed with fibroids have her uterus removed. We cooperate with fibroid clinics that treat this disease using uterine artery embolization. This is not an operation.

After injection of an embolic substance into the uterine arteries by puncture of the femoral artery, the myomatous nodes decrease in size. Small formations and rudiments of fibroids undergo reverse development.

Myoma never grows from them again.

After the procedure, women’s menstrual cycle is restored and the symptoms of the disease disappear. In the presence of large myomatous lesions, embolization of the uterine arteries is first performed, and after reducing the size of the nodes, laparoscopy is performed. With this approach, the woman retains her reproductive organ. Within a year, most patients become pregnant.

On what day is laparoscopy performed?

Many people believe that the menstrual cycle and laparoscopy are not related, but this is not true. Depending on the type of laparoscopy, the operation is scheduled on a certain day of the cycle.

If it is done during menstruation, bleeding may begin due to a blood clotting disorder, which will be difficult to stop. In this case, blood loss may develop, requiring transfusion of whole blood or its components.

Sometimes, in order to save the patient’s life, the surgeon is forced to make an incision in the anterior abdominal wall and remove the uterus. This complication does not occur during uterine artery embolization.

If laparoscopy is performed during menstruation, the risk of endometrial indication increases. Subsequently, inflammation of the uterus may develop, requiring the use of antibiotics. We did not observe infectious processes after embolization of the uterine arteries.

Laparoscopy for ovarian cysts is best performed after ovulation, that is, in the middle of the menstrual cycle. If there are problems with the release of the egg from the ovarian membrane during laparoscopy, you can see the cause of impaired ovulation. If the patient is diagnosed with adhesive disease, then diagnostic laparoscopy proceeds to surgery to remove adhesions.

The most appropriate time for diagnostic laparoscopy for infertility is after the end of the ovulation phase.

If the menstrual cycle is 28 days, then laparoscopy is best performed on days 15-25. If there are emergency indications, the doctor does not focus on the day of the menstrual cycle.

In this case, the operation is performed taking into account hemodynamic parameters and test results.

Indications and contraindications for laparoscopy

Laparoscopy is one of the modern methods for diagnosing and treating diseases of the pelvic and abdominal organs. There are diagnostic, operative and control laparoscopy. Most often, doctors first examine the internal organs and then remove the pathological formations.

Gynecologists perform laparoscopy if there are the following indications:

• uterine fibroids:
• infertility of unknown etiology;
• ineffectiveness of hormonal therapy for infertility;
• suspicion of endometriosis or adhesive disease;
• ovarian diseases (sclerocystic disease, tumors, cysts);
• chronic pelvic pain;
• ovarian apoplexy, torsion of the cyst or uterine appendage.

Laparoscopic surgery is performed for a ruptured fallopian tube, ectopic pregnancy, or for tubal ligation. Laparoscopy is used to examine the pelvic organs.

Absolute contraindications to laparoscopy in gynecology are a state of shock or coma, a disorder of the blood coagulation system, severe cardiovascular and pulmonary diseases, as well as exhaustion of the body. Gynecologists do not perform laparoscopic surgery for hernias of the diaphragm, linea alba, and anterior abdominal wall. These diseases do not prevent embolization of the uterine arteries for fibroids.

Advantages and disadvantages of laparoscopy

Laparoscopy is one of the most progressive methods for diagnosing and treating gynecological diseases. Its main advantages are:

• absence of postoperative pain and scars;
• the patient does not need to comply with strict bed rest;
• her performance and well-being are restored quickly.

During laparoscopy, there is a slight loss of blood and little tissue injury.

Due to the fact that the tissues do not come into contact with gauze pads and the surgeon’s gloves, the risk of infectious complications and the formation of adhesions in the abdominal cavity is minimized.

The surgeon has the opportunity to simultaneously examine the internal genital organs and eliminate the pathological process.

The disadvantages of laparoscopy include the need for anesthesia. Endovascular surgeons from the clinics with which we cooperate perform embolization of the uterine arteries under local anesthesia. There are no complications after the procedure. Our doctors take an individual approach to choosing a treatment method for each patient.

Preparation for laparoscopic surgery

For emergency laparoscopy, preparation consists of determining the blood group and Rh factor, general blood and urine analysis, and performing a coagulogram.

Planned laparoscopy is carried out after a complete examination of the patient, which includes a blood test (general, biochemical, coagulogram, determination of glucose levels), testing for the presence of antibodies to HIV, hepatitis B and C, and the Wasserman reaction. The blood type and Rh factor must be determined.

Before laparoscopy, a gynecological smear is taken from a woman, an electrocardiogram is recorded, fluorography is done, and an ultrasound examination of the pelvic organs is performed. The therapist gives a conclusion that there are no contraindications to surgery and general anesthesia.

On the eve of the operation, the woman is prescribed a light diet, and in the evening she is given a cleansing enema. Food intake stops at 15.00, and water intake at 22.00. In the morning, the intestines are cleansed again with an enema. To prevent thrombosis, before laparoscopy, apply an elastic bandage to the legs or put on compression stockings.

Laparoscopy technique

Laparoscopy is performed under general anesthesia. 3 trocars are inserted into the abdominal cavity - 1 under the navel, and 2 on the sides of the abdominal cavity. At the end of one trocar there is a camera for visual inspection, at the other there is a gas pump, a light installation, and instruments.

The surgeon injects carbon dioxide into the abdominal cavity, determines the volume and technique of the operation, conducts an inspection of the abdominal cavity and begins manipulation.

At the end of the operation, he once again carries out an inspection, removing blood or fluid that accumulated during surgery.

At the end of the main stage of the operation, the gas is eliminated and the instruments are removed from the abdominal cavity. Silk sutures are placed on the skin.

Course of the postoperative period

After the patient recovers from anesthesia, she is transported on a gurney to the recovery room. On the same day she is allowed to get out of bed. Early activation is the prevention of the formation of adhesions after laparoscopy. Depending on the extent of the surgical intervention, the woman is discharged 2-5 days after the operation.

Laparoscopy is a safe operation. After it, complications rarely occur. During surgery, injury to internal organs or damage to blood vessels may occur. In this case, the surgeon is forced to complete the operation by making an incision in the anterior abdominal wall. When gas is injected into the subcutaneous fat, emphysema occurs. It goes away on its own.

If cauterization or clamping of the vessels is insufficient, internal bleeding may develop. To stop it, a repeat operation is performed. There are no complications after uterine artery embolization.

Bibliography:

1. Lubnin D. M., Tikhomirov A. L. Selective embolization of the uterine arteries in the algorithm for organ-preserving treatment of uterine fibroids: dis. – Moscow: [Moscow. state medical-dentist. University of the Ministry of Health of the Russian Federation], 2005.
2. Hysteroscopy // Great Medical Encyclopedia / ed. B.V. Petrovsky. — 3rd ed. - M.: Soviet Encyclopedia, 1974-1989.
3. "Operative gynecology" ed. Kulakova V.I., M. - Medicine, 1990, 390 p.
4. Persianinov V.V. "Operative gynecology". – M. – Medicine, 1985, 100 p.
5. Zaporozhan V.V., “Treatment of diseases of the female genital organs”, Odessa, “Folio”, 2001, 456 p.

Source: https://www.mioma.ru/sovremennye-metody-lecheniya-ginekologicheskih-zabolevanij.html

What's the result?

Considering the fact that complications may occur after surgery during menstruation, most specialists may refuse to surgically resolve the issue until your menstruation ends. There is no point in taking risks when it comes to routine surgery that can be postponed without any consequences. The same applies to elective surgery. But emergency operations are carried out urgently. In this case, you need to rely on the professionalism of doctors and the good health of your body.

Gynecologists are the first to prohibit any invasive interventions during this period. They do not recommend surgery even three days before the onset of menstruation. It goes without saying that anesthesiologists are not happy with this prospect either, because of the problems that they will have to face during the event. Surgeons, in turn, strive to reschedule the operation to a more physiologically suitable date, due to the very high probability of bleeding, which always poses an increased danger to the patient.

Why can't you have surgery during your period? Significant changes in the female body do not contribute in any way to carrying out such complex events. The risk of developing various complications, including severe ones, is quite high. Hormonal changes, poor blood clotting, problems with the metabolism of certain enzymes are the main provoking factors, due to which postponing a surgical solution to the problem becomes quite logical.

Olya

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