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Laparoscopic Indications
Jul 04, 2018

1, ectopic pregnancy: laparoscopy as a diagnostic tool, timely and accurate laparoscopy and fusion diagnosis and treatment for the same process, it is widely used in the field of gynecology. It can be used to diagnose early unruptured, early abortion ectopic pregnancy and old ectopic pregnancy that is difficult to diagnose due to atypical symptoms, reduce the consequences of delay diagnosis, and avoid unnecessary laparotomy. Thereby greatly reducing the amount of intra-abdominal bleeding, reducing the incidence of shock and blood transfusion, maximally collecting intra-abdominal blood, to achieve the purpose of autologous blood transfusion. Transforming a life-threatening ectopic pregnancy into a light-weight disease with less health hazard also laid the foundation for conservative treatment.

2, ovarian cyst rupture: the most common cause of corpus luteum cyst or endometriotic cyst rupture. Laparoscopy can determine the surgical method according to the nature of the lesion and the pelvic and abdominal complication.

3, attachment torsion: is a rare gynecological emergency, almost only on one side. Benign tumors of the ovaries or fallopian tubes are the most common cause of torsion. Malignant mass can also cause the attachment to be reversed, and the diagnosis can be confirmed by laparoscopy.

4, hemorrhagic salpingitis: under the microscope can be seen bilateral thickening of the fallopian tube, congestion, and blood from the fallopian tube end of the umbrella.

5, post-traumatic or surgical acute intra-abdominal hemorrhage: in gynecological or surgical acute abdomen, if the differential diagnosis is difficult, you can do laparoscopy. For suspicious patients, it should be inclined to do diagnostic laparoscopy, which has significantly less impact on the patient's invasion than laparotomy. Laparoscopy of infertile women helps to identify the causes of infertility and develop treatment options, including:

1, fallopian tube disease: Fallopian tube obstruction is an important factor in female infertility, accounting for about 40% -60%. Laparoscopic evaluation of tubal infertility should include diagnosis of tubal adhesions, hydrosalpinx, and fallopian tube peristalsis. Injecting the beauty basket through the uterine cavity, observing the overflow of the beauty basket from the umbrella end, judging the smoothness of the tubal patency is the most intuitive and accurate, and also understanding the obstruction of the fallopian tube and the degree of obstruction.

2, pelvic lesions: 1 pelvic adhesions, especially the fallopian tube and ovary or around the uterus may have different degrees of adhesion, under the laparoscope according to the extent of adhesion, the thickness of the fiber bundle to determine the indicator of adhesion lysis. 2 Endometriosis In the past, the diagnosis of endometriosis relied mainly on medical history and physical signs. The rate of misdiagnosis was as high as 40.7%, and the rate of missed diagnosis was 17.8%. Laparoscopy is the "gold standard" for the diagnosis of endometriosis, and effective treatment is available at the same time as early diagnosis. 3 ovulation disorders by laparoscopic understanding of whether the ovary is polycystic ovary or ovarian unruptured follicular luteinization syndrome. 4 Internal genital malformation Laparoscopy can confirm the absence of ovarian or dysplasia and uterine malformations. 1, ovarian cancer: ovarian cancer due to the lack of early clinical symptoms, resulting in 70% - 80% of patients at the time of treatment is late. Therefore, laparoscopy is a good diagnostic and differential diagnosis.

2, the identification of ovarian metastatic carcinoma: ovarian metastatic cancer is not uncommon, accounting for about 10% of ovarian malignant tumors, mainly for mass, ascites, etc., similar to ovarian primary cancer. Pathological diagnosis can be performed by laparoscopic biopsy to identify primary or metastatic cancer.


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