## Laparoscopic Surgery Offers Relief โคfor Woman โฃwith Giant โขEndometrioma
Endometriosis, a gynecologicalโข condition affecting roughly 10% โof โwomen of โreproductive age globally, is often associated with severe pain and can contribute to infertility. Recently, surgeons successfully treated a patient whose quality ofโ life was dramatically impactedโค byโ an unusually large ovarian endometrioma.
The patient presented with persistent pelvic pressure, chronic constipation, andโข debilitating pain. Dr. Bansal,โ the physician overseeing the case, explained that the size of the endometrioma – aโค cyst formed by endometrialโ tissue outside โthe uterusโ – was the primary cause of her severe symptoms. “Large ovarian endometriomas are rare, but when they occur, they can put significant โpressure onโค surrounding organs, leading โคto pain and gastrointestinal issues.Surgery is often necessary to alleviate theseโ symptoms,” โคhe stated.
The treatment involved a complexโ laparoscopic cystectomy, a minimally invasive procedure focused on carefully removing theโค cyst โคwhile โขpreserving healthyโ ovarian tissue. The surgical team meticulously planned the operation,โ utilizing advancedโ tools and a step-by-step approach. Initially, they aspirated the thick, dark fluid within the cyst to reduce its size and minimize โคthe risk of spillage. This maneuver created crucial โคvisibility and working space, allowing them to carefully separate the cyst capsuleโ fromโฃ the ovary.
Dr. Bansal emphasized the technical challenges of the procedure. “Given the โpatient’s age and desire to preserveโ her fertility, we opted for a conservative surgery. Performing minimally invasive laparoscopic surgery on a 15 โcm cyst is technically demanding. We anticipated a restricted workingโ area, the potential for damage to nearby organs like the โbowel and bladder,โ and the critical need to prevent the cyst’s contents from spreading.”
During the surgery,โ the team discovered the cyst had adhered to the patient’s bowel and omentum.Cautious dissection was performed to isolate the cyst intact. The strategic aspiration of the “chocolate” โคliquid before removal proved vital โfor safety and improved surgical access. โข The team successfully removed the entire endometrioma laparoscopically, avoiding the need for aโข more invasive open surgery.โค The patient’s bowels had also become constricted, contributing to her constipation, and adhesions made navigating the anatomy difficult, but these challenges were overcome with advanced laparoscopicโ tools and โthe methodical surgical approach.
Following the surgery,โ the patient experienced a rapid โrecovery. Her pain subsided, bowel function normalized, and she was able to walk โwithin a day and โdischarged within two days. Pathology confirmed the cyst was benign, and postoperative hormonalโค therapy was initiated to reduce the riskโ of recurrence.
“the patient recovered remarkably well,” Dr. Bansal concluded. “This case demonstrates the effectiveness of advanced laparoscopic surgery in treating even large endometriomas, offering significant relief and improving the quality of life for patients suffering fromโ this debilitating condition.”
*Disclaimer: This โarticle is for informational purposes only and does not constitute medical advice. Please consult with a healthcare professional for any โคhealthโค concerns or before making any decisions related to your health or treatment.*