Ovarian Cystic Disease
Ovarian cysts are fluid-filled sacs that often form during the course of a menstrual cycle. Ovarian cysts form on or in the ovaries. Usually ovarian cysts are harmless and do not cause much discomfort. Most ovarian cysts form when the follicles are not reabsorbed by the body and instead persist and form cysts. While most ovarian cysts are resolved sans any treatment, some cysts may need to be attended to. Rarely are ovarian cysts life threatening; unless there is danger of rupture and internal bleeding. Most often ovarian cystic disease is benign. A woman suffering from ovarian cystic disease may experience dull pelvic pain, menstrual irregularities and pain during intercourse. If there is any sudden pelvic pain accompanied by vomiting or fever, it is imperative to see a doctor at once. Polycystic Ovarian Syndrome (PCOS) is a condition where there multiple cysts lead to metabolic dysfunction. It manifests in symptoms such as obesity, infertility, acne and excessive body hair.
A pelvic examination and ultrasound will reveal presence of ovarian cysts. Hormone levels are tested for abnormalities. A CAT scan or MRI scan can also aid in diagnosing ovarian cysts. Often ovarian cysts may not need any active treatment. The treatment for ovarian cystic disease hinges on the size of the cysts, its growth pattern and the age of the woman. Use of birth control pills is sometimes recommended to reduce the size and symptoms of ovarian cystic disease. Laparoscopy is used to study the ovarian cysts and sometimes remove them. Cystectomy is the surgical procedure to remove the ovarian cysts without removing the ovary. This done for cysts that persist for more than a few months and grow larger than 6 cms in size. A woman can reduce the chances of ovarian cystic disease with healthy diet and fitness regimen, thereby improving overall health condition.
Oviduct blockage is the blockage in one or both microscopic fallopian tubes that allow a woman's egg to pass from her ovaries to her uterus. The blockage is an impediment for the egg to migrate, implant and begin pregnancy. The result is infertility. In rare cases, even if pregnancy occurs it can be dangerous, if not treated immediately.
Diagnosing oviduct blockage
Laparoscopic chromotubation: Usually done after sedating with a mild anesthetic, laparoscopy involves making a very small incision in the belly button and near the pubic bone area; a small camera helps view the tubes. Laparoscopy helps detect endometriosis, adhesions, and ovarian cysts and also check the tubes.
Chromotubation involves infusing diluted methylene blue dye solution into the uterine and tubal lumen. If the tubes are not blocked, the dye should come out of the ends of the tubes into the peritoneal (abdomen) cavity. This test is considered the most reliable way to determine oviduct blockages.
Both laparoscopic chromotubation and Hysterosalpingogram can sometimes open a blocked tube; hence these procedures can be both diagnostic and therapeutic. The rate of fertility is likely to improve after the procedure.
Falloscopy: The newest form of endoscopic examination, falloscopy is helpful to look inside the fallopian tubes. Using a catheter-based system, a flexible tube is inserted through the vagina and cervix which threads through one of the fallopian tube. Very similar to hysterosalpingogram, it allows viewing of tubal walls and checks if it is healthy and also detects obstruction, if any.
Sonohysterography: This is a non-invasive procedure wherein fluid is injected through the cervix into the uterus, and ultrasound imaging is used to determine if any abnormality is present. The procedure is extremely helpful in detecting underlying cause of many problems such as abnormal uterine bleeding, infertility and repeated miscarriage. Like the other diagnostic procedures, sonohysterography is done when the woman is not having her menstrual cycle.
Oviduct blockage treatment
The goal of treating oviduct blockages is to unblock fallopian tubes and increase the chances for a successful pregnancy. Surgical procedures are the primary treatment option to open blocked oviducts. If needed, doctors will use more than one procedure to treat oviduct blockage. Take a look at the various surgical and non-surgical options available today to treat this particular condition.
Laparoscopy: To treat oviduct blockages, laparoscopy is widely preferred. It involves inserting the scope into the abdomen and cutting away scar tissue which blocks the tubes and is a result of infection and/or endometriosis, primary causes for oviduct blockages. It helps in unblocking the oviducts and allows the eggs and sperm to meet and facilitates the egg to become fertilized.
Recanalization: A tiny wire is inserted into the tube to remove the blockage.
Salpingectomy: It involves removing a blocked fallopian tube or sealing it in order to maximize the functioning of the second, unblocked tube.
Tubal Reanastomosis: This is also a laparoscopic procedure in which small incisions are made through the abdomen. The blocked portion of the oviducts or fallopian tube is cut away and the healthy sections of the tube are connected. It is followed by a procedure called Salpingostomy to create a new opening in the tube close to the ovary.
Fimbrioplasty: This plastic surgery that facilitates to reshape ends of fallopian tubes closed off by scar tissue or some other blockage.
Tubal Cannulation: Is a non-surgical option which involves clearing blockages with the use of a catheter, or Cannula that is inserted through the uterus into the fallopian tube.
Micro laparoscopy is a minimally invasive diagnostic surgical procedure. Laparoscopy enables the surgeon or a gynecologist to directly view the organs of the abdomen and pelvis. Laparoscopy minimizes hospital stay after surgery and recovery period too. Laparoscope is an instrument in the shape of a miniature telescope with a fiber optic system. The laparoscope is a sterile surgical instrument, which has special optics that allows small amounts of light to be transmitted effectively. A laparoscopy involves two cuts approximately 5 -10 cm long. The first cut is below the navel. A hollow needle is inserted. Carbon dioxide gas is pumped into the abdomen through this channel in the laparoscope. This is done to create a space within which the surgeon can look or operate.
The laparoscope is inserted through a second small cut made on the abdomen. The exact position depends upon the procedure that is being conducted. The laparoscope can be moved around within the abdominal or pelvic cavity to give several different views to the operating surgeon. At the end of the procedure, the instruments are removed and the carbon dioxide gas is allowed to escape and the cuts closed with stitches.
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Bibliography / Reference
Collection of Pages - Last revised Date: February 20, 2020