Xav txog seb yam twg yog txoj kev tshem tawm ntawm zes qe menyuam - laparoscopy, thiab tshuaj xyuas kev ua haujlwm. Ovarian cysts yog ib qho ua rau muaj menyuam tsis taus thiab mob hauv plab plab. Lawv yog cov qauv sib txawv thiab qhov xwm txheej ntawm keeb kwm, txawm li cas los xij, ib lub cyst ntawm txhua yam ntawm ib theem ntawm nws qhov kev tsim yuav xav tau kev kho mob phais. Ib txoj hauv kev niaj hnub, sparing phais rau kev tshem tawm ntawm zes qe menyuam yog laparoscopy, uas tso cai rau koj kom luv luv tus neeg mob nyob hauv tsev kho mob thiab ua kom lub sijhawm tom qab phais.
Basic concepts
Cysts hu ua rounded hollow benign formations nyob rau hauv lub thickness los yog nyob rau saum npoo ntawm zes qe menyuam, zoo li ib tug npuas nyob rau hauv cov duab. Cov ntsiab lus ntawm cov cyst thiab cov qauv ntawm cov phab ntsa ncaj qha nyob ntawm seb qhov ua rau thiab hom qog. Txawm hais tias cysts zes qe menyuam raug cais raws libenign formations, qee yam ntawm lawv hom muaj peev xwm rov yug dua tshiab nrog cov tsos ntawm oncological hlwb, xws li cov txheej txheem hauv tshuaj hu ua malignancy.
Nws kuj tshwm sim tias muaj cov kab mob zoo sib xws tshwm sim hauv cov qog nqaij hlav zes qe menyuam, thaum muaj kab noj hniav tsim nyob rau hauv cov qog vim qhov tshwm sim ntawm lub hauv paus lwj. Thaum kuaj tus neeg mob, cov kab mob paraovarian tuaj yeem kuaj pom. Cov hlab ntsha fallopian koom nrog cov txheej txheem ntawm lawv tsim, thaum cov ntaub so ntswg zes qe menyuam tseem tsis hloov.
Ntau yam
Tag nrho cov qog ntawm zes qe menyuam tau muab faib ua hom hauv qab no:
- Ib follicular cyst uas tshwm sim los ntawm cov follicle uas tsis tau tawg hauv lub sijhawm ovulatory. Cov ntshav streaks qee zaum raug sau tseg hauv cov ntsiab lus sab hauv ntawm lub cyst.
- Endometrioid, tshwm sim los ntawm kev loj hlob ntawm cov hlwb endometrial sab nraud ntawm lub tsev menyuam. Xws li lub cyst raug hloov pauv hloov thaum lub caij coj khaub ncaws thiab muaj cov kua dej tuab. Kev tshem tawm ntawm lub zes qe menyuam endometrioid los ntawm laparoscopy yog qhov ntau heev.
- Luteal, uas tshwm sim ntawm qhov chaw ntawm lub hauv paus ruptured thaum lub sij hawm ovulation (nyob rau hauv lub corpus luteum), nyob rau hauv muaj serous kua thiab ntshav impurities los ntawm cov hlab ntsha me me raug mob.
- Dermoid cyst, uas tej zaum yuav muaj cov kab mob hauv cov ntaub so ntswg thiab tsim ntawm qhov chaw ntawm lub qe uas tau pib tsim nws tus kheej (feem ntau congenital). Kev tshuaj xyuas txog kev tshem tawm ntawm lub zes qe menyuam dermoid los ntawm laparoscopy muaj nyob rau hauv qhov loj.ntau.
- Mucinous cyst - ntau chav sib txawv thiab muaj cov hnoos qeev. Xws li formations tuaj yeem ncav cuag qhov loj me - txog 40 cm.
Follicular-type cysts muaj ntau yam, thiab qhov no peb tab tom tham txog kab mob xws li polycystic zes qe menyuam. Nyob rau hauv cov ntaub ntawv no, lub qe tsis ovulate nyob rau hauv txhua lub voj voog, lub follicle loj hlob thiab hloov mus rau hauv lub cyst nyob rau hauv lub sab nrauv ntawm lub zes qe menyuam. Lwm hom cysts feem ntau nyob ib leeg.
Thaum twg cyst yuav tsum tau kho?
Luteal thiab follicular cysts yog suav tias yog cov tshuaj hormones thiab tuaj yeem daws tau ntawm lawv tus kheej. Txawm li cas los xij, yog tias lawv ncav cuag qhov loj thiab lawv qhov kev txhim kho rov qab tsis tau sau tseg, cov formations yuav tsum raug tshem tawm. Thaum kuaj pom cov kab mob endometrioid, kev saib xyuas kev kho mob yog thawj zaug, tab sis nyob rau hauv cov ntaub ntawv ntawm nws ineffectiveness thiab nyob rau hauv lub xub ntiag ntawm ib tug loj cystic tsim, cov kws tshwj xeeb, raws li txoj cai, txiav txim siab rau lub sij hawm ntawm kev ua hauj lwm.
Tag nrho lwm hom hlwv yog kho los ntawm kev phais nkaus xwb. Nyob rau hauv cov ntaub ntawv ntawm infertility, tshem tawm txawm me me neoplasms tej zaum yuav raug pom zoo, tom qab uas hormonal kev kho mob yog muab.
Lub hom phiaj tseem ceeb ntawm kev ua haujlwm yog tshem tawm cov kab mob neoplasm. Hauv cov neeg mob uas muaj hnub nyoog yug me nyuam, cov kws kho mob sim khaws cov ntaub so ntswg ntawm zes qe menyuam kom ntau li ntau tau, nqa tawm tsuas yog lawv qhov kev txiav. Thiab nyob rau lub sijhawm postmenopausal, thaum cov tshuaj hormones kev sib deev hauv poj niam lub cev tau xyaum tsis tsim, tag nrho cov kabmob tuaj yeem raug tshem tawm yam tsis muaj teebmeem kev noj qab haus huv.
Kev ua haujlwm yog ua raws li txoj kev qub(los ntawm kev phais ntawm phab ntsa plab) lossis laparoscopic tshem tawm ntawm lub cyst. Hauv ob qho tib si, tus neeg mob tau mus pw hauv tsev kho mob.
Qhov zoo ntawm txoj kev no
Raws li kev tshuaj xyuas, kev tshem tawm ntawm zes qe menyuam los ntawm laparoscopy yog qhov zoo heev. Nws belongs rau qeb ntawm sparing interventions. Tag nrho cov manipulations yog ua los ntawm 3 punctures nyob rau hauv lub plab phab ntsa. Nyob rau hauv cov ntaub ntawv no, lub plab mog tsis tau dissected, lub puab nyias serous daim nyias nyias ntawm cov kab noj hniav (peritoneum) yog tsawg heev raug mob, cov kws kho mob tsis tas yuav manually txav lub sab hauv nruab nrog cev tawm ntawm qhov chaw ua hauj lwm.
Txhua qhov no txiav txim siab qhov txiaj ntsig tseem ceeb ntawm laparoscopy tshaj qhov kev phais classic:
- tsis tshua muaj kab mob nplaum tom qab;
- me me ntawm qhov txhab phais, lawv kho sai;
- me me ntawm kev tsim cov hernia tom qab, uas tuaj yeem tshwm sim vim qhov tsis muaj peev xwm ntawm cov leeg nqaij ntawm phab ntsa plab;
- txo qis kev txwv tom qab phais, tawm hauv tsev kho mob ntxov;
- sparing effect rau cov kabmob nyob ze thaum lub sijhawm ua haujlwm, uas txo qis qhov tshwm sim ntawm kev ua haujlwm ntawm plab hnyuv hypotension;
- ua tiav qhov tsis muaj deforming caws pliav - cov kab ntawm cov pob zeb thaum lub sij hawm laparoscopy tuaj yeem muab zais hauv qab khaub ncaws yooj yim.
Ovarian cyst tshem tawm kev phais los ntawm laparoscopy tso cai rau tus neeg mob rov qab mus rau lub neej zoo li qub yam tsis muaj qhov tsis xis nyob ntawm nws qhov tsosthiab tsis muaj kev txhawj xeeb txog kev txhim kho ntawm qhov tshwm sim tsis zoo tom qab phais.
Npaj rau kev phais
Kev tshuaj xyuas txog kev tshem tawm ntawm zes qe menyuam los ntawm laparoscopy feem ntau yog qhov zoo. Ua ntej kev ua haujlwm, tus poj niam yuav tsum tau mus kuaj mob, uas feem ntau yog ua los ntawm tus neeg mob sab nraud. Kev kuaj mob kuj tuaj yeem ua tiav hauv tsev kho mob yog tias tus poj niam tau ceev mus rau hauv tsev kho mob nrog mob hnyav hauv thaj tsam plab lossis thaum lub plab ruptures.
Kev kuaj xyuas suav nrog kuaj ntshav kuaj: kev kuaj dav dav thiab biochemical kuaj. Cov zis kuj raug kuaj, ntshav coj mus kuaj kab mob siab, HIV thiab syphilis. Nws yog ib qho tsim nyog yuav tsum tau ua ultrasound ntawm lub plab me me, fluorography ntawm lub ntsws, txiav txim siab hom ntshav thiab Rh yam, siv lub qhov ntswg los ntawm qhov chaw mos, qhia tias muaj cov kab mob sib kis. Qee qhov xwm txheej, yuav tsum tau ua ECG, kawm txog cov yam ntxwv ntawm cov ntshav coagulation system, tau txais kev sab laj los ntawm tus kws kho mob txog qhov tsis muaj kev txwv ntawm kev cuam tshuam kev phais, thiab txiav txim siab qhov xwm txheej hormonal. Qhov ntim ntawm kev tshawb nrhiav kev kuaj mob yog txiav txim los ntawm tus kws kho mob, raws li daim duab kho mob ntawm tus kab mob.
Ua ntej xaiv txoj kev phais laparoscopic kom tshem tawm cov cyst, nws raug nquahu kom tus poj niam siv cov tshuaj tiv thaiv zoo. Yog xav tias xeeb tub, tus kws kho mob yuav tsum ceeb toom ua ntej.
Ob peb hnub ua ntej qhov kev cuam tshuam yuav tsum raug cais tawmcov khoom noj khoom haus uas ua rau muaj roj ntau dhau hauv cov hnyuv: zaub qhwv, dej qab zib carbonated, legumes, qhob cij dub. Yog tias muaj kev pheej hmoo rau flatulence, tus kws kho mob yuav pom zoo kom tus poj niam noj cov tshuaj carminative thiab sorbents, feem ntau yog muab tshuaj ntxuav plab tob tob.
Hnub ua ntej ntawm kev ua haujlwm, noj mov kawg yuav tsum tsis pub dhau 18:00. Koj tuaj yeem haus dej kom txog thaum 22:00. Hnub ntawm kev ua haujlwm, txwv tsis pub haus thiab noj; yog tias koj nqhis dej, koj tuaj yeem yaug koj lub qhov ncauj thiab ntub koj daim di ncauj.
Tam sim ntawd ua ntej laparoscopy, nws yog ib qho tsim nyog yuav tsum tau chais plaub hau hauv perineum thiab pubis, da dej kom huv. Tom qab ntawd, koj yuav tsum tsis txhob siv cov tshuaj pleev, tshuaj pleev thiab lwm yam khoom siv rau lub plab. Yuav ua li cas tshem tawm ntawm zes qe menyuam los ntawm laparoscopy, peb yuav piav qhia hauv qab no.
Kev phais ua li cas?
Laparoscopic phais kom tshem tawm lub zes qe menyuam yog ua raws li kev siv tshuaj loog. Nyob rau hnub ntawm qhov kev kho mob no, ib tug poj niam yuav tsum tau sab laj los ntawm ib tug resuscitator thiab ib tug anesthesiologist los txiav txim tau contraindications thiab txiav txim siab txog hom tshuaj loog. Feem ntau, tracheal intubation yog siv, uas tso cai rau koj los tswj tus neeg mob ua pa thaum muaj kev cuam tshuam thiab tswj cov qib xav tau ntawm kev tso tshuaj loog. Ua ntej no, premedication yog nqa tawm, thaum sedatives nrog ib tug hypnotic nyhuv yog muab intravenously rau ib tug poj niam. Nyob rau hauv cov ntaub ntawv no, tranquilizers feem ntau yog siv.
Lub rooj ua haujlwm yog qaij nrog nws lub taub hau kawg 30º kom cov hnyuv txav me ntsis ntawm lub diaphragm thiab muab kev nkag mus rau zes qe menyuam. Tom qab ntawd, qhov chaw phais yog ua tiav, ib qho puncture yog ua nyob rau hauv lub plab, los ntawm qhov uas lub plab kab noj hniav yog sau nrog carbon dioxide. Qhov kev tshwm sim no ua rau nws muaj peev xwm nce qhov kev ncua deb ntawm cov kab mob hauv nruab nrog cev thiab tsim qhov chaw tsim nyog rau kev ua haujlwm ntawm kev ua haujlwm. Lub laparoscope tau muab tso rau hauv tib lub qhov - ib qho khoom tshwj xeeb nrog lub teeb ci thiab lub koob yees duab. Nws yog nce mus rau lub pelvis me me, qhov twg lub zes qe menyuam nyob. Raws li kev tswj hwm ntawm daim duab yees duab, ob qhov kev sib tsoo ntxiv yog ua nyob rau sab nraud ntawm lub plab, hauv cheeb tsam hauv pliaj, uas yog qhov tsim nyog txhawm rau ua kom paub cov cuab yeej ntxiv.
Tom ntej no, tus kws phais ua qhov kev kuaj xyuas tag nrho ntawm zes qe menyuam thiab hlwv thiab txiav txim siab seb puas yuav txuas ntxiv kev cuam tshuam laparoscopic lossis seb nws puas tsim nyog los npaj kev nkag mus rau hauv lub plab kab noj hniav (uas yog qhov tsawg heev). Nyob rau hauv rooj plaub tom kawg, txhua yam khoom siv raug tshem tawm ntawm lub plab kab noj hniav, thiab kev ua haujlwm classic pib.
Thaum lub sij hawm laparoscopy, tus kws kho mob tuaj yeem ua ib qho kev txiav tawm ntawm ib feem ntawm lub zes qe menyuam nrog kev tsim cystic, ua tiav kev tshem tawm ntawm zes qe menyuam, lossis enucleation ntawm lub cyst. Qhov ntim ntawm kev cuam tshuam kev phais, raws li txoj cai, yog txiav txim siab los ntawm hom cyst thiab qhov xwm txheej ntawm cov ntaub so ntswg nyob ib puag ncig nws. Thaum kawg ntawm kev ua haujlwm, ib qho kev kuaj xyuas kom pom tias muaj ntshav. Yog tias cov hlab ntsha tsis raug puas tsuaj thiab tsis muaj los ntshav, cov cuab yeej raug tshem tawm ntawm tus neeg mob lub cev, cov pa roj carbon dioxide raug nqus tawm. Sab nraud seams yog siv rau qhov chaw puncturethiab hnav khaub ncaws tsis muaj menyuam.
Tom ntej no, tus kws kho mob tshuaj loog tshem tawm cov raj endotracheal, tshuaj xyuas tus neeg mob ua pa thiab nws tus mob. Yog tias tag nrho cov cim tseem ceeb yog qhov qub, tus kws kho mob tshwj xeeb no tso cai rau hloov tus neeg mob mus rau chav kho mob.
Qhov chaw ntawm tus poj niam hauv chav saib xyuas mob hnyav feem ntau tsis tas yuav tsum tau ua, vim tias kev ua txhaum ntawm lub luag haujlwm ntawm lub cev tseem ceeb thiab kev poob ntshav ntau thaum lub sijhawm ua haujlwm, raws li txoj cai, tsis tshwm sim. Qhov no tau lees paub los ntawm kev tshuaj xyuas txog kev tshem tawm ntawm endometrioid zes qe menyuam los ntawm laparoscopy.
sijhawm ua haujlwm
Kev cuam tshuam li no yog kev ua haujlwm siab uas yuav tsum tau muaj qhov siab tshaj plaws ntawm tus kws phais mob, vim tias nws tau ua raws li kev nthuav dav thiab ua tib zoo, uas txo qis kev pheej hmoo ntawm cov ntaub so ntswg thiab vascular raug mob.
Ntev npaum li cas laparoscopy tshem tawm ntawm zes qe menyuam, nws tsis tuaj yeem hais kom paub meej. Nws nyob ntawm ntau yam - qhov hnyav ntawm cov txheej txheem pathological, nws ntau yam, nrog rau cov yam ntxwv ntawm tus poj niam lub cev. Qhov nruab nrab, cov haujlwm no siv sijhawm li 15 feeb mus rau ib teev. Txawm li cas los xij, nrog kev qhia txog tshuaj loog, tag nrho cov kev npaj thiab tawm ntawm lub xeev ntawm tshuaj loog, kev ua haujlwm feem ntau tuaj yeem siv sijhawm txog 3 teev. Nws lub sijhawm kuj tseem nyob ntawm qhov tsim nyog ntawm tus kws phais.
Ntawm qhov nruab nrab, rau cov poj niam uas muaj cov kab mob me me, qhov kev cuam tshuam laparoscopic tiag tiag yuav siv sijhawm li 40 feeb.
Nrog kev tshuaj xyuasTxog kev tshem tawm ntawm zes qe menyuam los ntawm laparoscopy thiab lub sijhawm postoperative, nws yog qhov zoo dua kom paub koj tus kheej ua ntej.
Lub sijhawm tom qab phais yog dab tsi?
Tom qab kev phais, kev tawm ntawm txaj ntxov yog pom zoo. Nrog rau cov ntshav siab ruaj khov, tom qab ob peb teev, nws raug nquahu kom tus neeg mob zaum, sawv, thiab txav mus los ntawm pawg ntseeg. Nws kuj tseem muab cov khoom noj muaj roj tsawg uas suav nrog cov khoom siv mis nyuj, stewed zaub thiab nqaij, kua zaub, thiab ntses.
Dab tsi ntxiv rau lub sijhawm tom qab kev phais cuam tshuam nrog thaum tshem tawm ntawm zes qe menyuam los ntawm laparoscopy? Txhua txhua hnub, tus neeg mob tau kho nrog kev phais tom qab phais, thiab ntsuas lub cev kub. Kev tso tawm hauv tsev kho mob yog kwv yees li ntawm 3-5 hnub, txawm li cas los xij, qee zaum, cov poj niam raug tso cai mus tsev twb nyob rau hnub ob. Cov sutures raug tshem tawm ntawm 7-10 hnub ntawm kev kho mob sab nraud. Kev rov zoo tag nrho feem ntau tshwm sim hauv ob lub lis piam. Raws li kev txheeb xyuas, lub sijhawm tom qab phais thaum lub zes qe menyuam raug tshem tawm los ntawm laparoscopy feem ntau dhau mus sai thiab tsis ua teeb meem.
Muaj peev xwm xeeb tub
Tom qab laparoscopy tshem tawm ntawm zes qe menyuam mus txog rau thaum xaus ntawm lub voj voog tam sim no, nws raug nquahu kom cov poj niam tsis suav nrog kev sib deev. Yog tias tsis ua raws li cov lus pom zoo no, cov tshuaj tiv thaiv yuav tsum tau siv. Kev xeeb tub tom qab phais tuaj yeem tshwm sim tam sim ntawd, tab sis qhov no yog qhov tsis xav tau. Koj tuaj yeem npaj kev xav tsuas yog los ntawm lub voj voog tom ntej. Txawm li cas los xij, nyob rau hauv txhua rooj plaub, cov lus pom zoo no yog tus kheej nkaus xwb. Ib tug poj niam tom qab laparoscopy kom tshem tawm lub zes qe menyuam cyst tuaj yeem raug kho hormonal, yog li kev xeeb tub hauv qhov no yuav tsum tau ncua ntau lub hlis.
Tom qab tshem tawm cov hlwv ua haujlwm (follicular thiab luteal) thiab nrog polycystic zes qe menyuam, kev xav feem ntau raug tso cai tom qab thawj zaug coj khaub ncaws, muab kev ua haujlwm thiab lub sijhawm rov ua haujlwm yam tsis muaj teeb meem. Tom qab tshem tawm cov hlwv endometrioid, cov tshuaj kho mob tau sau tseg rau feem ntau.
Raws li kev tshuaj xyuas, qhov tshwm sim ntawm kev tshem tawm lub zes qe menyuam los ntawm laparoscopy kuj tsis suav nrog.
Txhais tau
Qhov teeb meem feem ntau yog mob. Mob tom qab tshem tawm ntawm zes qe menyuam cyst los ntawm laparoscopy tuaj yeem rub los yog mob hnyav, thiab lawv raug sau tseg tsis yog nyob rau hauv qhov chaw sib tsoo, tab sis nyob rau thaj tsam ntawm lub cev. Qhov no yog vim lub tsub zuj zuj ntawm carbon dioxide nyob rau hauv daim siab cheeb tsam, uas heev irritates lub phrenic paj hlwb. Nyob rau tib lub sijhawm, cov poj niam kuj tuaj yeem ua rau mob nqaij, o me ntsis ntawm ob txhais ceg. Kev tshuaj xyuas ntawm qhov tshwm sim ntawm kev tshem tawm ntawm zes qe menyuam los ntawm laparoscopy paub meej qhov no.
Nyob rau hauv thawj hnub tom qab laparoscopy, subcutaneous emphysema tuaj yeem pom, pom los ntawm kev sib xyaw ntawm cov roj hauv cov txheej ntawm cov nqaij rog. Qhov no suav hais tias yog qhov tshwm sim ntawm kev ua txhaum ntawm cov txheej txheem ntawm kev ua haujlwm thiab tsis ua rau muaj kev phom sij loj. Qhov teeb meem no feem ntau tsis tas yuav kho thiab daws nws tus kheej.
Qee zaum, hauv lub sijhawm tom qab phais mob, cov kab mob nplaum qee zaus tshwm sim, txawm hais tias qhov tshwm sim ntawm qhov tshwm sim tom qab laparoscopyqis dua tom qab kev phais ib txwm siv.
Lub sijhawm twg los tom qab laparoscopic zes qe menyuam tshem tawm?
Ib qho ntawm cov cim tseem ceeb ntawm kev ua haujlwm ntawm kev ua me nyuam ntawm tus poj niam lub cev yog lub caij nyoog. Los ntawm qhov xwm txheej ntawm kev coj khaub ncaws tom qab laparoscopy, nws yooj yim los txiav txim siab txog lub xeev kev noj qab haus huv ntawm tus poj niam thiab xav tau kev kho mob ntxiv.
Lub voj voog ntawm kev coj khaub ncaws tom qab laparoscopy yuav tsum ruaj khov. Qhov no yog vim lub fact tias cov kev npaj ua hauj lwm yog nqa tawm nyob rau hauv ib tug tej yam hnub ntawm lub voj voog, uas tsis cuam tshuam rau hormonal keeb kwm yav dhau, uas lub sij hawm tuaj txog ntawm kev coj khaub ncaws nyob ntawm seb. Cov ntshav tawm hauv cov ntim me me kuj tuaj yeem tshwm sim thawj hnub tom qab kev phais, tab sis qhov no suav hais tias yog qhov tshwm sim ib txwm muaj, uas cuam tshuam nrog kev ua txhaum ntawm kev ncaj ncees ntawm zes qe menyuam thiab traumatization ntawm cov hlab ntsha. Tom qab ntawd lawv ua siab mos siab muag thiab ua lub ntsej muag daj.
Cov kws tshaj lij ceeb toom tias tej zaum yuav muaj kev hloov pauv me ntsis ntawm lub voj voog ntawm kev coj khaub ncaws. Lawv kuj tuaj yeem ua tau zoo, tab sis qhov no yuav tsum tsis txhob suav hais tias yog pathology. Cov qauv kuj tseem suav tias yog kev hloov pauv ntawm kev coj khaub ncaws rau ob peb hnub, ncua ntev, hnyav lossis lub sijhawm meager. Yog tias qhov kev tshwm sim no tsis ua rau muaj teeb meem ntau ntxiv, tus poj niam tsis cuam tshuam los ntawm qhov mob hnyav, ces qhov kev ncua yuav tsum tsis txhob ua rau muaj kev txhawj xeeb, tab sis yuav tsum mus ntsib kws kho mob gynecologist.
Kev tshuaj xyuas ntawm laparoscopy kom tshem tawm cov qog zes qe menyuam
Cov poj niam uas tau txais kev phais mob cystic nokev kawm, nyob rau hauv kev tshuaj xyuas characterize tus txheej txheem no zoo thiab tsis mob. Raws li lawv, cov txheej txheem yog ceev, cov teeb meem yog heev tsawg. Kev cuam tshuam feem ntau yog ua nyob rau hauv cov tshuaj loog epidural. Twb yog thawj hnub tom qab ua haujlwm, lawv tau tso cai sawv, noj, thiab ua cov txheej txheem huv.
Lwm yam kev tshuaj xyuas koj tuaj yeem pom txog kev tshem tawm ntawm lub zes qe menyuam endometrioid los ntawm laparoscopy? Lub sijhawm rov qab los kuj yog qhov ua tau sai thiab yooj yim. Cov neeg mob hais tias kev ua haujlwm tuaj yeem pib li ntawm ob peb hnub tom qab kev cuam tshuam. Cov stitches kho nyob ib ncig ntawm hnub xya.
