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FAQ
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Minimally invasive surgery has significant advantages and effects in the treatment of endometriosis (MIS). First of all, laparoscopic surgery, as a type of minimally invasive surgery, has smaller trauma, faster recovery, and less postoperative scars than traditional laparotomy.
. This surgical method can effectively separate pelvic organ adhesions, remove ectopic lesions, reduce symptoms, and improve the patient's fertility.
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In addition, minimally invasive surgery also has the advantages of small wounds, reduced pain, earlier discharge, faster recovery, and lower probability of inflammation. For example, there are reports that patients who undergo minimally invasive surgery can get out of bed and move about the next day after surgery and quickly return to normal life.
. For some patients for whom medical treatment is not ideal, especially those with fertility needs, laparoscopic surgery is a good choice. It can solve the disease problem while maximizing the preservation of the patient's ovarian function, thus not affecting their fertility. Function
.
However, while minimally invasive surgery excels in many aspects, it also has certain limitations. Due to the wide distribution of lesions, some deep infiltrating lesions may not be recognized by the naked eye, resulting in the failure of surgery to completely remove the lesions, and the postoperative recurrence rate is as high as 20% to 50%.
. Therefore, it is necessary to combine medication to control the disease or get pregnant as soon as possible after surgery to reduce the risk of recurrence.
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In addition, robotic surgical systems such as the da Vinci system can use 3D imaging technology to identify lesions that are difficult to find during laparoscopic surgery, thereby increasing the removal rate of ectopic lesions and improving patients' clinical symptoms.
. This suggests that, in some cases, minimally invasive surgery using advanced robotic technology can further improve treatment outcomes.
In summary, the effect of minimally invasive surgery in the treatment of endometriosis is generally positive, especially in reducing symptoms, improving fertility, and shortening recovery time. However, in order to reduce the recurrence rate, patients still need to cooperate with medical treatment after surgery and pay attention to early pregnancy.
Recurrence rates with minimally invasive surgery in the treatment of endometriosis (EM) vary depending on the type of surgery and postoperative management. Here are the recurrence rates for several conditions:
Conservative surgery: The 5-year recurrence rate after initial conservative surgery is 36% to 50%, and 27% of patients require reoperation within 4 years after initial surgery.
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After semi-radical surgery: recurrence rate is 57.1%
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After radical surgery: recurrence rate is between 1% and 9%
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After conservative surgery again: the pain recurrence rate is 20-40%, but the specific EM recurrence rate is unclear
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General situation: The annual recurrence rate is as high as 10%, so auxiliary drug treatment and long-term management should be carried out after surgery.
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Based on the above information, it can be concluded that minimally invasive surgery has a higher recurrence rate in the treatment of endometriosis, depending on the type of surgery and postoperative management. The recurrence rate after conservative surgery is higher, while the recurrence rate after radical surgery is relatively low.
When it comes to treating endometriosis, minimally invasive surgery (such as laparoscopic surgery) and traditional open surgery each have their own advantages and limitations.
First of all, minimally invasive surgery has obvious advantages in terms of surgical trauma, recovery time and hospitalization time. Minimally invasive surgeries typically require less intraoperative blood loss, shorter operative times, and shorter hospital stays, according to multiple studies
. For example, in a large randomized controlled trial, laparoscopic staging surgery for endometrial cancer had the advantages of less surgical trauma, shorter hospital stay, less intraoperative bleeding, fewer surgical complications, and faster postoperative recovery than open surgery. . These characteristics also apply to the treatment of endometriosis.
Second, minimally invasive surgery also excels at reducing pain and speeding recovery. Because minimally invasive surgery involves less trauma, patients experience less postoperative pain and can return to normal life and work more quickly.
. In addition, the application of laparoscopic technology makes the surgical field clearer, helps to completely stop bleeding and remove blood clots, thereby further improving the safety and effectiveness of surgery.
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However, although minimally invasive surgery is superior to traditional open surgery in many ways, there are still challenges in certain complex or delicate surgical procedures. For example, traditional laparoscopic techniques may not completely replace open surgery for more complex endometrial cancer surgeries
. In addition, although the safety of robot-assisted laparoscopic surgery is controversial, it still shows certain advantages in certain circumstances.
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Minimally invasive surgery offers significant advantages in treating endometriosis, including less surgical trauma, shorter recovery time, and fewer complications. However, traditional laparotomy may still be necessary for some complex cases.
The da Vinci system is very accurate and efficient in identifying lesions in minimally invasive surgery, which is mainly reflected in the following aspects:
High-precision visual performance: The Da Vinci robot uses a dual-lens three-chip digital camera system to provide clear and accurate naked-eye three-dimensional vision, and can magnify the surgical field 10 to 15 times. This makes it easier for the surgeon to identify information such as tumor boundaries, blood vessels, and nerves, thereby improving the accuracy of surgery.
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Flexible operation capability: The DaVinci system's robotic arm has 7 degrees of freedom of movement, including up and down, front and back, left and right movements of the arm joint, as well as left and right, rotation, opening and closing, end joint bending, etc. of the manipulator, and can freely rotate 540°. This flexibility enables surgeons to perform fine movements in small spaces, such as separation, cutting, ligation, and suturing.
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Reduce hand tremors: The DaVinci system can automatically filter out tremors of human hands, so it can operate more accurately in narrow spaces such as the mouth and throat.
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Reduce intraoperative bleeding and postoperative hospitalization time: According to research from the First Affiliated Hospital of Chongqing Medical University, the da Vinci robot-assisted laparoscopic surgery group has less intraoperative bleeding and shorter postoperative hospitalization time than traditional laparoscopic surgery. This demonstrates the significant advantages of the da Vinci system in reducing injuries and accelerating patient recovery
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Broad range of applications: The U.S. Food and Drug Administration has approved the da Vinci robot for use in many types of surgeries, including general surgery, thoracic surgery, urology, obstetrics and gynecology, head and neck surgery, and cardiac surgery, further demonstrating its Efficiency and accuracy in different fields
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Continuous technology iteration: Since the launch of the first da Vinci system in 1999, Intuitive has continuously launched new generations of products, such as da Vinci X, da Vinci Xi and da Vinci SP Surgical Systems. The introduction of these new products has further improved the system. performance and application range
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Recovery of fertility in patients after minimally invasive surgery is usually ideal. According to relevant studies, patients who use minimally invasive surgeries (such as laparoscopic cervical conization and simple trachelectomy) have higher pregnancy rates, live birth rates, and premature birth rates, and have fewer postoperative complications.
. This demonstrates that minimally invasive surgery has significant advantages in preserving patients’ reproductive function.
In addition, in the study of hysteroscopy combined with laparoscopic surgery to treat infertility, after the implementation of high-quality nursing intervention, the patient's nursing satisfaction and reproductive function recovery rate were significantly improved.
. These data further support the importance of minimally invasive surgery and its postoperative care in restoring fertility.
Taken together, patients after minimally invasive surgery can effectively restore fertility in most cases, especially when appropriate surgical methods are selected and high-quality nursing intervention is performed, the effect is more significant.
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