{"id":13187,"date":"2021-09-17T15:01:25","date_gmt":"2021-09-17T20:01:25","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=13187"},"modified":"2024-05-26T16:50:55","modified_gmt":"2024-05-26T21:50:55","slug":"vous-envisagez-une-chirurgie-de-lendometriose-voici-comment-trouver-un-bon-chirurgien-specialise-dans-lendometriose","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/fr\/considering-endometriosis-surgery-heres-how-to-find-a-good-endo-surgeon\/","title":{"rendered":"Vous envisagez une chirurgie de l'endom\u00e9triose ? Voici comment trouver un bon chirurgien sp\u00e9cialis\u00e9 dans l'endom\u00e9triose"},"content":{"rendered":"

J'ai d\u00e9couvert que j'\u00e9tais atteinte d'endom\u00e9triose<\/a> en 2019 lorsque mon NaProTechnology<\/a> a pratiqu\u00e9 la chirurgie laparoscopique n\u00e9cessaire pour poser un diagnostic d\u00e9finitif. Comme elle \u00e9tait \u00e9galement form\u00e9e \u00e0 l'excision de l'endom\u00e9triose, elle a pu retirer l'endom\u00e9triose au cours de la m\u00eame op\u00e9ration. \u00c0 l'\u00e9poque, je pensais que tous les gyn\u00e9cologues \u00e9taient form\u00e9s de la m\u00eame mani\u00e8re \u00e0 l'ablation de l'endom\u00e9triose, et j'avais de la chance que mon m\u00e9decin soit aussi bien form\u00e9. Mais, comme je l'ai d\u00e9couvert depuis, tout le monde n'a pas cette chance. Tous les gyn\u00e9cologues ne sont pas aussi bien form\u00e9s pour rep\u00e9rer et retirer efficacement les l\u00e9sions endom\u00e9triales, et si vous envisagez une chirurgie de l'endom\u00e9triose, vous devrez d'abord faire preuve de diligence raisonnable pour trouver un bon m\u00e9decin. Si vous \u00eates \u00e0 la recherche d'un bon chirurgien sp\u00e9cialis\u00e9 dans l'endom\u00e9triose et que vous vous demandez par o\u00f9 commencer, ce guide est fait pour vous. <\/p>\n\n\n\n

Chirurgie de l'endom\u00e9triose : Excision ou ablation <\/span><\/h2>\n\n\n\n

Endom\u00e9triose<\/a> est une maladie dans laquelle un tissu similaire \u00e0 l'endom\u00e8tre (la paroi de l'ut\u00e9rus) se d\u00e9veloppe \u00e0 des endroits o\u00f9 il ne devrait pas, comme sur les ovaires ou les trompes de Fallope, voire sur le rectum. Comme l'endom\u00e8tre, ce tissu se d\u00e9compose et saigne pendant les r\u00e8gles, mais il ne peut pas quitter le corps et reste donc l\u00e0 o\u00f9 il est, se transformant finalement en tissu cicatriciel, en adh\u00e9rences et en bandes de tissu. Ce tissu provoque une inflammation, avec des sympt\u00f4mes tels que des douleurs l\u00e9g\u00e8res \u00e0 s\u00e9v\u00e8res et la st\u00e9rilit\u00e9, entre autres. <\/p>\n\n\n\n

Pour de nombreux m\u00e9decins, le traitement standard de l'endom\u00e9triose est la pilule contraceptive, mais celle-ci n'est au mieux qu'un pansement qui traite les sympt\u00f4mes sans r\u00e9soudre le probl\u00e8me. Des traitements plus efficaces<\/a> incluent la kin\u00e9sith\u00e9rapie, changements de r\u00e9gime<\/a>Le traitement de l'endom\u00e9triose peut se faire par la chirurgie (et m\u00eame dans ce cas, l'endom\u00e9triose peut r\u00e9appara\u00eetre). <\/p>\n\n\n\n

Il existe deux types de chirurgie de l'endom\u00e9triose : l'excision et l'ablation. Les deux sont laparoscopiques, ce qui signifie que le chirurgien fait de minuscules trous dans la peau de la patiente et peut entrer par ces trous pour effectuer l'op\u00e9ration, plut\u00f4t que de devoir faire de grandes incisions. L'ablation utilise la chaleur pour d\u00e9truire les tissus, tandis que l'excision utilise la chaleur pour les enlever. L'ablation ne peut \u00e9liminer que les tissus superficiels, alors que l'excision peut<\/a> creuser plus profond\u00e9ment pour l'\u00e9liminer compl\u00e8tement. A 2017 m\u00e9ta-analyse<\/a> a montr\u00e9 que l'excision est une technique plus efficace - elle r\u00e9duit mieux la dysm\u00e9norrh\u00e9e (douleurs menstruelles), la dysch\u00e9sie (constipation) et les douleurs pelviennes chroniques - et qu'il est donc judicieux de rechercher un chirurgien qui pratique l'excision plut\u00f4t que l'ablation. <\/p>\n\n\n\n

\u00c9valuer les qualifications de votre chirurgien endoscopique <\/span><\/h2>\n\n\n\n

Bien entendu, comme le souligne Mary Bruno, FCP, cofondatrice et directrice ex\u00e9cutive de l'association Base FAbM<\/a>Elle souligne que \"tous les chirurgiens sp\u00e9cialis\u00e9s dans la sant\u00e9 des femmes ne sont pas en mesure de fournir les m\u00eames soins chirurgicaux\". Elle recommande de rechercher un consultant m\u00e9dical et chirurgical en fertilit\u00e9 avanc\u00e9e (AFCMSC) qui a suivi une formation en NaProTechnologie et en chirurgie \u00e0 l'Institut St. Paul VI (rechercher dans cette liste<\/a> pour un m\u00e9decin portant la mention \"AFCMSC\" \u00e0 c\u00f4t\u00e9 de son nom) ou recherche dans le r\u00e9pertoire<\/a> \u00e0 Nancy's Nook, une ressource en ligne sur l'endom\u00e9triose. <\/p>\n\n\n\n

La NaProTechnology est une approche des traitements m\u00e9dicaux et chirurgicaux gyn\u00e9cologiques qui coop\u00e8re avec le syst\u00e8me reproducteur d'une femme et le restaure plut\u00f4t que de tenter de l'arr\u00eater. Elle est utilis\u00e9e en conjonction avec le M\u00e9thode Creighton de sensibilisation \u00e0 la fertilit\u00e9<\/a> et s'efforce de \"corriger la situation, de maintenir l'\u00e9cologie humaine et de pr\u00e9server le potentiel de procr\u00e9ation\". selon le site web de NaProTechnoloy<\/a>. L'une de ses applications les plus r\u00e9volutionnaires est diagnostic et excision de l'endom\u00e9triose<\/a>. <\/p>\n\n\n\n

Selon un article de blog de Bruno<\/a>La plupart des gyn\u00e9cologues-obst\u00e9triciens n'ont pas re\u00e7u de formation approfondie sur le traitement chirurgical de l'endom\u00e9triose ; ils se tournent plut\u00f4t vers la pilule contraceptive pour g\u00e9rer les sympt\u00f4mes. Malheureusement, la pilule ne fait qu'att\u00e9nuer les sympt\u00f4mes avec plus ou moins d'efficacit\u00e9, mais elle n'\u00e9limine pas les l\u00e9sions endom\u00e9triales et ne les emp\u00eache m\u00eame pas de se d\u00e9velopper. En raison de l'absence de formation ad\u00e9quate dans les programmes standard d'obst\u00e9trique et de gyn\u00e9cologie, il est essentiel de rechercher un chirurgien ayant re\u00e7u une formation ad\u00e9quate en mati\u00e8re d'endom\u00e9triose. La bourse de l'Institut St. Paul VI est l'une des voies permettant aux m\u00e9decins de recevoir ce niveau de formation. <\/p>\n\n\n\n

Selon Nancy's Nook, il existe \u00e9galement une bourse de deux ans en chirurgie gyn\u00e9cologique mini-invasive (MIGS pour FMIGS). Le coin de Nancy, cr\u00e9\u00e9 par<\/a> une infirmi\u00e8re dipl\u00f4m\u00e9e ayant une exp\u00e9rience personnelle et professionnelle de l'endom\u00e9triose, recommande \u00e9galement<\/a> demandez au chirurgien que vous envisagez de consulter de vous parler de son exp\u00e9rience, des membres de son \u00e9quipe, de ce qu'il pense de l'excision par rapport \u00e0 l'ablation et de l'utilisation de m\u00e9dicaments de suppression hormonale (ou de l'absence de tels m\u00e9dicaments). <\/p>\n\n\n\n

L'importance de l'autopromotion <\/span><\/h2>\n\n\n\n

Enfin, il est important de se rappeler que vous \u00eates votre meilleur d\u00e9fenseur. Si un m\u00e9decin ne tient pas compte de vos sympt\u00f4mes, essaie de vous imposer un traitement que vous ne voulez pas, ou vous manque de respect, \u00e0 vous et \u00e0 votre sant\u00e9, trouvez quelqu'un d'autre. Il est difficile de trouver un chirurgien sp\u00e9cialis\u00e9 dans l'endom\u00e9triose bien form\u00e9, mais les bons m\u00e9decins valent la peine d'\u00eatre recherch\u00e9s. En fait, il vaut m\u00eame la peine de voyager pour les trouver. J'ai quitt\u00e9 la ville pour mon op\u00e9ration et j'ai s\u00e9journ\u00e9 dans un h\u00f4tel voisin la nuit pr\u00e9c\u00e9dant et la nuit suivant l'op\u00e9ration. Aussi \u00e9trange que cela puisse para\u00eetre \u00e0 la plupart des gens (en bonne sant\u00e9) de voyager pour une intervention m\u00e9dicale, je le referais sans h\u00e9siter. <\/p>","protected":false},"excerpt":{"rendered":"J'ai d\u00e9couvert que j'\u00e9tais atteinte d'endom\u00e9triose en 2019, lorsque mon m\u00e9decin NaProTechnology a effectu\u00e9 la chirurgie laparoscopique n\u00e9cessaire pour diagnostiquer d\u00e9finitivement...","protected":false},"author":78,"featured_media":13189,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5364,5181],"tags":[5417],"class_list":["post-13187","post","type-post","status-publish","format-standard","has-post-thumbnail","category-endometriosis","category-reproductive-and-menstrual-disorders","tag-reproductive-and-menstrual-disorders","cs-entry","cs-video-wrap"],"acf":[],"yoast_head":"\nConsidering endometriosis surgery? 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