Patient's question:
Bleeding at the vaginal suture site, sharp pain in the lower abdomenDoctor's answer:
For patients with more severe adhesion conditions, especially in medical institutions without laparoscopic equipment or for those who are not proficient in laparoscopy, laparotomy can be performed to separate the adhesions, remove the ovarian endometrioma, and preserve as much normal ovarian tissue as possible. If the lesion is limited to one side and severe, while the other side is normal, some advocate removing the affected adnexa. This approach has a higher pregnancy rate compared to preserving the affected ovary. Simple uterine suspension can also be performed. Whether to perform presacral nerve resection is debatable.