The probability of requiring further surgery is 36%. Laparoscopic excision of endometriosis significantly reduces pain and improves quality of life for up to 5 years.

Of women who had further surgery, endometriosis was found histologically in 68%. Pain scores were all significantly reduced at 2-5 years for dysmenorrhoea (median VAS baseline versus follow-up 2-5 years) 9 versus 3.3 (P 70 was predictive of requiring further surgery (P = 0.03). Excision, on the other hand, is a technique to dissect underneath the endometriosis lesions all the way down to healthy, non-endometriotic tissue, and then from. For women who had further surgery, rAFS stage, site of disease, other procedures and histology were all recorded. Follow-up was performed by postal questionnaire and chart review. Intra-operative details of revised American Fertility Society (rAFS) stage, site of disease, associated tests, duration of surgery and complications were noted. Review the risk factors for developing endometriosis and summarize the epidemiology of the disease. Questionnaires and visual analogue scale (VAS) scores for dysmenorrhoea, non-menstrual pelvic pain, dyspareunia and dyschesia as well as quality of life instruments the EQ-5Dindex and EQ-5Dvas, Short-Form 12 (SF-12) and sexual activity questionnaires were completed pre-operatively. Of these, 216 women underwent surgical assessment and 176 were confirmed to have endometriosis. Gynaecologist at Allen OB/GYN in Allen, Frisco, McKinney and Plano, TX offers excision of endometriosis, laparotomy and hysterectomy. In this prospective observational cohort study, 254 women with chronic pelvic pain were referred to two units specializing in minimal access surgical management of endometriosis. This procedure is done when there is severe damage or scarring involving the uterus, the presence of uterine disease, and only if the patient no longer desires future fertility.This study investigates the outcomes for women up to 5 years after laparoscopic excision of endometriosis. Hysterectomy: This is the removal of the entire uterus. Laparotomy: This involves a larger cut in the abdomen which allows the doctor to reach and remove the endometriosis lesions. Other surgical options for excision of endometriosis involve:

In addition, in cases of complex disease, the robotic technique may allow your doctor to operate in areas that may otherwise be difficult to treat. Three-dimensional visualization and the ability to magnify tissue up to 10-15 times can, therefore, be very beneficial in identifying endometriosis and removing it accordingly. With early stage endometriosis, difficulty identifying disease can often be a concern. Other surgical instruments are then used to carefully cut and remove the endometriosis lesions, adhesions and ovarian cysts.Īlternatively, the robotic platform is yet another surgical tool that allows a surgeon to operate with 3-D vision, using instruments that can move with more degrees of motion than the surgeon’s wrist. It can be performed minimally invasively through 2 to 4 tiny incisions using a laparoscope, a slender fiber-optic tube with a camera and light source inserted to provide a clear view of the surgical site, or using the robotic platform. Excision of EndometriosisĮxcision (removal) of endometriosis is a surgery indicated for the treatment of endometriosis where the aim is to preserve fertility. An ultrasound scan or MRI may also be performed. Your gynecologist will ask you about general health and symptoms, as well as perform a pelvic examination. Endometriosis may be inherited genes that run in families.

There are several theories but likely the cause is multifactorial. The exact cause for the endometriosis is not known. Symptoms may include pelvic pain, painful periods, painful intercourse, heavy or irregular periods, infertility, gastrointestinal symptoms including constipation, diarrhea, nausea, bloating, painful bowel movements, urinary symptoms including painful urination and urinary frequency and burning, and general fatigue/malaise. In severe cases, extensive scarring and distortion of normal anatomy may occur. There are also cases of endometriosis involving areas such as the lungs. It can affect any areas of the abdomen and pelvis, such as the ovaries, uterus, bowel, bladder, liver, diaphragm, and abdominal wall. The severity of endometriosis can range from mild to severe. Home / Patient Info / Procedures / Endometriosis Excision Endometriosis Excision What is Endometriosis?Įndometriosis is a disease in which cells similar to those that line the inside of the uterus (endometrium) grow outside the uterus.

Excision of endometriosis