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Laparoscopic surgery for endometriosis

Your consultant gynaecologist may recommend laparoscopic surgery if medical interventions prove ineffective in managing your endometriosis symptoms. This minimally invasive procedure, also known as keyhole surgery, involves the examination of suspected endometriosis tissue through a biopsy, serving as the gold standard for confirming the presence of endometriosis.

The procedure may also be suggested when an ultrasound reveals the presence of an endometriotic cyst, or if you encounter difficulties conceiving, with the aim of improving your fertility.

There are two primary approaches for treating pelvic endometriosis:

Ablation: This technique involves using thermal energy to target and evaporate superficial endometriosis in your pelvis during the laparoscopy. However, it may not be as effective for deeper tissue endometriosis.

Excision: When either superficial or deep endometriosis is identified during the laparoscopy, these areas are surgically removed, and the specimens are sent to the laboratory for confirmation of endometriosis presence. Excision is generally considered more effective for addressing deep infiltrating endometriosis.

Endometriosis is a persistent inflammatory condition marked by the presence of uterine lining cells in different body tissues, predominantly within the pelvic region, including the ovaries, fallopian tubes, bladder, and bowel.

This condition is hormone-driven. While the precise prevalence of endometriosis remains uncertain, it is believed to afflict approximately 2 to 10% of women in their reproductive years and may affect up to 50% of women who experience fertility challenges. Although it is non-cancerous in nature, endometriosis can significantly impact the quality of life for those affected by it.

After undergoing laparoscopic treatment for endometriosis, most women can expect to be discharged on the same day following an evaluation by a healthcare professional. In certain instances, women may need to spend an extra night in the hospital due to pain or urinary difficulties. Those who undergo extensive excision (removal) of endometriosis may receive a recommendation from their gynaecologist to stay in the hospital for one night.

In the days following your laparoscopy, you may experience some abdominal discomfort and soreness around the incision sites. Typically, over-the-counter pain relievers should suffice to manage these symptoms. The timeline for returning to your regular activities can vary depending on the extent of the treatment performed during your laparoscopy but usually falls within one to two weeks.

Our commitment to your well-being doesn't end when you leave the hospital.

In rare instances, complications may arise after your treatment. If you encounter severe lower abdominal pain or heavy bleeding, please don't hesitate contact to us immediately.

The likelihood of complications varies based on the specific surgery you undergo and other factors, including your overall health. We will have a thorough discussion with you about the potential risks and complications associated with the procedure and how they relate to your unique situation.

If you have any concerns, please know that we are here to support you.

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