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Surgical Treatment for Endometriosis



Surgical Treatment for Endometriosis

Fertility Enhancing Endoscopic Surgeries 2

Endometriosis is a fairly painful disorder which causes the tissue that lines the inside of a women’s uterus to grow in places outside the inner lining of the uterus. Sometimes this tissue may develop in the vagina, on the fallopian tubes, in the intestine or the peritoneum. Usually, severe menstrual cramps or pelvic pain are the main identifiers of endometriosis. This condition may also result in difficulties in a women becoming pregnant. Most mild forms of endometriosis are fairly common and might not require any treatment.

Surgical Treatments for Endometriosis

While there is no apparent cure for endometriosis, there are several treatments that may alleviate the symptoms and help women lead a healthy, fulfilling life. One such treatment procedure is surgery, wherein areas of endometriosis tissue are either destroyed or removed to help improve fertility or improve symptoms. The type of surgery opted for depends largely where the tissue is located. Some of the options are:

  • Laparoscopy
  • Laparotomy
  • Hysterectomy

All surgical procedures come with their own set of potential risks, so it is important to seek the advice of a qualified medical health practitioner before undergoing any sort of surgical treatment.

  • Laparoscopic Surgery

A laparoscopic surgery is a fairly common surgical procedure which is used to treat endometriosis. Also known as keyhole surgery, here, small incisions or cuts are made in the abdomen of a patient so that the endometriosis tissue may be cut out or destroyed. Because the surgeon uses an instrument known as a laparoscope, large incisions are not made. A laparoscope is a tiny tube which has a camera and a light source attached to it, which relays images from the inside of a patient’s pelvis or stomach to a television monitor. During this surgery, instruments are used to apply an electric current, heat, a laser or a beam of special helium gas to the tissue so as to remove or destroy them. this surgery is usually carried out when a patient is under general anesthetic, so they will feel no pain while the surgery is being performed. This technique can also be used to remove endometriomas or ovarian cysts, which are formed due to this condition. This type of surgery may be able to alleviate symptoms of endometriosis and have also been known to improve fertility.

  • Laparotomy

This is a slightly more invasive surgical procedure which is used in the event of severe cases of endometriosis and if the endometriosis tissue has caused a patient’s organs to fuse together. The surgeon opens up the area to access the affected organs by performing a wide cut along the bikini line of the patient. The endometriosis tissue is subsequently removed. As compared to keyhole surgery, the recovery time for this procedure is a bit longer.

  • Hysterectomy

In the event that other treatments have failed, and if the patient has decided not to have any more children, a hysterectomy is advised. A hysterectomy involves the removal of the womb. This is a major surgical procedure which has a significant effect on the woman’s body. Hysterectomies aren’t reversible procedures, so patients who have decided to undergo this, should speak about it in length with their gynecologist or general practitioner.

Unfortunately, there isn't any guarantee that the symptoms of endometriosis will not return after the operation. Endometriosis is more likely to return if the ovaries are left in place. Women whose ovaries have been removed during a hysterectomy may need Hormone Replacement Therapy (HRT). But this should be discussed in detail with a gynecologist or general practitioner.

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