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Laparoscopic Endometriosis Surgery

Endometriosis is a disorder in which tissue that normally grows inside the uterus, instead grows outside of it. This can be diagnosed and treated by surgery. Generally, a minimal procedure does the trick, however, there have been cases of endometriosis being removed by open surgery, which involves making a wide incision across the belly. Today, however, laparoscopy—a less invasive procedure involving just tiny incisions—is available to nearly everyone in need of endometriosis surgery.

What is Laparoscopic Endometriosis Surgery?

The method for endometriosis surgery that is most frequently used is this minimally invasive technique. Skilled surgeons trained in this technique treat mild to severe cases of endometriosis by laparoscopic surgery. A little incision will be made in your belly during the surgery to allow for the insertion of a tiny tube that contains a camera, known as a laparoscope. They might have to make multiple little incisions in some situations.

What are the Different Types of Endometriosis Surgery?

Endometriosis is surgically removed during endometriosis treatment. There are two distinct methods:

Laparoscopy: The method for endometriosis surgery that is most frequently used is this minimally invasive technique. Skilled surgeons trained in this technique treat mild to severe cases of endometriosis by laparoscopic surgery. A little incision will be made in your belly during the surgery to allow for the insertion of a tiny tube that contains a camera, known as a laparoscope. They might have to make multiple little incisions in some situations.

Laparotomy: This open surgery method is not employed by medical professionals as frequently as it formerly was. More intrusive than a laparoscopy is a laparotomy. Instead of creating several little cuts throughout the belly, it entails making one major incision. 

Why You Need Laparoscopic Surgery for Endometriosis

Whether you require endometriosis surgery can be determined with the assistance of a healthcare expert. Surgery could be beneficial if:

  • You suffer from severe or chronic pelvic pain
  • The endometriosis in some parts of your pelvis has to be removed
  • Your symptoms of endometriosis are no longer alleviated by medication
  • It’s hard for you to get pregnant

Risks / Benefits of Laparoscopic Treatment of Endometriosis

Surgery for endometriosis is generally safe. As with any treatment, there could be risks to laparoscopic treatment of endometriosis as well, like:

  • Swelling and bleeding
  • Potential harm to adjacent organs, including your colon and bladder
  • A fistula is an irregular joining of two organs
  • Injury to blood vessels

What Can I Expect After a Laparoscopic Excision of Endometriosis?

Since laparoscopy is a minimally invasive surgery, there are chances you will get a discharge from the hospital one day after the surgery. However, until your medical team gives the all-clear, you will need to rest in a recovery area. You may feel exhausted for a few days after the treatment. However, it may only take around two weeks to get back to regular activities. 

Because laparotomy is a more intrusive treatment, patients typically require several weeks to recuperate. You will receive a comprehensive list of post-operative instructions from your healthcare practitioner.

How You May Feel During Endometriosis Surgery?

Laparoscopy and laparotomy are the two methods of endometriosis surgery, as was previously explained. Most patients who require this surgery, however, will have a laparoscopy.

During the laparoscopic procedure for endometriosis:

 

  1. You will be put under general anesthesia and have your vital signs monitored by an anesthesiologist.
  2. A tiny incision (cut) will be made by the surgeon in your belly button or another area of your abdomen (more than one incision may be required in some circumstances).
  3. To provide a clear view for the laparoscope, they will inflate your abdomen with gas.
  4. Through the incision, your surgeon will introduce the laparoscope.
  5. The laparoscope will be used to locate endometriosis.
  6. To remove any damaged tissue, they will attach specialized equipment to the laparoscope.
  7. Following the excision of the endometrial tissue, your surgeon will remove the laparoscope and the instruments. 
  8. Finally, they’ll close the incisions with stitches.

When Should I Seek Advice After a Laparoscopic Excision of Endometriosis?

When should I get in touch with my medical professional?

After endometriosis surgery, you ought to get in touch with your doctor if you observe:

  • Swelling or redness in the wound areas
  • A temperature of at least 101°F
  • Pain that doesn’t get better or gets worse when taking medicine
  • Pus dripping out of the wound
  • Severe bleeding coming from your penis
  • Having the sensation that your bladder won’t go away

FAQ

1. Is endometriosis surgery a major surgery?

Generally speaking, no. In the past, endometriosis was removed by open surgery, which involves making a wide incision across the belly. Today, however, laparoscopy—a less invasive procedure involving just tiny incisions—is available to nearly everyone in need of endometriosis surgery.

2. Is laparoscopy more effective than laparotomy?

Furthermore, compared to laparotomy, laparoscopy is a less painful, shorter hospital stay, and quicker recovery process used for diagnostic or therapeutic purposes.

3. What are the major risks or complications of endometriosis surgery?

Endometriosis surgery can result in peri- and post-operative problems such as bleeding, infection, thrombophlebitis, pulmonary embolism, and damage to the urinary tract or intestine.

4. How long does it take to recover from endometriosis surgery?

Two weeks following endometriosis surgery, you should be able to resume work or school unless your employment requires a lot of physical exertion. You might have to wait longer if your profession involves a lot of physical exercise. Make sure you find out from your healthcare professional what to anticipate from your recuperation.

5. When can I go back to work or school after endometriosis surgery?

Probably for a few days, you'll feel exhausted. However, it should only take around two weeks for you to be ready to resume your regular activities; however, some people may require more time. Because laparotomy is a more intrusive treatment, patients typically require several weeks to recuperate.

6. How quickly can endometriosis grow back after surgery?

The amount and severity of the original endometriosis, the surgeon's skill, and the quality of the aftercare are some of the variables that affect the recurrence rate. Research shows that between 40 and 80 percent of women have a recurrence five years after surgery.

7. Does endometriosis surgery help fertility?

Surgery to treat endometriosis can be quite effective in getting rid of uncomfortable symptoms and getting pregnant. According to studies, up to 93% of patients reported having their concerns and symptoms resolved. Furthermore, after the procedure, more than 65 % of patients who wanted to get pregnant were able to do so. (4)

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