Endometriosis is a condition where tissue similar to the endometrium (that lines the inside of the uterus) also grows outside the uterus.
Successful surgical treatment may be able to delay or stop the progress of the condition.
The objectives of surgery are:
Surgery may be recommended to:
Laparoscopy is usually preferred to an open operation through a larger incision (laparotomy) because:
A diagnostic procedure is undertaken solely for the purpose of diagnosis with no surgical treatment. A small piece of tissue of any suspected endometriosis patch can be removed (biopsied) for examination by a pathologist. This can confirm the diagnosis of endometriosis.
Operative surgery is undertaken to surgically treat patches. It is often done at the same time as diagnostic laparoscopy, or soon after diagnosis, or as a stage-two procedure. Sometimes it can only be performed after an initial diagnostic laparoscopy to assess the severity of the condition. Before surgery, you may need a “bowel preparation” to empty the bowel.
The surgeon will try to remove as much endometriosis as possible. A variety of techniques may be used (depending on the surgeon’s preference), including:
Depending on the extent of the surgery, the woman is often able to go home the same day as the procedure.
If you have had general anaesthetic, do not drive for at least 24 hours, and do not make any important decisions for two days. Although a few women feel able to return to work the next day, most take a few days off work.
Shower and bathe as normal. Tampons may be used and changed regularly.
After the operation, some symptoms may persist for several days, including:
Endometriosis on the pelvic side wall
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