Laparoscopy also usually has a lower risk of infection and scarring. This means you can get back to your regular activities more quickly, although the time needed varies from patient to patient. Recovering from a laparoscopic excision is usually shorter than it would be for traditional open surgery. Ablation vaporizes the top layer of tissue but won’t address deep infiltrating endometriosis. While endometriosis can reform, excision surgery can be combined with postoperative hormonal suppression or other medical treatments to manage the potential recurrence of the condition.Īblation therapy is effective for superficial endometriosis but i sn’t as effective as a treatment for deeper endometriosis. Radical laparoscopic excision of endometriosis allows your surgeon to remove all the lesions and related scarring from anywhere in your abdomen. Here are some things you should keep in mind. There are many pros and cons to consider when comparing excision and ablation as ways to treat endometriosis. What Are the Pros and Cons of Each Type of Procedure? Sometimes referred to as fulguration, coagulation, or cauterization, ablation is also minimally invasive. The goals of surgical treatment of endometriosis are to completely ablate and/or excise active endometriotic tissue and correct anatomic distortions caused. What Is an Ablation Procedure?ĭuring an ablation procedure, your surgeon uses heat to vaporize the abnormal tissue. ![]() After surgical excision, your surgeon extracts the instruments and closes the incisions. They make a couple of additional small incisions and insert surgical tools into your abdomen to cut away the endometriosis lesions. ![]() We use a state-of-the-art DaVinci robotic arm to perform endometriosis excision.ĭuring a minimally invasive excision, your surgeon makes a small cut in your abdomen and inserts a laparoscope, which allows them to see inside your body to locate the endometriosis. This information is for you if you are about to have, or are recovering from, laparoscopic excision of endometriosis. Our team at Maiden Lane Medical usually performs minimally invasive laparoscopic surgery to remove endometriosis lesions and related scar tissue. Globally more than 200 million women are suffering with endometriosis but only a handful of surgeons are excision experts.Excision is a surgical treatment for endometriosis. A trained, expert Surgeon can treat endometriosis to its perfection. Accuracy in diagnosis and treatment options are dependent on the surgeon to recognize endometriosis disease in all its different manifestations. Various studies and clinical trials have proved that excision is more effective and the best way to treat endometriosis than ablation.Įxcision is a highly complex, modern, and advanced surgical technique and requires extensive training. Excision is always preferable as we don’t know the extent and depth of disease simple by looking at it. Ablation or fulguration acts on the surface of the lesion but leaves the active disease below it and it is particularly true for deeply invasive nodules and deep infiltrating endometriosis (DIE). This type of treatment leads to recurrence and multiple surgeries. There is also a possibility of damaging the underlying tissue such as bowel, bladder, ureter and other vital organs. This method causes more tissue damage and scarring and also we don’t get tissue for pathologic confirmation. If your doctor advices fulguration, you need to take a second opinion and go for excision specialist. Fulguration burns only the tip and women will be symptomatic even after this treatment. This method has not proven successful for endo treatment as endometriosis is like an iceberg, what we see is just the tip and the remaining is deep inside which needs to be excised. Whereas ablation also known as fulguration/ vaporiization/ coagulation is a method whereby the endometrial tissues are burned using heat, laser or cautery methods. When this surgery is done by excision expert, it has a very low rate of recurrence, provides good symptomatic relief and enhances fertility and leaves a positive impact on patient’s life. The excised tissue is sent for pathologic confirmation as well. The endometriotic tissue is ideally scooped down to the roots and anatomy is restored for optimum functioning. If the disease is not excised well chances of recurrence will be very high and also pain relief will not be complete.Įxcision is removal of endometriotic implants by cutting them away from surrounding tissues and organs. It’s a multidisciplinary approach for endometriosis surgery where excision specialist also involves colorectal surgeon, uro-surgeon and other specialities for optimum excision of disease. ![]() ![]() Laparoscopic Excision (LAPEX) is the surgical procedure of choice for treating endometriosis.
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