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Endometriosis Excision Specialists at cigc

The endometriosis excision specialists at CIGC have been performing excision surgery for decades. They are experts in diagnosing endometriosis, even when it is difficult to spot, and then excising the disease using advanced minimally invasive techniques. These are the surgeons you want treating your endometriosis. 

At CIGC, we put our patients first. Everyone in our care is treated with dignity and respect and special attention is paid to the patient experience. Endometriosis specialists look at every case individually to present the best treatment option to each patient. Throughout treatment, we want you to have the utmost confidence in your level of care and know that we will work with you to find the best treatment plan for your condition.   

Many people with endometriosis fear they may have to undergo multiple surgeries to stay on top of the disease, but CIGC specialists are experts in complete laparoscopic removal of endometrium tissue. Studies have shown that the more thorough your surgery, the less likely you’ll need to have another one.  

What Is Endometriosis Excision?

Endometriosis excision is a surgical technique that involves cutting out (excising) endometriosis lesions that have spread outside of the uterus. CIGC excision specialists make two small incisions near the belly button and on the bikini line to laparoscopically remove signs of the disease. 

Excision — as opposed to ablation or burning — allows the surgeon to remove the visible endometrial implants as well as their roots. Complete removal of endometriosis lowers the chance of recurrence that would lead to subsequent surgeries. While there is no cure for endometriosis, experts agree that excision is the best treatment option for long-term symptom relief. 

The most important factor in endometriosis excision success is the skill level of the surgeon performing the procedure. Incomplete endometriosis removal is unlikely to resolve symptoms and it can leave behind scar tissue that causes more pain over time. CIGC endometriosis excision specialists are experts in thorough removal of the disease. 

Endometriosis Nonsurgical Treatment Options

After endometriosis excision surgery, any lingering symptoms may be managed with nonsurgical remedies and exercises. Speak with an expert about the best endometriosis treatment for your needs. 

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Why CIGC?

Award-Winning Gynecological Surgery Center

CIGC is recognized as a Center of Excellence in Minimally Invasive Surgery by the American Association of Gynecologic Laparoscopists (AAGL). aagl-logo

Success Stories

Hear from endometriosis patients who have had life-changing experiences with CIGC’s endometriosis excision procedure:

If it wasn’t for CIGC and Dr. MacKoul’s incredible team, [my daughter] Olivia wouldn’t be here. Period. Olivia was waiting for the right time and the right medical team. – Britt 

Hear More from Britt

I had surgery on a Thursday, rested on Friday, and on Saturday I was up and doing normal stuff. Now I feel like I could run a mile. I don’t feel like I just had surgery.” – Dorran 

Hear More from Dorran 

“Once I was home, I was walking and moving around. I didn’t feel like I just had to stay in bed and recover.” – Rupal 

Hear More from Rupal 

Our Doctors

Our minimally invasive GYN specialists are world-renowned for their leadership and expertise in the diagnosis and management of complex GYN conditions. They have innovated advanced minimally invasive gynecological surgery techniques, such as DualPortGYN® and LAAM®, for women of all ages. 

Laparoscopic GYN Surgeon

Our Centers

CIGC surgeries are performed at ambulatory surgery centers that are not attached to a hospital, meaning endometriosis excision surgeries are done on an outpatient basis and patients can go home the same day. With convenient locations near major cities like Washington, D.C., and New York City, each center is fully set up with state-of-the-art equipment and staffed with friendly, compassionate employees. We follow CDC guidelines to ensure the enhanced cleanliness and safety of each center. During the ongoing COVID-19 pandemic, we are offering telemedicine consultations in addition to in-person appointments to discuss endometriosis treatment options. 

References:

1Danilyants N, MacKoul P, Baxi R, van der Does LQ, Haworth LR. Value-based assessment of hysterectomy approaches. JOGR. 2018.

2Pasic et al. Comparing Robot-Assisted with Conventional Laparoscopic Hysterectomy: Impact on Cost and Clinical Outcomes. JMIG. 2010 17 (6): 730-738

3Landeen LB, Bell MC, Hubert HB, Bennis LY, Knutsen-Larson SS, Seshadri-Kreaden U. Clinical and cost comparisons for hysterectomy via abdominal, standard laparoscopic, vaginal and robot-assisted approaches. South Dakota Medicine 2011; 64(6): 197-199

4Drahonovsky J., Haakova L., Otcenasek M., Krofta L., Kucera E., and Feyereisl J.: A prospective randomized comparison of vaginal hysterectomy, laparoscopically assisted vaginal hysterectomy, and total laparoscopic hysterectomy in women with benign uterine disease. EJOGRB 2010; 148: pp. 172-176

5Einarsson, J. I., & Suzuki, Y. (2009). Total laparoscopic hysterectomy: 10 steps toward a successful procedure. Reviews in obstetrics & gynecology, 2(1), 57-64.

6Paraiso MF, Ridgeway B, Park AJ, et al. A randomized trial comparing conventional and robotically assisted total laparoscopic hysterectomy. AJOG. 2013;208(5):368.e361–367.

7Wright KN, Jonsdottir GM, Jorgensen S, Shah N, Einarsson JI. Costs and outcomes of abdominal, vaginal, laparoscopic and robotic hysterectomies. JSLS. 2012;16(4):519-24.

8Aarts JWM, Nieboer TE, Johnson N, Tavender E, Garry R, Mol BWJ, Kluivers KB. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database of Systematic Reviews 2015, Issue 8. Art. No.: CD003677.

9Schmitt, J. J., Carranza Leon, D. A., Occhino, J. A., Weaver, A. L., Dowdy, S. C., Bakkum-Gamez, J. N., Pasupathy, K. S., Gebhart, J. B. (2017). Determining Optimal Route of Hysterectomy for Benign Indications: Clinical Decision Tree Algorithm. Obstetrics and gynecology, 129(1), 130-138.

10Mayo Clinic

11Paraiso MF, Ridgeway B, Park AJ, et al. A randomized trial comparing conventional and robotically assisted total laparoscopic hysterectomy. AJOG. 2013;208(5):368.e361–367.

12Yeung P, Bolden C et al. Patient Preferences of Cosmesis for Abdominal Incisions in Gynecologic Surgery. JMIG. 2013; 20(1): 79-84

13Jones, H. W., III, & Rock, J. A. (2015). Te Linde’s operative gynecology (Eleventh edition). Philadelphia: Wolters Kluwer.

14Royal College of Obstetricians & Gynaecologists, London, UK.