ProcedureResection of Endometriosis

Overview

Resection (or excision) of endometriosis preserves the uterus, tubes & ovaries for women who wish to maintain fertility, or who have milder disease. The Center for Innovative GYN Care specialists can help with medical management to extend the length of pain control as this is a conservative surgery that can improve pain. While there is no cure for endometriosis, hysterectomy has been shown to alleviate many symptoms.

 

Endometriosis Removal

More than 5 million women in the U.S. have endometriosis, a condition where the endometrium (uterus lining) grows beyond the uterus, It can cause severe pain with every monthly cycle. At CIGC, our focus is performing the most minimally invasive procedures to treat GYN conditions, including endometriosis.
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Laparoscopic resection of endometriosis, refers to the excision (removal) of endometriotic implants. This is a type of conservative management of endometriosis. The goal of conservative surgery is to improve symptoms while preserving the uterus, tubes and ovaries as much as possible. This is usually done for women who are not yet finished with childbearing or who have milder disease. Conservative surgery improves pain (80 percent of women reported improvement in their symptoms six months after surgery), but it does not cure endometriosis. Forty to 80 percent of women will have a recurrence of pain within two years of surgery. Following conservative surgery with medical management can help to extend the length of pain control.

 

Treatment Options

THE FOLLOWING SURGERIES ARE TYPES OF CONSERVATIVE TREATMENTS FOR ENDOMETRIOSIS:

  • Fulguration of endometriosis: Burning the endometriotic implants to destroy the abnormal endometriotic implants.
  • Resection (or excision) of endometriosis: Removing the endometriotic implants. Resection is more effective than fulguration for  deep-infiltrating endometriosis.
  • Resection of ovarian endometriomas (cysts of localized endometrial tissue): An endometrioma should be completely removed and not just drained, otherwise there is an 88 percent chance it will return. Medical management of endometriomas larger than one cm has not been shown to be effective.

During a laparoscopic resection, a thin telescope-like camera is inserted into the navel to evaluate the pelvis. Usually one to two additional 5 mm skin incisions in the lower abdomen are made to access the pelvis, and the endometriotic implants can be dissected out and removed. For severe endometriosis with extensive adhesions, it is sometimes not possible to completely resect all of the endometriosis, as it may be deeply involved with vital structures such as the ureter or rectum.

For women who are done with child-bearing or who have not responded to conservative management, a hysterectomy is recommended for longer-term relief.

To read more about hysterectomy, click here.

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WHY CIGC FOR MY RESECTION OF ENDOMETRIOSIS?

Endometriosis is both quite common and extremely difficult to diagnose. While it is always important to find a specialist when looking for medical treatment, it is particularly important when it comes to this condition to ensure that you are not misdiagnosed or mistreated. The specialists at CIGC are extremely experienced with minimally invasive endometriosis excision.

Why Not My OB/GYN?

The majority of an OB/GYN’s practice is dedicated to Obstetrics care, with a small percentage of the practice devoted to GYN surgery. A heavy surgical volume is necessary to develop and maintain surgical expertise, and this is especially important for endometriosis patients. All instances of endometriosis must be removed, and often, pelvic adhesions occur with endometriosis, which have to be removed carefully to prevent new adhesions from forming.

At CIGC, our specialists have made a commitment to advanced minimally invasive GYN surgery. The care and attention to performing thorough endometriosis excision is essential. Our surgeons practice advanced techniques perfected through comprehensive training to implement some of the most state-of-the-art procedures. We excel at even the most complex surgeries, minimizing complication rates.

Too many GYN surgeries in this country are still performed open, meaning that patients withstand a longer, more painful recovery and a higher chance of complications. Many hospitals and clinics are employing robotics to perform surgeries, which involve more incisions and are highly expensive, and have shown to be high risk.

CIGC has perfected the art of minimally invasive laparoscopic surgery, making improvements over open and robotic procedures. Our procedures inflict less pain, leave fewer scars, are less expensive, and make for a speedy recovery. CIGC surgeons are board-certified, fellowship-trained, and concentrate completely on GYN surgery.

We have offices in Rockville and Annapolis, Maryland, as well as in Reston, Virginia for your convenience. Give us a call at (888) 787-4379.