Laparoscopic Endometriosis Surgery
Precise removal of adhesions and lesions while protecting the ovaries and fallopian tubes. Suitable for women planning a pregnancy or with severe symptoms.
Endometriosis lesions do not appear only on the ovaries; the entire pelvis can be affected: the ovaries (endometriomas), the peritoneum, the area around the fallopian tubes, and the pouch of Douglas (rectouterine pouch). In severe cases, they may even invade deeper tissues such as the bowel, bladder, and ureters.
Deep infiltrating endometriosis (DIE) is the most complex type, with lesions extending more than 5 mm into the pelvic tissues, often accompanied by severe adhesions and chronic pelvic pain. These lesions may not be fully visible on ultrasound and require an experienced surgeon to carefully evaluate and treat them during surgery.
Laparoscopic surgery allows the surgeon, under direct view, to remove endometriotic tissue in the pelvis, excise cysts, and separate adhesions. It is currently the most effective surgical approach for treating endometriosis.
What Surgery Can Do
The Two Main Goals of Surgery
Relieving pain: For women with chronic pelvic pain, severe menstrual cramps, painful intercourse, or painful bowel movements, the goal of surgery is to remove the endometriotic lesions and adhesions in the pelvis as thoroughly as possible. The more thoroughly the lesions are removed, the greater the improvement in pain after surgery.
Planning a pregnancy: For women planning a pregnancy, surgery focuses on removing lesions that affect tubal patency or the uterine environment, while preserving as much ovarian tissue as possible. After surgery, assisted reproductive treatment can be added to improve the chance of pregnancy.
Follow-Up After Surgery
Endometriosis can recur. Whether you need medication to suppress it after surgery will be discussed based on your age, symptoms, and pregnancy plans.