Endometriosis Surgery Treatment Option


When the symptoms of endometriosis are severe or affect a woman’s quality of life, surgery is often recommended. There are two surgical options for treating endometriosis:

Endometriosis resection – This involves removal of endometrial tissue implants while leaving the uterus in place. Endometriosis resection is usually recommended for women who want to become pregnant in the future.

Hysterectomy – This procedure involves removing the uterus and other organs affected by endometriosis, such as the ovaries or fallopian tubes. Hysterectomy is often recommended for patients who do not desire a future pregnancy.

Endometriosis resection and hysterectomy can be performed with minimally invasive surgery known as laparoscopy or traditional open surgery known as laparotomy.


This is a minimally invasive procedure in which surgical instruments are inserted through small abdominal incisions to remove the implants or organ(s). One of the instruments is a laparoscope – a thin, lighted tube with a tiny camera at the end. Laparoscopy requires the use of long-handled, rigid instruments which can present limitations during complex and delicate operations that require greater precision or dexterity.


Laparotomy is traditional open surgery performed using a long abdominal incision and typically requires a long recovery. Laparotomy may be used to remove large implants that cannot be reached with a laparoscope. Laparotomy may also be recommended when pelvic organs such as your bowel are involved.

Fortunately, there is a minimally invasive option for treating endometriosis designed to overcome the limits of traditional open and laparoscopic surgery – da Vinci Surgery.

All surgery presents risk, including da Vinci Surgery. Results, including cosmetic results, may vary. Serious complications may occur in any surgery, up to and including death. Examples of serious and life-threatening complications, which may require hospitalization, include injury to tissues or organs; bleeding; infection, and internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Patients should understand that risks of surgery include potential for human error and potential for equipment failure. Risk specific to minimally invasive surgery may include: a longer operative time; the need to convert the procedure to an open approach; or the need for additional or larger incision sites. Converting the procedure to open could mean a longer operative time, long time under anesthesia, and could lead to increased complications. Research suggests that there may be an increased risk of incision-site hernia with single-incision surgery. Patients who bleed easily, have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci Surgery. Other surgical approaches are available. Patients should review the risks associated with all surgical approaches. They should talk to their doctors about their surgical experience and to decide if da Vinci is right for them. For more complete information on surgical risks, safety and indications for use, please refer to http://www.davincisurgery.com/da-vinci-surgery/safety-information.php.

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