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Conservative Laparoscopic Surgery

Endometriosis is a condition where the cells that form the lining of the uterus grow into the surrounding areas. Aside from pain, especially during menstruation, during and after intercourse, it can also cause infertility.

About a third of all cases of female infertility are caused by endometriosis where the excess cells occur in the fallopian tubes and block the egg’s passage, or they occur in the ovaries and prevent the release of the egg, or they form in the uterus, ovaries and fallopian tubes and prevent the transfer of the egg to the tube.

Endometriosis is usually treated in one if three ways: watchful waiting, hormone therapy and surgery. Our specialist makes this call depending on your symptoms, age, severity and if fertility is a factor.

What happens during surgery?

The purpose of surgery is to remove as many endometrial implants and cysts as possible, which would relieve pain and improve fertility, and is recommended for women who are still in the child bearing age. It can be done via laparoscopy or laparotomy.

Laparoscopy is the gold standard and preferred method for endometriosis surgery. During the procedure, which is done under general anaesthesia, several tiny incisions are made through which the laparoscope is inserted to give the surgeon a view of your pelvic organs. The specialist then removes the implants and scar tissue using heat. This is a day care procedure, and you do not need to stay in hospital overnight. Recovery usually takes a 1 -2 weeks.

In a Laparotomy, which is only considered in cases of severe endometriosis, the specialist accesses your reproductive organs through a large incision across your abdomen. This is a much more invasive method, and requires that you remain in hospital for several days.

For women who have already had children and have severe endometriosis, there is a third option: hysterectomy to remove the uterus. In most cases the ovaries are not removed, so while your period stops, you will not go into menopause. A Hysterectomy is usually performed through minimally invasive surgery, or in rare cases, open surgery.

“At Srushti, we believe that surgical intervention for endometriosis improves your chances of getting pregnant significantly, particularly in cases of minimal to mild endometriosis.” – Dr. Samundi Sankari, Founder and Chief Specialist.

For more information about Conservative Laparoscopic Surgery, email us at sfrc@srushtihospital.com.