Endometriosis Surgery

Written by Amy Hall
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Many women who are faced with the pain and suffering of endometriosis opt for surgery as a way to control or eliminate the pain. If you have been diagnosed with this chronic disease and your symptoms are making every day living unbearable for you, surgery may be your treatment option of choice. Only your doctor can give you medical advise about the pros and cons of surgery, but it is helpful to understand the various procedures nonetheless.

Doctors may recommend surgery if extensive scar tissue and adhesions have formed in the pelvic cavity that make pain a daily reminder of this condition. In some cases, adhesions bind two or more organs together, or spread to areas outside of the pelvic cavity, such as the legs or even the lungs. It is very rare for endometriosis to progress to the point that the lungs become affected, though, as surgery would likely be recommended long before that would happen.

Laparoscopic ablation involves the removal of the top layer of tissue in an affected area, and laparoscopic excision involves the cutting out and removal of local areas of endometriosis. In cases where severe pain is intolerable, a procedure called Presacral Neurectomy is performed, which involves the severing of all sensory nerves leading to the pelvis. In a uteral sacral nerve ablation, the nerves running to the uterus are severed to eliminate pain and cramping.

Surgery for Endometriosis

In extreme cases, a hysterectomy may be performed to remove the uterus, ovaries, and all growths that are causing pain. If lesions have formed in other areas, they may also need to be removed in order to prevent the pain from returning. There are, of course, less invasive options for treating endometriosis, however many women find great success with surgery.

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