Laparoscopic Surgery Specialist in Kolkata, India

Laparoscopic Hysterectomy in Severe Endometriosis

by Dr. Sankar Dasmahapatra

Can you have a laparoscopic hysterectomy with endometriosis?

A hysterectomy is the most common form of definitive endometriosis surgery. A surgeon can do it abdominally, laparoscopically, or vaginally. The surgeon may also remove the person's cervix, ovaries (oophorectomy), and fallopian tubes. Deciding to undergo a hysterectomy is a serious decision.

What is the size limit for laparoscopic hysterectomy?

Most gynecologists do not recommend a hysterectomy via the vagina or a laparoscopic-assisted vaginal hysterectomy (LAVH) in the case of a uterus weighing more than 300 g.

What Works Best for Endometriosis?

Research suggests a hysterectomy with oophorectomy relieves endometrial pain better than a hysterectomy alone. In one studySixty-one percent of people who had a hysterectomy without oophorectomy still had pain and 31% needed a second surgery.

What is the surgery for Stage 4 endometriosis?

Laparoscopic surgery is the most common surgical treatment for advanced endometriosis in stage 4. Your surgeon may use this procedure to diagnose and treat endometriosis simultaneously. During a laparoscopy, your surgeon will make several small incisions in your abdomen.

Which is better laparoscopy or open surgery for endometriosis?

Laparoscopy is superior to laparotomy because it results in fewer surgical complications, such as bleeding, infection and possible injuries to other abdominal organs.

What are the success rates of laparoscopic surgery for endometriosis?

In this study, 71 (69.9%) and 60 (58.8%) of the patients achieved pregnancy and live birth, respectively. In the group of patients who became pregnant, the duration of infertility was significantly lower (2.7 ± 2.1 years vs. 4.7 ± 3.2 years).

When is the best time to have endometriosis surgery?

Doctors suggest surgery when the pain caused by the condition is severe and the drugs prescribed aren't effective enough. The endometriosis laparoscopic surgery helps locate the tissue that has been impacted by the condition and completely removes it or takes out certain sections.

Does laparoscopy remove all endometriosis?

Not all endometriosis can be treated with laparoscopy, however. Sometimes endometriosis affects other organs such as the bowel or ureter (the tube from the kidney to the bladder). If this is the case, you may require further surgery at a later date. Further surgery is likely to involve other specialist surgeons.