Endometriosis surgery: Difference between revisions
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**Sugery includes removal of the endometrial lesions with excision of destruction of the lesion by laser or electrocautery. | **Sugery includes removal of the endometrial lesions with excision of destruction of the lesion by laser or electrocautery. | ||
**Laparoscopic uterosacral nerve ablation or laparoscopic presacral neurectomy can be done for chronic pelvic pain. | **Laparoscopic uterosacral nerve ablation or laparoscopic presacral neurectomy can be done for chronic pelvic pain. | ||
*'''Definitive surgery:''' It is preferred in patients after child bearing age and elderly women or women with | *'''Definitive surgery:''' It is preferred in patients after child bearing age and elderly women or women with ureteral or bowel obstruction. | ||
**Definitive surgery is a total hysterectomy with bilateral salpingo-oophorectomy. | **Definitive surgery is preferred with a total hysterectomy with bilateral salpingo-oophorectomy. | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 20:05, 15 June 2017
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Endometriosis Microchapters |
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Endometriosis surgery On the Web |
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American Roentgen Ray Society Images of Endometriosis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]
Overview
Surgery
Surgical therapy for endometriosis can be conservative or definitive based on the patient's presentation.
- Conservative therapy:
- It is preferred in young women who desire to get pregnant and in patients with no improvement of pain with medical therapy.
- Sugery includes removal of the endometrial lesions with excision of destruction of the lesion by laser or electrocautery.
- Laparoscopic uterosacral nerve ablation or laparoscopic presacral neurectomy can be done for chronic pelvic pain.
- Definitive surgery: It is preferred in patients after child bearing age and elderly women or women with ureteral or bowel obstruction.
- Definitive surgery is preferred with a total hysterectomy with bilateral salpingo-oophorectomy.