Endometriosis surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]

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 extensive disease.
  • Definitive surgery is a total hysterectomy with bilateral salpingo-oophorectomy.