Endometriosis surgery
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Endometriosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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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.