Endometriosis Resection

What is Endometriosis Resection?

Endometriosis is a condition wherein endometrial tissues (the tissues on the lining of the uterus) grow on organs outside the uterus, such as the pelvic tissues, ovaries, and bowels. The endometrial tissues can get inflamed due to hormonal changes triggered by the menstrual cycle, leading to severe irritation, scarring, severe period pains, and fertility issues. The pain associated with endometriosis can significantly affect your quality of life.

Endometriosis resection is a surgical procedure that involves removing the visible endometrial implant, i.e., the endometrial tissues forming outside the uterus. This is a delicate procedure wherein the endometrial tissues are removed without affecting the uterus or other organs. Endometriosis resection can be performed as open surgery, but it can also be performed as a minimally-invasive procedure called laparoscopy.

You’re a Candidate for Endometriosis Resection if You…

  • Have severe pain, discomfort, and inflammation due to endometriosis.
  • Are unable to engage in daily activities because of severe pains.
  • Are unresponsive to prescribed hormone therapy and pain medications.
  • Have trouble getting pregnant — this can happen when endometriosis produces scar tissues that block the fallopian tubes, making it hard to conceive.

The Endometriosis Resection Options

Laparotomy Surgery (Open Surgery)

Laparotomy is an open surgery performed under general anesthesia. As an open surgery, a laparotomy is only performed when you have extreme endometriosis. The surgery involves a large incision in the lower abdomen to access the endometrial implants. The surgeon removes the endometrial tissues and scar tissues using special tools without affecting the fallopian tubes, ovaries, rectum, and bladder. Finally, the surgeon closes the incisions.

Laparoscopy Surgery (Minimally Invasive)

Laparoscopy is a minimally invasive surgery wherein a small and slender camera called a laparoscope is used to visualize the endometrial tissues. This allows the surgeon to make small incisions on the abdomen. A lighted laparoscope is inserted through a small incision near the belly button, while surgical instruments are inserted through the other incisions. The endometrial tissues are removed from the ovaries, fallopian tubes, and rectum using a laser, knife, or heat.

Recovering from Your Endometriosis Resection

You should expect pain and discomfort following the surgery, but you can manage the pain with prescribed medications. You might also need hormone medications to prevent a recurrence of endometriosis in the future. The side effects usually dissipate in 1 to 2 days after a laparoscopy, but an open surgery involves a longer recovery period. In either case, it might be a few weeks before you can resume all normal activities. You must follow your surgeon’s guidelines to ensure optimal recovery.

Risks of Endometriosis Resection

Like all surgeries, endometriosis resection involves a small risk of bleeding, infection, and nerve damage. Dr. Bonni uses the latest surgical techniques and cutting-edge technologies to minimize the risk, but the surgery still involves a small risk. You must contact the surgeon if you experience severe swelling, pus discharge, heavy bleeding, or an inability to empty the bladder.

Why Choose Dr. Bonni?

Dr. Aram Bonni specializes in female pelvic medicine and reconstructive surgery and obstetrics and gynecology, making him one of the few surgeons in the country with double fellowship training in these fields. He uses the latest surgical techniques and technologies to ensure optimal results without harsh side effects or complications. Please schedule a consultation with Dr. Bonni to discuss your endometriosis resection options.