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What is conservative surgery for endometriosis?
The goal of conservative surgery is to aggressively remove as many endometrial implants and cysts as possible without causing surgical scarring and subsequent adhesions that could hamper future fertility. The two conservative surgical routes used are either laparoscopy or laparotomy. Improving Fertility. Surgery has been shown to improve infertility rates in women with severe endometriosis (stages III and IV). Some physicians recommend conservative surgery even in early-stage endometriosis, because of the progressive nature of the disorder and there is some evidence that it improves fertility. Fertility can often be restored even if the surgery does not remove all the endometrial implants. However, the best fertility rates in such cases occur in the early postoperative period. They decline over time if implants have not been completely eliminated. Subsequent surgeries become less effective in restoring fertility. Reducing Pain and its Recurrence.Studies report pain reduction after surgery in more than 60% of women. Conservative surgery, however, can miss microscopic implants that may continue to cause pain and other symptoms after the procedure. Laparoscopy is now the gold standard treatment for endometriosis. It is usually done under general anesthetic and involves the following:
Endometriosis: surgical strategies
Endometriosis is a chronic proliferative disorder and needs treatment aggressively to provide relief from its symptoms and arrest progression of the disease. Treatment options include medical or surgical or a combination of both. We offer the option depending on the individual patient needs and desires and most importantly the symptoms and the severity of her disease Our surgical strategy to tackle endometriosis is as follows MANAGEMENT OF ENDOMETRIOMAS MANAGEMENT OF RECTOVAGINAL ENDOMETRIOSIS RESECTION OF ENDOMETRIOTIC BOWEL IMPLANTS HYSTERECTOMY FOR ENDOMETRIOSIS Read more

