Robot-Assisted Excision of Endometriosis

Excision of Endometriosis

Endometriosis affects approximately 70% of women with chronic pelvic pain, significantly impacting their daily lives and well-being. For many patients dealing with this challenging condition, finding effective treatment options becomes crucial for managing symptoms and improving quality of life.

This comprehensive guide explores everything patients need to know about endometriosis excision surgery, from preparation and procedure details to recovery expectations. 

Why CARE Group Hospitals is Your Top Choice for Excision of Endometriosis Surgery in Hyderabad

CARE Hospitals stands out as a premier destination for endometriosis excision surgery in Hyderabad through its dedicated approach to women's health concerns. The hospital offers specialised laparoscopic excision techniques for endometriosis management, making it an excellent choice for women seeking effective treatment options.

The hospital's gynaecology department features experienced specialists who focus specifically on endometriosis excision and ablation procedures. These experts thoroughly assess each patient's condition before recommending personalised treatment plans tailored to individual needs. Additionally, they discuss all available options in detail, ensuring patients are well-informed about their treatment journey.

Hospitals maintain the highest standards of patient care, hygiene practices, and safety protocols. These commitments have earned them numerous awards and accreditations.

For women suffering from endometriosis symptoms such as chronic pelvic pain, painful periods, or fertility challenges, CARE Hospitals provides expert-led excision surgery that targets the root cause rather than addressing symptoms.

Cutting-edge Surgical Innovations at CARE Hospitals

Laparoscopic excision remains the cornerstone of endometriosis treatment at CARE Hospitals. This minimally invasive approach requires only small incisions in the abdomen, through which surgeons can identify and remove endometrial implants. Unlike traditional open surgery, laparoscopy offers patients shorter recovery times and fewer complications.

One noteworthy advancement adopted by CARE Hospitals is robot-assisted laparoscopy, which has transformed the treatment of complex cases, especially deep infiltrating endometriosis (DIE). The Da Vinci Surgical System, a key component of their robotic surgery programme, provides several distinct advantages.

Moreover, the surgical team at CARE Hospitals utilises nerve-sparing techniques to preserve critical nerves during excision. This approach helps prevent complications such as bladder dysfunction, bowel issues, and sexual dysfunction that might otherwise result from aggressive surgery.

For patients concerned about fertility preservation, the hospital offers uterine-sparing surgeries such as adenomyomectomy. This procedure removes adenomyotic lesions while preserving the uterus, which is particularly beneficial for women with localised disease.

Additionally, the surgical team employs "cold excision" techniques that use minimal electricity during the procedure. This method preserves healthy surrounding tissue and allows removed lesions to be sent for pathological examination.

Conditions for Excision of Endometriosis

Doctors typically recommend excision of endometriosis when patients experience chronic or severe pelvic pain that significantly affects quality of life. This is often the primary reason women seek surgical treatment. Another important indicator is when medication no longer provides sufficient relief from endometriosis symptoms. In such cases, laparoscopic excision becomes a valuable next step in treatment.

Fertility concerns also play a significant role in surgical decisions. If a woman has difficulty getting pregnant due to endometriosis, excision surgery may help improve her chances of conception. Additionally, surgical excision is generally advised when there's a need to remove endometriotic areas in the pelvic region that are causing problems.

Types of Excision of Endometriosis Procedures

Surgeons typically choose between two primary surgical approaches when performing an endometriosis excision surgery:

• Laparoscopy Excision: Laparoscopy stands as the most common method for endometriosis excision surgery. This minimally invasive procedure requires only small incisions in the abdomen through which surgeons insert a thin tube with a camera (laparoscope). The surgical team might make several small incisions rather than one large cut, resulting in less scarring and quicker recovery times. Laparoscopic techniques effectively treat mild to severe cases of endometriosis when performed by skilled specialists.
• Laparotomy Procedure: Laparotomy, meanwhile, represents a more traditional open surgical approach that surgeons use less frequently today. This technique involves making one large incision across the abdomen. Doctors typically reserve this method for extremely severe cases or when patients don't qualify for laparoscopic procedures.

Know the Procedure

Understanding what happens before, during, and after the excision of endometriosis surgery helps patients feel more confident and prepared. Proper knowledge about the entire surgical journey can significantly reduce anxiety and lead to better outcomes.

Pre-surgery Preparation

Doctors typically advise patients to:

• Stop eating & drinking after midnight the night before surgery
• Temporarily discontinue certain medications, particularly blood thinners
• Quit tobacco smoking at least three weeks before surgery
• Stock the home pantry with fluids and easily digestible foods like soups and gelatin

Excision of Endometriosis Procedure

Laparoscopy is the gold standard procedure for diagnosing and treating endometriosis. Here are the endometriosis excision surgery steps:

• The anaesthesiologist administers general anaesthesia to ensure the patient remains comfortable throughout the procedure. 
• The surgeon creates small incisions in the abdomen, typically beginning with one at the navel.
• The medical team inflates the abdomen with carbon dioxide gas to provide better visualisation of pelvic structures. 
• Afterwards, the surgeon inserts a thin tube with a camera (laparoscope) through the incision. This device allows thorough examination of the uterus, ovaries, fallopian tubes, and surrounding peritoneal surfaces.
• Upon identifying endometriosis lesions, the surgeon either cuts them out (excision) or destroys them using heat (ablation). Excision offers the advantage of providing tissue samples for laboratory confirmation. 
• Once all visible endometriosis is addressed, the surgeon removes instruments, releases the gas, and closes incisions with stitches.

Post-surgery Recovery

Most patients return home the same day following laparoscopic excision of endometriosis. Although most people can resume normal activities within approximately two weeks, complete recovery might take up to four weeks for severe cases. Post-operative hormonal suppression therapy sometimes accompanies surgical treatment to reduce disease recurrence.

Risks and Complications

The most common complications after laparoscopic excision of endometriosis include:

• Damage to nearby vital organs, such as the urinary bladder or intestines
• Bleeding during or after surgery
• Infection at incision sites
• Nerve damage causing temporary or permanent symptoms
• Fistula formation (abnormal connection between organs)
• Scar tissue leading to belly pain or bowel blockages
• Blood vessel damage during the procedure

Benefits of Excision of Endometriosis Surgery

Laparoscopic excision of endometriosis offers numerous life-changing benefits for women suffering from this condition. First and foremost, research shows significant improvement in all quality-of-life domains including pain reduction. 

For many couples, this makes excision surgery worthwhile:

• Improves chances of getting pregnant naturally
• Restores normal anatomy by correcting tubal and ovarian disease
• Shows significantly higher spontaneous pregnancy rates compared to diagnostic laparoscopy only

Regarding surgical techniques, laparoscopy proves superior to traditional laparotomy by offering:

• Fewer surgical complications (bleeding, infection, injuries)
• Faster recovery times
• Less downtime for patients
• Better mental health outcomes

Insurance Assistance for Excision of Endometriosis Surgery

Most insurance companies in India typically cover endometriosis treatment.

At CARE Hospitals, our staff will help you:

• Complete claim forms
• Pre-authorisation of the insurance
• Explaining out-of-pocket costs
• Exploring financial assistance options

Second Opinion for Excision of Endometriosis Surgery

Women should consider seeking a second opinion in several situations:

• When endometriosis treatment proves ineffective
• If the diagnosis seems uncertain or incomplete
• When facing complex cases with significant pain or fertility concerns
• Before committing to extensive surgical procedures
• When previous imaging seems insufficient for proper diagnosis

Conclusion

Endometriosis excision surgery offers life-changing results for many women struggling with chronic pelvic pain and fertility challenges. Though surgical intervention carries some risks, modern laparoscopic techniques at CARE Hospitals minimise complications through precise, minimally invasive approaches. The combination of cutting-edge technology, experienced surgeons, and comprehensive pre-operative planning helps ensure optimal outcomes for patients.