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Excision of endometriosis

Excision of endometriosis is considered the gold standard in endometriosis treatment. By using excision the surgeon can remove endometriosis lesions without harming the healthy tissue of the uterus around the abnormal growths.

What is excision of endometriosis? 

Endometriosis excision is a technique by which all endometriosis tissues are entirely removed using various tools. Excision can be done via laparoscopic route or robotic surgery. Excision also allows to remove the disease from organs where it’s not safe to just burn the disease, such as bowels or ureters. Excision can be used for both superficial and deep endometriosis.

Studies, experts and patients’ experience show that surgical excision is the best treatment for endometriosis. Excision allows for the removal of the entire endometriosis lesion including its root while avoiding damage to organs in the pelvis.

Why is it important to have excision surgery?

There are various treatment methods for endometriosis, some target one’s symptoms only and others eradicate the disease and symptoms. However, it’s important to find a specialist that can handle your case. Each doctor has their own knowledge and experience with endometriosis. 

Some use excision only, while others will use a mixture of ablation. It is important to find a doctor that works in a multidisciplinary team and uses excision as primary treatment method. It is also important to pay attention to your individual’s requirements. 

Are all specialists equal? 

Surgery is one most common endometriosis treatment methods. However, it needs to be done by an endometriosis specialist and in specialist centres. Equally important is the method used.

Excision for endometriosis allows the safe removal of all the visible endometriotic tissue. When done by an endometriosis specialist, excision surgery has a low recurrence rate. It can improve symptoms and fertility which can lead to a better quality of life. 

Ordinarily gynaecologists or doctors who are not specialised in endometriosis consider ablation as a proper treatment method. Not only that it does not remove the disease, it does not get rid of the symptoms either. Following ablation, patients will have higher rates of recurrence, and will continue to suffer.

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