Surgical Treatment of Endometriosis

What is the surgical treatment of endometriosis

If the endometriosis seems minor when a laparoscopy is performed, it is sometimes possible to destroy the endometriotic tissue immediately by careful diathermy. If the endometriosis is more severe or in areas where laparoscopic diathermy would be hazardous, a laparotomy (open abdominal surgery) will be indicated. All areas of endometriosis are carefully removed. This may even involve reconstruction of the ovaries. In severe cases, danazol is prescribed as an additional treatment to be taken for three months after the operation has been performed. 
 

How successful is this treatment

Most women get pregnant within a year of the conservative reconstructive surgery  being performed. In the case of mild endometriosis, the pregnancy rate after surgery will be in the region of 60-70%. The more severe the condition, the lower the success rates. In the worst case scenario, probably only a third of the patients becoming pregnant. Sadly there will be some women whose endometriosis is so severe, and whose symptoms are causing them such misery, that treatment would require the removal of the uterus, tubes and ovaries.
 

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