What is endometriosis?
Endometriosis is not just painful, but it can also make it difficult for you to have a children. And while there is no known cure, there are treatments to help shrink tissue growth and ease your pain. Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus (the endometrium) grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. With the condition, pieces of the endometrium that are shed during menstruation become attached to organs like your ovaries and fallopian tubes. Rarely, endometrial tissue may spread beyond pelvic organs. If you have endometriosis, you probably have painful and heavy periods, awful cramps, and might not even enjoy sex anymore because it’s so uncomfortable.
Laparoscopy is the most common procedure used to diagnose and remove mild to moderate endometriosis. Instead of using a large abdominal incision, the surgeon inserts a lighted viewing instrument called a laparoscope through a small incision. If the surgeon needs better access, he or she makes one or two more small incisions for inserting other surgical instruments.
How to treat endometriosis through Laparoscopy procedure?
You will be advised not to eat or drink for at least 8 hours before a Laparoscopy. Laparoscopy is usually done under general anesthesia, although you can stay awake if you have local or spinal anesthetic. A gynecologist or surgeon performs the procedure. For a laparoscopy, the abdomen is inflated with air. The air, which is injected with a needle, pushes the abdominal wall away from the organs so that the surgeon can see them clearly. The surgeon then inserts a laparoscope through a small incision and examines the internal organs. Additional incisions may be used to insert instruments to move internal organs and structures for better viewing. The procedure usually takes 30 to 45 minutes. If endometriosis or scar tissue needs to be removed, your surgeon will use one of various techniques, including cutting and removing tissue (excision) or destroying it with a laser beam or electric current. After the procedure, the surgeon closes the abdominal incisions with a few stitches. Usually there is little or no scarring.
Complications of endometriosis treatment through Laparoscopy
Complications from the surgery are rare but include:
- Pelvic infection.
- Uncontrolled bleeding that results in the need for a larger abdominal incision (laparotomy) to stop the bleeding.
- Scar tissue (adhesion) formation after surgery.
- Damage to the bowel, bladder, or ureters.
Who is a candidate for a laparoscopy?
Doctors do not usually recommend a laparoscopy when a person first reports endometriosis-like symptoms because, although the incisions are small, a laparoscopy is still an invasive procedure and comes with some risks. Symptoms of endometriosis that may warrant a laparoscopy include:
- pain during intercourse
- chronic pelvic pain
- problems urinating
- pain during bowel movements