Reproductive Surgery
Laparoscopic endometriosis treatment
Endometriosis [linkis a fairly common condition especially in women over 30 who have not had children yet , in which cells from the endometrium (the inside of the uterus) grow elsewhere in the body, usually around the uterus, the ovaries, the fallopian tubes. Endometriosis affects 1 in 10 women, especially during their childbearing age, and is one of the main causes of infertility.
Endometriosis should always be surgically treated with laparoscopy,while complementary hormonal therapy may be administered.
Open surgery (laparotomy) should no longer be used in the treatment of endometriosis for infertility because laparoscopy offers a very clear picture and allows for the investigation of all endometriosis sites as the disease is often multifocal. The surgeon removes all visible foci of endometriosis, taking care to preserve tissues like neural meshes useful in bladder and bowel function. It is performed with four small incisions (5-10mm) through which fine manipulations are executed, and the patient leaves hospital the next day.
When a couple suffers from unexplained infertility or the woman has undergone unsuccessful in vitro fertilization attempts, it is imperative for her to undergo laparoscopy to rule out possible endometriosis. Endometriosis is necessary, even of very low grade, should be treated laparoscopically before the woman undergoes assisted reproduction treatments.
