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Excision of Endometriosis

From the Endometriosis Articles List

Endometriosis ExcisionWhat is endometriosis excision and why is it important?

There are many ways to remove endometriosis from the body, but excision is considered one of the most effective methods at this time. The term excision refers to using a type of cutting method to try to remove the entire endometriosis implant and leave nothing behind.

Excision can be done with a number of different tools and methods. There are mechanical tools such as scissors or a scalpel and others methods such as laser, vaporization, or electricity; all can be used to remove endometriosis implants from organs and tissues.

In many cases, rather than the specific tool being the key, it is having a surgeon who is able to use a tool or tools in a skilled and expert manner to cut away existing implants. Some surgeons even use a combination of tools depending on the location of endometriosis.

Excision is important for a couple reasons. One, it leaves tissue intact so there is something to send to pathology to confirm diagnosis. Having positive proof of your diagnosis can help treatment decisions. Two, excision is less likely to leave remaining endometriosis implants that can continue to cause symptoms and problems.

Unfortunately, there are a limited number of surgeons in the United States, and even the world, with expert excision skills. Instead, many surgeons use an ablation method that burns the surface of the endometriosis implant using heat, laser, or cautery methods, which can cause more scarring and tissue damage. In addition to possible tissue damage, this method is also more likely to leave behind some of the endometriosis because it cannot reach deep implants, nor can it be used on all organs and tissues. Plus, ablating the implants leaves no tissue for pathology to confirm diagnosis.

Finding an endometriosis specialist who has the ability to excise your endometriosis could offer you the most optimal treatment option. It can take some time and effort to find this type of surgeon, but it can be well worth it!

This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

03-27-2014 - 10:43 AM


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