Laparoscopic Management of Endometriosis



Endometriosis is now defined by by the who as a painful condition wherein the inner lining of the uterus ( endometrium ) invades and grows outside the uterus .It can be of two types superficial or deeply infiltrating Endometriosis. The superficial Endometriosis ( invading less than 5 mm ) can form cysts ( blood filled ) into the ovaries and invade the superficial lining ( the peritoneum ) of the abdomen and make organs stick together leading to severe pain during periods or infertility ( as the normal relationship of the organs is disturbed due to the organs sticking to each other)but the deeply infiltrating Endometriosis can be more serious as this Endometriosis invades into the intestines ( rectovaginal endometriosis) leading to pain while passing motion or while having sex ( dysparenunia) and infiltration into the urinary bladder can lead to the patient having severe pain during periods and can even lead to her kidney being blocked and nonfunctional by this type of Endometriosis.

Hence now the who has termed it as a “chronically managed condition “ .The treatment of this condition is dependent on the presenting symptoms of the patient and for diagnosing it your doctor may get an ultrasound or an MRI done and in more severe cases a virtual colonoscopy may also be needed . But the most accurate diagnosing and treatment modality for Endometriosis today is Laparoscopy where this condition can be diagnosed and treated in almost 100 percent cases. During this advanced laparoscopic treatment ( key hole surgery ) the endometriotic cysts can be removed completely without any damage to the normal ovary with the help of carbon dioxide lasers .

Also in tertiary centres the painful rectal and urinary tract Endometriosis can be totally removed with the help of Laparoscopy and new energy sources in laparoscopy like ultrasound energy and co2 lasers .This laparoscopic procedure not only helps the woman in relieving the pain and discomfort symptoms (like bloatdeness and constipation ) and painful sex but also helps the woman restore her fertility and helps her get pregnant faster only in very extreme cases is Ivf ( test tube Bäby ) needed after laparoscopy.Additionally as this laparoscopy is not only more cosmetic but also causes less pain , minimum blood loss ,and the patient can return to work in 1 to 2 days due to early recovery it has emerged as a boon for infertility patients suffering from this dreadful and painful condition