Evidence-based medicine has indicated that the best way to minimize the recurrence of endometriosis is by LAPEX surgery.
Lapex surgery involves the complete removal of endometriotic tissue present outside the uterus and making the woman disease free. Unfortunately, general gynaecologists are not perfectly trained in these techniques, especially excision. The problem is that only a small number of excision surgeons can safely remove the endometriosis disease completely, even in the earlier stages. In severe cases, endometriosis surgery is a very high-risk, complex operation that should only be attempted by fully professional endometriosis specialist in specialistand well equipped centers with multidisciplinary approach.
The rectum and/or sigmoid colon and ureter are typically also affected in the pelvis with serious conditions of deep infiltrating endometriosis. In the majority of cases, we can treat endometriosis by shaving it off the gut surface without having to open it, cutting away a disc of the intestine (discoid dissection of rectum) for smaller lesions, or removing a segment of the bowel ( segmental bowel resection) for more advanced cases of intestinal endometriosis. Occasionally, when performing difficult bowel surgeries, we need the support of a colorectal surgeon.
Recovery after Surgery
Recovery is immediate as the route of surgery is by laparoscopy. If endometriosis surgery involves the bowel dissection, then recovery is delayed for 1-2 days till the bowel start functioning normally.
