Laparoscopy or ‘key-hole’ surgery

The most common procedure

In a laparoscopy, a small telescope called a laparoscope is carefully inserted into the abdomen. As a result, doctors can closely examine the internal tissues.

This procedure allows for intervention to treat endometriosis. For instance, doctors can remove or destroy endometrial tissue, treat cysts, and release scar tissue (adhesions).

Endo.org offers more information here.

Laparotomy

Allows better access to intricate cases

A laparotomy is typically chosen for severe or widespread cases of endometriosis as it requires a larger abdominal incision compared to laparoscopic surgeries.

This approach allows doctors to remove endometriotic lesions. Additionally, it addresses complications and provides potential access for more complex surgical procedures.

The Cleveland Clinic offers more details here.

Hysterectomy

Possible last resort for severe cases

A hysterectomy is the surgical removal of the uterus. Typically, it is performed to relieve severe cases of endometriosis when other treatments are ineffective.

By removing the uterus, the procedure prevents the recurrence of endometrial tissue growth. As a result, it may help to alleviate symptoms like pelvic pain and heavy bleeding. Ultimately, this aims to provide long-term relief and improve overall quality of life.

Endo.org offers more details here.

Oophorectomy

Performed to induce hormonal changes

An oophorectomy is the removal of one or both ovaries. Typically, this procedure is performed to balance hormones and alleviate related symptoms.

By disrupting the hormonal environment, the surgery helps relieve pelvic pain, menstrual irregularities, and discomfort. In addition, it aims to prevent the recurrence of endometriosis, especially in cases of hormonal imbalances.

Seckin MD, Endometriosis clinic offers more details here.

Pre-assessment

You will always have a pre-assessment with your surgeon. During this consultation, the exact length and purpose of the surgery will be determined, as well as whether you will need general anesthesia. This decision will vary based on the severity of your condition.