![]() Scarring occurs following all surgery to a greater or lesser extent. If a second look laparoscopy is performed, then 25% of cases have post-operative scarring rather than endometriosis as the reason for their discomfort. This does not always indicate that endometriosis has returned. In my own audit, 12.8% of patients with stage I and II disease need repeat surgery within 2-3 years. After surgery, the majority of women require no further operative treatment. This happens because the nerves in your pelvis that were irritated by the endometriosis are also irritated by the removal of the disease. The endometriosis pain you have experienced can take up to three months after surgery to start to improve. Appropriate bowel preparation is necessary, and a General Surgeon is available if required. For women with severe endometriosis, the findings are discussed after surgery and subsequent surgery arranged. Although endometriosis can be removed safely from the bowel, it may require a second operation. This is an extensive disease which involves either the bowel wall (the rectum) and the ovaries, or both, and often infiltrates into the deeper tissue of the pelvic floor. In 95% of cases, all of the endometriosis found can be removed however, 5% will have “severe endometriosis”. At home you are encouraged to walk, lift and can drive within 4-5 days. Most women require 1-2 nights in hospital. ![]() All stitches are under the skin and will dissolve. When you awake after surgery, you have small dressings over each of your incisions. The surgery takes on average 1 to 2 hours.If endometriosis is found, it is removed through three small incisions below the umbilicus.A telescope is inserted through the tummy button (umbilicus).General anesthetic (being put to sleep).One operation (occasionally two) is usually all that is required to diagnose and treat the condition. If endometriosis is suspected, a Laparoscopy is required for formal diagnosis and treatment of the disease. When these cells bleed each month the muscle layer of the uterus swells and can cause heavy, painful periods, and on occasion bleeding between periodsĤ0% of women with endometriosis also have an irritated bowel syndrome. This is a cousin of endometriosis where the endometrial cells are buried with the muscle layer of the uterus. Bleeding may or may not be heavy, but up to 50% of women with endometriosis have heavy periods. ![]()
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