What are the surgeries for endometriosis?

As a common gynecological disease, endometriosis has many treatments, but the main treatment is surgery. As for surgical treatment, everyone knows that it is a relatively traumatic operation and is considered a relatively difficult treatment method. Therefore, once you know you are going to undergo surgery for endometriosis, you need to choose more carefully. So, what are the surgeries for endometriosis? Let’s find out together.

Endometriosis is a common gynecological disease. Patients with endometriosis often suffer from infertility. The infertility rate of normal women is about 15%, while that of patients with endometriosis can be as high as 40%. The cause of infertility in patients with severe endometriosis may be related to extensive adhesions of organs and tissues in the pelvic cavity and weakened peristalsis of the fallopian tubes, which affects the discharge, uptake and movement of eggs.

Surgery is effective in relieving pain and promoting fertility, so it remains the main measure for treating endometriosis. The most common surgical treatments for endometriosis are:

(1) Fertility-preserving surgery: Suitable for young women who want to have children, especially those who have not responded to drug treatment. The scope of surgery is to remove or cauterize the endometriosis as much as possible, but preserve the uterus and bilateral, unilateral, or at least part of the ovaries. The operation can be performed under laparoscopy or direct laparotomy. ① Laparoscopic surgery: Endometriosis can be diagnosed under laparoscopy, and a variety of surgeries can be performed, including lesion resection, adhesion separation, ovarian chocolate cyst puncture and fluid extraction followed by injection of anhydrous alcohol, ovarian cyst removal and ovarioplasty, and oophorectomy. Generally, the pregnancy rate after surgery can reach over 70%, but recurrence is still possible. ② Laparotomy: Suitable for patients with extensive adhesions, huge lesions, especially huge ovarian chocolate cysts.

(2) Ovarian-preserving surgery: The pelvic lesions and uterus are removed, but one ovary or part of the ovary is retained to maintain the patient's ovarian function. This surgery is suitable for critically ill patients under the age of 45 who have no fertility requirements. Be careful of the recurrence in a small number of patients after surgery. (3) Radical surgery: The uterus, bilateral adnexa, and all endometrial lesions in the pelvis are removed. It is suitable for critically ill patients over 45 years old who are near menopause.

The above is an introduction to endometriosis surgery. It should be noted here that endometriosis is a common gynecological disease and the probability of getting the disease is very high. Therefore, in order to avoid endometriosis, women need to pay attention to physiological hygiene in daily life and pay attention to care during menstruation.