Endometriosis resection

What is endometriosis resection?

  • This entails keyhole surgery (5-10mm incision at the bellybutton, and 2-3 other 5mm incisions).
  • A camera is placed through the bellybutton to view the pelvis.
  • A device is placed on the cervix to manipulate the uterus.
  • The abdomen and pelvis is carefully explored, and abnormal tissue removed (excised).
  • Cysts (endometrioma) may be removed from the ovaries.

When is endometriosis resection performed?

When a patient has symptoms that may be consistent with endometriosis. This may be a first procedure or a secondary procedure if symptoms recur.

How is it the procedure performed?

Location: at Wakefield Specialist Centre

Anaesthetic: the procedure is performed under general anaesthetic, meaning the patient is asleep.

Duration of the operation: this depends on the extent of disease. Mild to moderate causes may take 45 to 90 minutes. Severe cases may take 2-4 hours.

What should I expect after endometriosis resection?

When you wake up: you will have an IV line in the arm or hand. A bladder catheter may also be present. The anaesthetist will have a management plan in place for pain to ensure you are comfortable.

Nights in hospital: most cases require a single night in hospital. Some patients will go home the same day (if mild disease is found).

Time off work: 1-2 weeks, depending on the extent of surgery required.

When back to normal functioning: exercise when you feel able, generally 1-2 weeks. You can have sex again when you feel able to, generally 1-2 weeks.

Follow-up

  • This will occur 3-6 weeks after the initial operation.
  • If any issues occur when discharged home, patients can contact the Wakefield Specialist centre directly.
  • Dr McDowell and Dr Bedford will be on call to assist when necessary.

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Further information

Symptoms

Bleeding between periods

This is quite common, and if you experience just a single episode you need not be overly concerned. Common causes are oral contraceptives and other hormonal therapies. Persistent bleeding may be caused by genital tract infections, polyps within the uterus or cervix, or possibly cervical cancer. Find out more

Heavy periods

Typically women may menstruate (bleed) for 2-5 days, and lose around 30-40ml of blood. Abnormally heavy bleeding is when: your periods last longer than 7 days; the volume is more than 80ml; there is flooding or clotting; you are anaemic. Find out more

Infertility

As many as 1 in 6 couples in New Zealand have difficulty falling pregnant. Some causes of infertility in men are issues with sperm quantity and quality. Causes of infertility in women include problems with ovulation, endometriosis, tubal blockage, and issues with egg numbers or quality. Find out more

Irregular or unscheduled bleeding

There are a number of causes of irregular bleeding, and our investigations will depend a bit on your age and fertility plans. Common causes can include endometriosis, infection, instability of the lining of the womb, ovarian cysts, perimenopause, polycystic ovarian syndrome, polyps, and early pregnancy. Find out more

Painful bowel movements

Painful bowel movements (dyschezia) are extremely common. Causes include constipation, anal fissures and irritable bowel syndrome. If you have severe endometriosis, you may suffer from dyschezia during your period. You may also have extremely painful periods and pain with deep intercourse. Find out more

Painful periods

The medical term for painful periods is dysmenorrhoea. You may describe it as pain, discomfort or cramps around the time of menstruation. There are 2 types of dysmenorrhoea: primary and secondary. Find out more

Persistent pelvic pain

If you have pain on and off for more than 6 months we call it 'persistent pelvic pain'. There are a number of conditions that can be involved, and sometimes more than one will be present. In some cases the cause is obvious, such as an ovarian cyst, or a urinary tract infection, but in other women the cause is elusive. Find out more

Prolonged periods

If your period lasts more than 7 days, you have prolonged bleeding. The term is often used synonymously with menorrhogia (heavy bleeding), but is more descriptive of periods that go on for an annoyingly long time. Find out more

Conditions

Endometriosis

Endometriosis is a common disorder that affects many women in New Zealand. It occurs when endometrial tissue, which should only be found in the uterus, also grows outside the uterus, such as on ovaries or the bowel. This can be very painful and is why women with endometriosis usually have pain around the same time as their period. Find out more