Endometriosis is a painful disorder that could intensify over time. Endometriosis could be removed surgically by means of Laparoscopy. Geared with advanced techniques, we will assist you in getting the best surgeon to say goodbye to those excruciating experiences.
Endometriosis occurs when the endometrium, the lining of the uterus grows outside the uterus, on the ovaries, fallopian tubes, and the tissues lining the pelvis. In rare cases, it could spread outside the abdomen and grow on to other organs like the lungs.
The displaced tissue has no way to exit and so it becomes trapped. This may then irritate the tissue nearby eventually developing scar tissues and form bands of tissue that cause the pelvic and other organs to stick to one another. During every period, these displaced tissues grow and thicken. This results in pain that worsens eventually and could also affect fertility in a woman.
In Laparoscopy, the surgeon makes small incision and inserts a long, viewing instrument called a laparoscope to look for scarring and remove endometriosis present in the pelvic organs.
The exact cause of Endometriosis is not known but other factors that could contribute to it are:
- Retrograde menstruation – the menstrual blood containing endometrial cells flow backward into the fallopian tubes and into the pelvic are instead of outside the body. The displaced endometrial cells grow on the fallopian tubes or surfaces of the pelvic organs, growing and thickening every menstrual period.
- Transformation of peritoneal cells – hormones or immune factors promote transformation of cells that line the inner side of your abdomen to endometrial cells.
- Embryonic cell transformation – hormones such as oestrogen may transform embryonic cell into endometrial cell implant during puberty
- Endometrial cells transport – the blood vessels or lymphatic system may transport endometrial cells to other parts of the body
- Immune system disorder – problem with the immune system may make the body unable to recognise and destroy endometrial tissue growing inside the uterus
- Surgical scar implantation – endometrial cell may attach to a surgical incision after surgery such as hysterectomy.
Symptoms of Endometriosis
- Painful menstrual periods
- Painful sexual intercourse
- Pain with bowel movements or urination during menstrual period
- Excessive bleeding
- Other symptoms such as nausea, fatigue, bloating, constipation, and diarrhoea during menstrual period.
Diagnosis and tests
- Physical examination of the pelvic region
- Transvaginal ultrasound
- Your doctor will take a physical examination of your pelvic area
- Diagnostic tests should be performed
- You must inform your doctor of all your medical history, current medications, and allergies you may have
- You will be asked to stop certain medications such as blood thinners
- You will be asked to quit smoking as it affects the healing process
- You will be asked to fast 8 – 12 hours before the surgery
- Medications given should be consumed with small sips of water.
- Surgery make take up to 45 minutes and may require an overnight stay or more depending on your recovery
- You will be given either a general anaesthesia where you will fall asleep and feel no pain or a local anaesthesia be given where the area of surgery will be made numb and you will be awake with no pain
- The surgeon makes an incision on your abdomen, under your belly button
- A small tube called cannula is inserted into the incision
- The cannula fills the abdomen with gas – carbon dioxide or nitrous oxide, pushing the abdominal walls away from the organs enabling the surgeon to see clearly
- A laparoscope is inserted with a small camera attached enabling the internal organs to be seen on a screen
- When an endometriosis or scar tissue is found, the surgeon will either use an
- Excision technique (removing the tissue)
- Endometrial ablation (freezing, heating, electricity, or laser beams to destroy the tissues)
- Once the surgery is done, the incisions are closed with stitches.
- You might experience discomfort caused by excessive gas. Doing gentle movements is recommended
- You might experience mild vaginal bleeding
- You might also experience nausea, mild pain at the incision, abdomen, or mood swings
- You should avoid sexual intercourse for a certain at least 2 – 4 weeks after the surgery
- You must refrain from intense physical activity, bending, stretching, or lifting heavy objects
- You may be able to return to normal activities one week after surgery depending on your recovery
- Your first period after surgery will be heavier, longer, and more painful. This is because your body is healing from the inside but if the pain is severe, call your doctor
- You will not be able to shower for about 48 hours after surgery to allow healing of the incision. After this, ensure that it is clean and out of direct sunlight
- Ensure that you get enough rest.
Risks and complications
- Although complications are rare, it is not without any risk like any surgery. Things that could affect are:
- Infections in the bladder, uterus, or surrounding areas
- Excessive bleeding
- Damaged organ like bladder, bowel, or uterus
- Abnormal vaginal discharge
- Unusual discharge or pain at the site of incision.
Factors affecting the cost of Laparoscopy
The cost of Laparoscopy starts from $1700. The cost could vary depending on factors like:
- Choice of hospital
- Location of hospital
- Surgeon’s fee
- Duration of hospital stay.