Hysterectomy is the removal of the womb, and is performed under general anaesthetic. it can be done with or without removing the ovaries. it can be done with or without removing the ovaries. if the ovaries are left in place then the chance of endometriosis returning is increased.. Burning endometriosis by diathermy or laser may be used to treat mild endometriosis, or it may be used in the context of a “second look” laparoscopy at the end of the course of hormonal therapy. the final alternative is hysterectomy with removal of the womb, all the endometriosis and sometimes the ovaries. this is curative in 90% of. For the treatment of recto vaginal endometriosis up to the recto-sigmoid, we clearly prefer a co2 laser (80 watt, sharplan) together with a high flow insufflator (thermoflator, storz ag)36 mandatory for smoke evacuation and cooling the laser beam...
Deeply infiltrating endometriosis surgery may involve removal of the uterosacral ligaments and the upper part of the back of the vagina, along with the deep lesions. sutton c, hill d. laser laparoscopy in the treatment of endometriosis. a 5-year study. br j obstet gynaecol 1990;97:181-185.. Meuleman c, tomassetti c, d’hoore a, buyens a, van cleynenbreugel b, fieuws s, penninckx f, vergote i, d’hooghe t. clinical outcome after co2 laser laparoscopic radical excision of endometriosis with colorectal wall invasion combined with laparoscopic segmental bowel resection and reanastomosis.. Endometriosis, pelvic pain, and infertility from january 1999 to october 2009 in order to prepare a canadian consensus guideline on the management of endometriosis..
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