Endometriosis occurs when the tissue that normally lines the uterus starts to grow outside of the uterus. It can be on the ovaries, fallopian tubes, bowel and even other places both in and outside the pelvis.
During your period, the extra tissue swells with blood along with the normal tissue in your uterus. This swelling and blood can irritate nearby tissues, which can cause pain or cramps. Constant irritation may cause scar tissue known as “adhesions” to form. These adhesions can bind organs together and cause additional pain or discomfort. Adhesions may also make it difficult to get pregnant or maintain a pregnancy. Endometriosis can cause infertility.
Endometriosis is a very common health problems for women especially in their 30s and 40s but symptoms can occur in anyone sill having a period. We don’t know the exact cause of endometriosis. While there is no cure, there are several treatments options for the pain and the infertility it may cause.
Robotic Radical Resection of Endometriosis for Chronic Pelvic Pain
In this procedure Dr. Hayes works carefully to take out all areas of abnormal tissue that can be safely removed. Thanks to the excellent visualization of the robot, she can carefully identify critical parts of the anatomy and restore the pelvis back to normal. This usually alleviates pain associated with endometriosis and decreases the chances that you may have to have a future surgery. This procedure can be combined with a robotic hysterectomy or a robotic salpingo-oophorectomy (surgical removal of tubes & ovaries), or a fertility sparing salpingo-oophorectomy where only one of the tubes and ovaries are removed, conserving the healthy tube and ovary for future pregnancy.
Fertility-Sparing Robotic Resection of Endometriosis
Many women that have surgery for endometriosis want to keep their reproductive organs so they can get pregnant in the future. Dr. Hayes is able to meticulously work around the reproductive organs with the robot to remove endometriosis that may have caused the tubes and ovaries to stick together or to another organ in your pelvis. Once freed up and back in their normal position, it may be possible for a pregnancy to occur.
Robotic Salpingo-Oophorectomy for Benign Conditions
Robotic Bilateral Salpingo-Oophorectomy is the removal of both tubes and ovaries. Sometimes this is necessary to decrease the overall pain associated with endometriosis and it oftentimes includes endometriosis resection and hysterectomy. Robotic surgery offers a great advantage as Dr. Hayes is able to remove abnormal tissue meticulously because of the high-definition visualization of the robot and using tools that have more dexterity that the human wrist.
Unilateral (Fertility-Sparing) Salpingo-Oophorectomy
If a woman’s endometriosis is limited to just one ovary, it may be possible to remove only the diseased ovary and tube. This would allow for the ability to become pregnant using eggs from the remaining ovary.
Advantages of a Robotic Radical Resection of Endometriosis
- Enhanced tissue removal because of the excellent visualization.
- Less scaring due to small incisions
- Less post-op pain than open surgery
- Faster recovery