About da Vinci Endometriosis Resection Procedure

Relief from Endometriosis

Endometriosis is a painful condition that is surprisingly common–1 in 6 women, or 176 million women worldwide have endometriosis, yet nearly 70% are misdiagnosed with another condition. A woman can experience symptoms from the onset of menstruation during her teens or at any point in her life. The gynecology team at miVIP treats many cases of “Endo” each year to help women of all ages.

What causes endometriosis?

Endometriosis stems from the presence of cells similar to those in the uterine lining (endometrium) growing outside the uterus. This endometrial-like tissue may grow on the bowel, ovaries, fallopian tubes, and other organs near the uterus, and even outside the pelvis. Just like the endometrial tissue lining the inside of the uterus, this excess tissue swells with blood during a woman’s menstrual cycle. This can cause painful abdominal cramps that go beyond “normal” menstrual discomfort. Over time, the cycle of swelling can cause tissue to scar, forming adhesions. Adhesions can bind organs together, which can lead to infertility. In fact, infertility is one of the symptoms of endometriosis along with:

  • Painful abdominal cramps
  • Pain throughout the pelvic region and the back
  • Pain during sexual intercourse
  • Intestinal symptoms, such as constipation, difficult bowel movements, nausea
  • Urology/urinary tract symptoms

A Surgical Solution to a Painful Problem

Endometriosis resection is a surgical treatment that can relieve pain and correct infertility. Your doctor may recommend endometriosis surgery if other treatments, such as hormone therapy or pain medication, have not helped relieve your symptoms. Though endometriosis surgery is often done in a minimally invasive way, the da Vinci Surgical System is an advancement that makes the excision or removal of endometrial tissue and scar tissue even more precise. A da Vinci endometriosis resection procedure enhances the surgeon’s dexterity via guidance controls that allow for greater visibility and the smallest possible incisions. Small incisions can speed recovery time and get you back to enjoying life. Greater precision ensures that affected tissue is removed, reducing the likelihood of symptoms recurring.

How is the Surgery Performed?

This advanced form of laparoscopic surgery is typically done on an outpatient basis, which allows you to return home the same day as your procedure. Patients undergoing a da Vinci endometriosis resection procedure should not eat or drink anything for eight hours prior to surgery. In most cases, the patient will be placed under general anesthesia, though a local or spinal anesthesia may also be used. A needle is used to inject nitrous oxide or carbon dioxide into the patient’s abdomen. This creates space between the abdominal wall and the internal organs. This space is necessary for the placement of the laparoscopic camera.

The surgeon makes tiny, strategic incisions with the help of the da Vinci Surgical System. The laparoscope is gently inserted into the abdominal cavity to allow the surgeon to locate the adhesions. At miVIP, the adhesions will be excised (cut) with a laser scalpel or electrical current (electrocautery). The incisions are then closed with a few stitches; laparoscopic endometriosis surgery generally leaves minimal scarring.

It is important to understand that endometriosis excision and endometriosis ablation are not the same. Excision removes an entire lesion, while ablation destroys only the surface of a lesion, leaving the rest behind, which may lead to continued symptoms. For most women, excision surgery resolves symptoms.

The Surgeons at miVIP

The miVIP surgical team are highly skilled, board-certified specialists who have advanced laparoscopic excision expertise. Each of our gynecologic surgeons has been recognized by their medical peers, and brings many years of experience to miVIP for the benefit of patients.

What to Expect After the Procedure

Most women receiving endometriosis surgery on an outpatient basis can return home after the procedure; a hospital stay of one day may be necessary for some patients. The small incisions will typically heal with only minimal scarring and the patient can resume normal activity in 1-2 weeks. Most women (65% – 80%) who undergo endometriosis surgery experience an improvement in symptoms, especially a reduction in pain levels. However, as there is currently no treatment that completely cures endometriosis, it is possible that some women (up to 45%) may experience recurring symptoms following surgery.

Cost of Procedure

The cost of da Vinci endometriosis resection will depend on your insurance plan. We are able to offer our patients a free insurance benefit verification and assistance with getting pre-authorization from your insurance company. One of our patient advocates can also assist with getting you a letter of medical necessity, if that is required by your insurance. Even with insurance coverage, an out of pocket payment may be required. A member of our staff can help create a payment plan to make your treatment more affordable.

Long-term Prognosis and Other Information Regarding Endometriosis

The cause of endometriosis is currently unknown. Excision (removal) of endometrial tissue by a surgeon with advanced laparoscopic excision expertise is the gold-standard treatment for the condition. However, even this advanced treatment may not prevent the adhesions from coming back. Hormone therapy can help prevent the regrowth of excess uterine tissue and also can help preserve fertility. Endometriosis surgery can provide significant pain relief and improve fertility for an increased chance of becoming pregnant.

A da Vinci endometriosis resection procedure can help restore fertility and also help you lead a more normal, pain-free life. End the pain of “Endo”! Call us at 855-496-4847 today.