Laparoscopic Endometriosis Surgery
Laparoscopy (keyhole surgery) is the gold standard in the surgical treatment of endometriosis. Through a few very small incisions in the abdomen, the surgeon inserts a camera and fine instruments to directly identify and remove endometriotic lesions, while confirming the diagnosis at the same time.
The procedure is minimally invasive: endometriotic tissue is cut out with fine instruments (excision) or destroyed using heat, high-frequency current or laser (ablation). Adhesions can also be released during the same session.
The operation is performed under general anaesthesia and leaves only very small external scars. It is mainly used for severe symptoms, palpable findings, organ involvement, or an unfulfilled desire to have children.
Important information:
The gold standard for symptomatic endometriosis
Surgical treatment is primarily indicated for acute or chronically recurring symptoms, as well as for an unfulfilled desire to have children. The goal is to remove endometriotic lesions, release adhesions, and restore fertility.
How the procedure works
Under general anaesthesia, the surgeon inserts several fine instruments into the abdomen through tiny skin incisions. A camera makes the abdominal cavity visible on a monitor; endometriotic lesions are specifically removed or destroyed. The duration of the operation depends heavily on the extent of the findings and can range from 30 minutes to several hours.
Effectiveness and outlook
In most women, pain improves significantly after the procedure, and the chances of pregnancy can also improve. Since endometriosis can recur, a follow-up hormone therapy over three to six months is often recommended, to extend the recurrence-free interval.
Possible side effects
As with any surgery, there are risks such as secondary bleeding, infection, or injury to neighbouring organs (e.g. bowel, bladder, ureter) – these are rare with experienced surgeons. Temporary abdominal or shoulder pain from the gas used during the procedure is possible afterwards.
After surgery & knowing your alternatives
Most patients can leave the clinic after one to two days and should take it easy physically for a few weeks. Depending on the findings and whether pregnancy is desired, hormone therapy alone may be a suitable alternative or supplement. The decision for or against surgery is always made together with your treating specialist.
Frequently Asked Questions
Frequently asked questions about laparoscopic endometriosis surgery.
How safe is laparoscopy and how good are the outcomes?
Laparoscopy is considered a safe, well-established standard procedure. Serious complications are rare. Many women report a marked and lasting improvement in their symptoms.
What happens after surgery – will I be back on my feet quickly?
Thanks to the small incisions, recovery time is much shorter than with open surgery. Most women are back to their daily routine after one to two weeks – but strenuous physical activity should be avoided for a few weeks.
Does the surgery affect my fertility?
In many cases, removing endometriotic lesions and releasing adhesions improves the chances of a natural pregnancy. For very extensive findings, for instance on the ovaries, the approach should be discussed individually with regard to ovarian reserve.
Are there alternatives – and who are they suitable for?
For mild symptoms, hormone therapy alone may initially be sufficient. Surgery is mainly advisable when symptoms persist despite hormone therapy, organs are affected, or pregnancy is desired but not occurring. Your specialist will advise you individually.
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