Endometriosis surgery is suitable for women who are infertile or do not wish to have children, as in the most severe cases it may be necessary to remove the ovaries or uterus, directly affecting the fertility of the woman, so surgery is always recommended in cases of deep endometriosis in which hormone treatment has no result and there is a risk of death.
Endometriosis surgery is performed in most cases using laparoscopy, which involves making small holes in the abdomen to insert instruments that allow the removal or burning of endometrial tissue that damages other organs such as the ovaries, the outer part of the uterus, bladder or intestines.
- In cases of mild but rare endometriosis.
- Surgery can also be used with other types of treatment to increase fertility by destroying small outbreaks of endometrial tissue that develop outside the uterus and make pregnancy difficult.
Endometriosis surgery is indicated when a woman has severe symptoms that can directly interfere with a woman’s quality, when the medication is not enough, or when other changes in the endometrium or reproductive system of the woman as a whole are observed.
Therefore, depending on the age and severity of endometriosis, your doctor may choose to perform conservative or definitive surgery:
Conservative surgery is usually performed by videolaparoscopy, which is a simple procedure and should be performed under general anesthesia, in which small holes or cuts are made near the navel that allow the entry of a small tube with a micro camera and instruments. outbreaks of endometriosis.
For definitive surgery, the procedure is known as hysterectomy and is performed with the goal of removing the uterus and associated structures based on the extent of endometriosis. The type of hysterectomy to perform by your doctor varies depending on the severity of endometriosis. . Learn about the types of hysterectomy and how it’s done.
The amount depends on the type of surgery and can range from 5 to 15,000 reais depending on the duration of the procedure and the need to remove an organ. Endometriosis surgery is not covered by most health plans, but in some cases it can be performed by the Single Health System (SUS).
Learn about other ways to treat endometriosis
Endometriosis surgery is performed under general anesthesia in a hospital, so it is necessary to stay in the hospital for at least 24 hours to assess whether there is bleeding and to fully recover from the effect of anesthesia, but it may be necessary to stay longer. hospital stay if a hysterectomy has been performed.
Although the time to stay in the hospital is not long, the total recovery time after endometriosis surgery can vary between 14 days and 1 month and during this period it is recommended:
In addition, it is important to eat a light and balanced diet, as well as drink about 1. 5 liters of water a day to speed up recovery. During the recovery period, regular visits to the gynecologist may be necessary to monitor the progress of the surgery and evaluate the results of the surgery.
The risks of endometriosis surgery are mainly related to general anesthesia and, therefore, when the woman is not allergic to any type of medication, the risks are usually greatly reduced, in addition, as in any surgical procedure, there is a risk of developing a therefore it is recommended to go to the ER when the fever exceeds 38oC, very severe pain at the surgical site , swelling of the sutures or redness of the surgical site.