Surgery for Advanced Endometriosis

Endometriosis is a disease that affects approximately 5-15% of women of childbearing age and 20 to 40% of women who have trouble getting pregnant. Characterized by the presence of endometrial tissue (the same tissue lining the uterus and which is expelled during menstruation) outside the uterine cavity. It can affect any part of the body, but it is commonly found inside the abdomen near the uterus, ovaries and fallopian tubes.

When the endometriotic lesions are no longer surface implants and present themselves as nodules that infiltrate deeply and invade organs and other adjacent structures (eg, bowel, ovaries and bladder), they are called deep endometriosis.

The appropriate surgical treatment of endometriosis is performed by laparoscopy with the complete removal of the lesions and not just cauterization. This technique improves the fertility of the patient, allowing for spontaneous pregnancy sometimes, or where assisted reproduction treatment is needed, it increases the chances of pregnancy.

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