Ep81: Excision Surgery for Endometriosis. Part 1 – A Basic Overview

Updated 12/2022. Excision surgery is the gold standard treatment for endometriosis. We explain the difference between ablation and excision surgery, as well as the advantages of excision. There are only about 200 excision surgeons in the US, and we discuss systemic problems within the medical system that contribute to this shortage. We stress the importance of vetting your surgeon because excision surgery is operator dependent, and the skill levels and experience of excision surgeons vary. We briefly talk about robotic surgery as well as surgical lighting. For resources on finding an excision surgeon, see our website.

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***SOURCES: Clickable links at insixteenyears.com/episode81

--See my Endo Overview Treatment section: insixteenyears.com/treatment

--For resources for finding an excision surgeon, see my website: insixteenyears.com/how-to-find-a-specialist/

--Excision of Endometriosis – from the CEC, which includes the resources for the question we mentioned “My Doctor thinks excision & Endometriosis Treatment Centers are all hype and that the disease can be treated by anyone through basic Laparoscopy, drug suppression and down the road, hysterectomy. Do you have any references supporting the use of Excision?”

--Robotic Surgery – Article we referenced by Dr John Dulemba

--Endometriosis Appearance and Location: Impact on Surgical Success – From Nancy’s Nook

--Lier, M.C.I., Vlek, S.L., Ankersmit, M. et al. Comparison of enhanced laparoscopic imaging techniques in endometriosis surgery: a diagnostic accuracy study. Surg Endosc 34, 96–104 (2020). https://doi.org/10.1007/s00464-019-06736-8

--Decoding Coding: What is the Best Way to Code for Endometriosis?