Laparoscopic treatment for endometriosis is diagnosis and treatment of potential endometriosis using a laparoscope, a slender device that can perform surgery through minimally invasive incisions. The abdomen is first inflated with carbon dioxide gas before small incisions are made. Then, the laparoscope is inserted through the incision, which then streams a feed to a screen, rather than performing surgery through an open abdominal incision. During the process, the physician will view the internal organs to look for signs of endometriosis and other possible problems. If any visible endometriosis is found, the physician will remove any scar tissue or other signs of endometriosis.
Candidates for laparoscopic treatment for endometriosis typically have suspected endometriosis with severe symptoms such as pain, ovarian cysts, and heavy menstrual bleeding.
Candidates who may have suspected endometriosis that is less severe may wish to use a hormonal course of treatment instead.
A preoperative assessment discussing treatment, anesthesia, and hospital stay should be scheduled in order to prepare mentally for the procedure. Any blood thinners such as aspirin and other pain relievers should be discontinued 7 days before the procedure to reduce risk of bleeding. If you can, quit smoking, as this will also reduce your risk of excessive bleeding.
You will typically take one or more enemas the night before and the morning of the procedure. Your doctor will likely have you stop eating and drinking the night before surgery.
Laparoscopic treatment for endometriosis typically requires only an overnight stay in the hospital, during which a urinary catheter will likely be inserted. You may experience nausea and shoulder pain, which is caused by bubbles of carbon dioxide gas becoming trapped against the diaphragm. That and other pain can typically be relieved by over-the-counter or prescription pain medication. Light spotting and bleeding can occur in the first few days after the procedure, and is normal. Avoid strenuous exercise and intercourse for 4 to 6 weeks. Light exercise, however, is encouraged in order to avoid blood clots and build stamina. Fatigue is common in the first few days after surgery, but will subside with time. Patients can return to work 1 to 7 days after the procedure, but should refrain from strenuous activity.
Although laparoscopic treatment of endometriosis is relatively low-risk and minimally invasive, risks include excessive bleeding, formation of scar tissue, infection of the bladder, uterus or incision sites, or damage to the bowel, bladder or ureter (the duct by which urine passes from the kidney to the bladder). As with any surgery performed under general anesthesia, there is a risk of anesthesia-related complications or allergic reactions to surgical medications. Symptoms of endometriosis may not improve even after surgery.
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If you are having surgery outside of the country, your home country insurance is unlikely to cover a edical complication. As a result, we advise that you purchase a complication insurance policy, which is specifically designed to cover individuals who are traveling internationally for medical treatment.
Here are the two companies we have found to provide reliable services:
We have written a comprehensive overview comparing the pros and cons of both companies that you can view here.
It may be wise to purchase travel health insurance when you travel internationally, as your home country insurance may not completely cover medical expenses incurred while abroad.
Here are some options that MedRepublic clients have used in the past:
This is a short-term international travel medical plan for trips of up to 6 months. There are two different plans offered based on whether or not clients already have primary insurance domestically. You can choose from their network of providers across 180 different countries. For more information on what is covered, click here.
This is a short-term international travel medical plan for trips of 5 to 45 days. There are no country restrictions and you have the freedom to choose any doctor or hospital. There is also optional hazardous sports and scuba diving coverage. For more information on what is covered, click here.