Optimal Excision by LAPEX

The gold standard for endometriosis surgery is optimal excision, because it is minimally invasive, and provides the best results. With this surgery, lesions are meticulously removed and eradicated down to the roots, ensuring no damaged tissue is left behind.

In most cases, No. Optimal Excision surgery to remove endometriosis is  an outpatient procedure. it's performed by laparoscopy, a minimally invasive surgery which only requires small incisions.

If a bowel resection is required by a colorectal surgeon for endometriosis involving the bowel, a hospital stay is required after surgery to wait for return of bowel function, which can be up to 5-7 days. 

Dr. Patrick Yeung utilizes advanced laparoscopic techniques along with a CO2 laser to meticulously excise endometriosis. The precision of the CO2 laser enables the safe removal of endometriosis lesions, even when situated near critical structures such as the fallopian tubes, ovaries, ureters, blood vessels, nerves, or the bowel.

To ensure thorough removal of endometriosis during surgery, it is crucial to first accurately identify all lesions suspicious for endometriosis through a meticulous inspection. At Restore Center for Endometriosis, Dr. Patrick Yeung employs a technique known as near-contact laparoscopy to enhance visibility and systematically assess every area of the pelvic cavity for endometriosis before proceeding with the removal process. It is important in this process to not just look for and treat the typical ‘powder-burn’ lesions of endometriosis, but also to look for and treat the subtle and atypical forms of endometriosis, such as lesions or other colors or blisters or deep retraction pockets.

Moreover, utilizing advanced excision techniques and a team approach, for example with a colorectal (bowel) surgeon may be required to effectively target and eliminate deep infiltrating endometriosis, which extends further into the pelvic tissues than usual.

As you undergo your optimal excision endometriosis surgery, your expert surgical team will ensure you are comfortably sedated under anesthesia, ensuring a pain-free experience during the procedure. Once asleep, your surgeon will delicately create small incisions in your abdomen and pelvis, with one typically placed near your belly button, all done with precision and care.

Postoperative pain varies among patients, though some patients have woken up from surgery and felt better from endometriosis-associated pain very soon or even immediately after surgery.

In preparation for your surgery, refrain from consuming any food or beverages after midnight on the evening before your procedure, including water, candy, chewing gum, or mints. It is advisable to abstain from smoking in the days or weeks leading up to the surgery. Follow your doctor's recommendations regarding the intake of certain medications on the day of the surgery. Additionally, if instructed by your doctor, undergo bowel preparation to ensure a smooth surgical process.

Following laparoscopic excision of endometriosis, patients are typically discharged on the same day as their surgery, as it is an outpatient procedure. While individual experiences may vary, most women recover swiftly post-surgery. In the initial 1-2 days, many may feel some cramping, soreness, fatigue, and occasional bloating. As each day passes, the recovery process becomes smoother, and by 5-7 days after the procedure, most women find themselves feeling fully restored to their normal selves.