In most endometriosis patients, irreparable damage is done during their first surgery by kind but under qualified surgeons.
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We need to continue to invest in training surgeons to undertake what is very complicated surgery and to recognise that surgery should only be undertaken by those skilled in excising endometriosis.
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Suomessa yleisesti käytössä oleva leikkaustapa eli laserilla polttaminen ei ole hyvä tapa leikata endoa.
Ablation is quick and dirty and has a high degree of failure, in part because you cannot burn deeply enough to fully destroy disease without tissue injury. Meantime using ablation lays down a layer of carbon on the surface of the very sensitive peritoneum which can be a new source of pain as well as confusing in future surgeries since so many doctors look at the carbon assuming it is endo and either burn it again, or try to cut it out. Black lesions are more often carbon, or hemosiderin (iron staining from bleeding in the surrounding tissue). Excision cuts the entire lesion out rather than burn the surface. Cutting the lesion out reduces the risk of recurrence as seeing in partially ablated lesions.
What needs to be done for women with endometriosis?
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