Excision of endometriosis is considered the “gold” standard for treatment, and requires an expert with considerable ability and experience. Dr. Seckin, one of a handful of doctors worldwide who is expertly trained and highly successful in advanced laparoscopic excision surgery, is a pioneer in this field having trained with Dr. Harry Reich, M.D., one of the most celebrated laparoscopic surgeons in the world. Dr. Reich is a pioneer in endoscopy having performed the very first laparoscopic surgery in 1989.
Laparoscopic surgery is the most advanced treatment for endometriosis, because it offers permanent removal of the endometriomas and offers the greatest pain relief. This surgery includes the excision of the endometriomas, and the scar tissue and adhesions that develop. Laser surgery, often the first choice of many doctors today, is far less effective because it only burns off the top layer of endometrial tissue, allowing for the endometrioma and endometriosis to grow back quickly. Laparoscopic excision surgery is an effective, less invasive option, which confers the maximum results for total removal of all disease.
Excision surgery also allows Dr. Seckin to safely and successfully remove the endometriosis - from all areas - with minimal risk of damage to underlying vital structures. Utilizing sharp dissection, he is able to thoroughly eradicate all forms of endometriosis, including DIE (Deep Infiltrating Endometriosis) and adhesions. Surgical excision of endometrial implants provides the best symptomatic relief and long-term results. The result is improved fertility, reestablishment of a normal pelvic anatomy, and eradication of symptoms.
Excision can be performed with any surgical tool, depending on the surgeon’s preference. Dr. Seckin uses the da Vinci system with its 3-D high definition camera that allows for precise excision of endometriosis. His endometriosis surgery is performed using cold scissors and bipolar capillary bleed control to keep the tissue surface as smooth as possible.
Drug Therapy & Endometriosis
Unfortunately, women and girls are often left to "manage" discomfort from their endometriosis with powerful painkillers and hormones, which merely mask the disease. These patients are many times mislead to believe that by suppressing the symptoms you are treating the disease. This often times leads to the disease progressing, eventually with the symptoms becoming worse and no longer responding to medication. It is true that drug therapy can offer some relief for symptoms of endometriosis, but it does not help to correct the underlying problem. Treating with drug and hormone therapy has consequently caused many women a long delay in effective diagnosis and treatment. This has led to many "hit or miss" surgeries with high recurrence rates and, sadly, thousands of unnecessary hysterectomies. The definitive treatment of endometriosis is NOT hysterectomy or removal of the ovaries; but instead the complete excision of the disease.
Endometriosis and an Iceberg
Dr. Seckin likes to think of endometriosis like an iceberg. You can see the peak of the iceberg above the ocean, fully knowing that much of it extends below the surface. Shaving off the top of the iceberg certainly removes the obstruction leaving behind a smooth surface. However, it is still certain that the remainder of the iceberg is still below the surface, only someday to reappear. Well, the superficial removal of endometriosis implants with ablation, vaporization, cauterization or fulguration is just like shaving the top off of the iceberg. The disease is left to thrive and symptoms will most definitely recur. By contrast, with deep excision, removal of all of the "iceberg" – the endometriosis nodule – is "cored out” down to the clean margins, leaving no residual disease. This results in low re-operation rates and a highly successful outcome for very long-term, endometriosis-free relief.
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